Development and Evaluation of Participatory Health Promotion Model for Diabetes and Hypertension Elderly Patients in Khlong Khoi Sub-district, Pak Kret District, Nonthaburi Province
Keywords:
elderly, diabetes, hypertension, health promotion, participationAbstract
The purpose of this study was to develop participatory health promotion model for diabetes and hypertension elderly patients, and to evaluate the model implementation. Two phases of the study, the first phase: qualitative method was used by focus group discussion for health promotion model designing among 18 community stakeholders in Khlong Khoi sub-district, Pak Kret district, Nonthaburi province. The second phase, a quasi-experimental, was used to evaluate the model implementation for 3 months among 52 purposive selected of the target elderly. Measurement of self-efficacy, self-care behaviors and health outcome, then lesson learned by focus group discussion were done. Data was analyzed by descriptive statistics, paired samples t-test and content analysis. The first phase results, the health promotion model developed by stakeholders using 2 days of participatory learning for empowering the elderly, and self-care follow up twice during 2 months. The second phase, the model evaluation found better improvement of self-efficacy, self-care behaviors and fasting blood sugar with significant difference of mean scores (p-value <0.001); body mass index and blood pressure decreased at posttest but no significant difference; lesson-learned showed all stakeholders learnt an integrative work, process of elderly potential raising by interesting and fun learning activities and games, and continue application of the model.
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