Health Problems of School-aged Children that Access to Online Media: The Perspective of Working-age Parents in Thailand 4.0 Era


  • Atchariya Wonginchan Faculty of Nursing, Khon Kaen University
  • Juraporn Tangpukdee Faculty of Nursing, Khon Kaen University
  • Suphasak Wonginchan Thailand Cable TV and Telecommunication Association, Bangkok, Thailand
  • Sureeporn Kearttiwongkru National Institute of Child Health, Ministry of Public Health, Nonthaburi
  • Sujitra Khonggungong Faculty of Dentistry, Khon Kaen University


health problems of school-aged children, working-aged parents, online media access, Thailand 4.0


Health problems of school-aged children (SAC) who access online media in the Thailand 4.0 era are likely to increase as all sectors focus on driving more innovative activities. As a result, working-age parents (WAPs) focus more on work and less time to care for their children during school age. The objective of this qualitative research was to study the health problems of SAC with access to online media and the perspectives of WAPs. Collection data through in-depth interviews with 36 target groups, and a focus group with representatives via an online program with recordings for easy data curation. Analyze data by the transcribed interviews to synthesize three issues as follows. The parental context of care is important and challenging, how to access online media of SAC, and the health problems are different in each dimension. The study found that the context of WAPs played an important role in making SAC more accessible to online media. Next, smartphone ownership and unrestricted Internet use by SAC will increase the convenience and flexibility of accessing online media for a long time. Lastly, parents' point of view is to focus more on care and prevention because if it affects the health problems of SAC on one dimension, it will affect other health problems. However, if access to online media tends to rise cannot be avoided, changes in online media access behavior can affect health care. The benefit, if proper access is encouraged, would be a better choice than control. Those involved in the care and prevention of health problems should refer to the context of their parents, the benefits of accessing online media, and its impact on all aspects of health problems, of which these are important.


Download data is not yet available.


Almeida, F. (2014). Thorstein veblen and albert bandura: A modern psychological reading of the conspicuous consumer. Journal of Economic, 48(1), 109–122.

Alshakhs, F., & Alanzi, T. (2018). The evolving role of social media in health-care delivery: Measuring the perception of health-care professionals in Eastern Saudi Arabia. Journal of Multidisciplinary Healthcare, 11, 473–479.

Aydemir, H., Cinar, M., & Karali, Y. (2021). Analysis of internet addiction levels of primary school, secondary school and high school senior students. International Online Journal of Educational Sciences, 13(4), 1152–1178.

Bonnaire, C, & Phan, O. (2017). Relationships between parental attitudes, family functioning and internet gaming disorder in adolescents attending school. Psychiatry Research, 255(1), 104–10.

Cohen, J. F. & Olsen, K. (2013). The impacts of complementary information technology resources on the service-profit chain and competitive performance of south african hospitality firms. International Journal of Hospitality Management, 34, 245–254.

Cordier, R., Speyer, R., Mahoney, N., Arnesen, A., Heidi Mjelve, L., & Nyborg, G. (2021). Effects of interventions for social anxiety and shyness in school-aged children: A systematic review and meta-analysis Public Library of Science, 16(7), 1-42.

Creswell, J. W., Hanson, W. E., Plano Clark, V. L., & Morales, A. (2007). Qualitative research designs: Selection and implementation. Counseling Psychologist, 35(2), 236–264.

Danylenko, M., Cherniakova, M., Merkulova, V., & Avdiievska, H. (2021). The impact of summer holidays on the physical development of school-age children. Medicni perspektivi, 26(2), 147-52.

Dick, S. D. (2019). Generational similarities in work values of generations X, Y and Z. Journal of Human Resource Management, 22I(2), 10–27. Retrieved from

Electronic Transactions Development Agency. (2020). Thailand Internet user behavior 2020. Retrieved from

Ercan, S., Acar, H. T., Arslan, E., Canbulut, A., Oğul, A., & Çetin, C. (2021). Effect of internet addiction on sleep quality, physical activity and cognitive status among university students. Journal of Turkish Sleep Medicine, 8(1), 49–56.

Eriksen, C. M., Kujabi, M. L., Kanu, A. S., & Gulis, G. (2021). Health perceptions in relation to child health and mortality in a rural context, Sierra Leone: A mixed method study. International Journal of Environmental Research and Public Health, 18(1), 1–14.

George, R. J., Menon, S. A., Sahu, C., Patel, H., Thakur, N., & Sam, S. T. (2020). Level of holistic health & wellness and its percieved influencing factors among baccalaureate nursing students: A mixed approach. International Journal of Nursing Education, 12(3), 35–42.

Kim, E. J., Namkoong, K., Ku, T., & Kim, S. J. (2008). The relationship between online game addiction and aggression, self- control and narcissistic personality traits. European Psychiatry, 23(3), 212-18.

Lindvall, K., Vaezghasemi, M., Feldman, I., Ivarsson, A., Stevens, K. J., & Petersen, S. (2021). Feasibility, reliability and validity of the health-related quality of life instrument child health utility 9D (CHU9D) among school-aged children and adolescents in Sweden. Health and Quality of Life Outcomes, 19(1), 1–13.

Lo, C. K. M., Yu, L., Cho, Y. W., & Chan, K. L. (2021). A qualitative study of practitioners’ views on family involvement in treatment process of adolescent internet addiction. International Journal of Environmental Research and Public Health, 18(1), 1–12.

Lopez-Fernandez, O. (2021). Emerging health and education issues related to internet technologies and addictive problems. International Journal of Environmental Research and Public Health, 18(1), 1–19.

McDonald, A., Holttum, S., & Drey, N. S. J. (2019). Primary-school-based art therapy: exploratory study of changes in children’s social, emotional and mental health. International Journal of Art Therapy: Inscape, 24(3), 125–138.

Mersereau, M. (2021). Universal and non-excludable broadband internet access: A modest proposal for municipal provisioning of broadband as a basic service. Canadian Journal of Urban Research, 30(1), 30–39.

Michaelson, V., Pickett, W., & Davison, C. (2019). The history and promise of holism in health promotion. Health Promotion International, 34(4), 824–832.

National Science and Technology Development Agency. (2016). Thailand 4.0 blueprints to drive thailand to sustainable and sustainable wealth. Retrieved from

National Statistics Office. (2016). The 2016 household survey on the use of information and communication technology. Economic and Social Statistics Bureau, National Statistical Office. Bangkok: Thailand. (in Thai)

Phillips, B. E., Theeke, L. A., & Sarosi, K. M. (2021). Relationship between negative emotions and perceived support among parents of hospitalized, critically ill children. International Journal of Nursing Sciences, 8(1), 15–21.

Research and Consultancy institute. (2019). A complete study report: Project to explore behavior and trends of thai media consumption. Bangkok: Thammasat university. (in Thai)

Reynolds, G., Field, A. P., Askew, C. (2015). Preventing the development of observationally learnt fears in children by devaluing the model’s negative response. Journal of Abnormal Child Psychology, 43(7), 1355–67. doi: 10.1007/s10802-015-0004-0

Somdee, P., Pongjaturawi, Y., Chaimongkol, N. (2017). Factors related to preventive behavior of rhinitis symptom among school–age children. The Public Health Journal of Burapha University, 12(1), 43-53. (in Thai).

Tapruk, K., Ho, P., Sawadsutha, P. (2014). Interesting Topic :Internet Gaming Disorder. Department of Psychiatry Ramathibodi Hospital. Retrieved from (in Thai)

Thai Health Promotion Foundation. (2018). The survey found that Thai children are addicted to the Internet higher than the world average. Retrieved from

Wakimizu, R., Yamaguchi, K., & Fujioka, H. (2017). Family empowerment and quality of life of parents raising children with Developmental Disabilities in 78 Japanese families. International Journal of Nursing Sciences, 4(1), 38–45.

Wonginchan, A. (2018). Fear of school-age children with online media in Thailand 4.0. Journal of Nursing Science & Health, 41(4), 145-54. (in Thai)

Wonginchan, A., Thanatteerakul, C., Suearam, K., Thepha, T., Sungworawongpana, T. (2021). The school-age children with fears and phobias. Journal of Nursing Science & Health, 44(2), 11-23. (in Thai)

Ying, C. Y., Maria Awaluddin, S., Kuay, L. K., Man, C. S., Baharudin, A., Yn, L. M., …& Ibrahim, N. (2021). Association of internet addiction with adolescents’ lifestyle: A national school-based survey. International Journal of Environmental Research and Public Health, 18(1), 1–13.

Yodpanan, C., Buddhirakkul, P., Aungwattana, S. (2020). Effects of a community participatory health promotion program on food consumption and exercise behaviors among overweight students. Nursing journal, 47(2), 75–84. (in Thai)

Yoo, S. Y., Cho, H., Kim, Y. Y., & Park, J. H. (2020). Levels of partnership between nurses and parents of hospitalized children and the quality of pediatric nursing care as perceived by nurses. Child Health Nursing Research, 26(1), 64–71.