The Effect of an Empowerment Enhancing Program for Village Health Volunteers on Drug Delivery Service Practices to Persons with Chronic Non-Communicable Diseases in Communities
Keywords:
Empowerment enhancing program, Village health volunteer, Drug delivery service, Chronic non-communicable diseases, CommunitiesAbstract
Empowering village health volunteers’ effectiveness regarding drug delivery service practices to persons with chronic non-communicable diseases in communities results in continuity of treatment and reduces the risk of complications of chronic non-communicable diseases in those communities. This quasi-experimental study, with a two-group, pretest-posttest design, aimed to study the effect of an empowerment enhancing program for village health volunteers on drug delivery service practices to persons with chronic non-communicable diseases in communities. The participants included 50 village health volunteers who worked in a health promoting hospital in Saraphi district, Chiang Mai province, and who were assigned to two groups with 25 participants in each by simple random sampling. The research instruments consisted of 1) an 8-week empowerment enhancing program for village health volunteers, developed by the researcher based on Gibson’s empowerment theory; 2) a handbook and media on drug delivery service practices to persons with chronic non-communicable diseases; and 3) an assessment form on drug delivery service practices to persons with chronic non-communicable diseases which was verified for content accuracy by six experts demonstrating a content validity index of .96 and a Cohen’s kappa coefficient of .85. The data were analyzed with descriptive statistics, Wilcoxon signed-rank test, and Mann-Whitney U test.
The results showed that the experimental group had higher mean scores (M = 20.92, SD = 0.27) for drug delivery service practices for persons with chronic non-communicable diseases in the community (M = 2.96, SD = 1.46) than before receiving the empowerment enhancing program, with a statistically significant difference (Z = -4.407, p < 0.001), and higher than those of the control group (M = 3.92, SD = 1.14) with a statistically significant difference (Z = -6.418, p < 0.001).
The results of this research can be used as guidelines for community nurse practitioners and health care teams to promote and enhance the potential of village health volunteers, with knowledge, confidence, and skills, to provide drug delivery services to people with chronic non-communicable diseases in the community, effectively, accurately, and efficiently.
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