The Development of Family and Community Health Leaders for Elderly Care
Keywords:
Development, Family and community health leader, Elderly careAbstract
Family and community health leaders are individuals who are capable of solving family health problems and participating in community work. This participatory action research aimed to develop family and community health leaders for elderly care. The research was conducted in Jomthong subdistrict, Maunge district, Phitsanulok, and was composed of 2 phases. Phase 1 involved designing lessons by a knowledge management process according to a health promotion pattern comprised of health responsibility, physical activities, nutrition, interpersonal relation, spiritual development, and stress management from 40 community practitioners divided into 5 groups, with 8 people in each group. Phase 2 was comprised of 6 lessons, delivered to 38 participants selected by purposive sampling related to the inclusion criteria, to develop and evaluate the learning outcomes and learning process. Research instruments included the Community Health Leader for Elderly Care lessons, a learning outcomes test, and an assessment of satisfaction with the lesson and knowledge management forms. The data were analyzed using content analysis, inductive analysis, descriptive analysis and paired sample t-test.
The results showed that the 6 lessons designed by the community practitioners consisted of exercise for elderly, food for elderly, interaction to promote health for elderly, mental management for elderly, and stress management for elderly. The outcomes after the lessons found overall average scores were significantly higher (p < .01). The average scores before and after learning were 13.61 and 23.16, respectively. Satisfaction with the learning process was at a high level ( = 4.59, SD = 0.58).
The study findings suggest that family and community health leaders developed by the knowledge management process from family and community organizations by a participatory process can be a tool for creating responsibility to promote or solve holistic health problems of the elderly.
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