Factors Influencing Dementia Preventive Behaviors Among Older Adults with Chronic Diseases in Rural Communities
Keywords:
Dementia, Dementia-preventive behaviors, Older adults with chronic diseases, Rural communityAbstract
Dementia preventive behaviors in older adults with chronic diseases are important in helping to delay the onset of dementia. This predictive correlational study aimed to determine the factors influencing dementia preventive behaviors among older adults with chronic diseases in rural communities. The participants consisted of 140 older adults with chronic diseases at risk for dementia in one province. Participants were recruited using multistage random sampling. A questionnaire assessed 1) demographic data, 2) knowledge of dementia, 3) perceived susceptibility of dementia, 4) perceived severity of dementia, 5) perceived benefits of dementia prevention, 6) perceived barriers of dementia prevention, 7) perceived self-efficacy of dementia prevention, 8) social support, and 9) dementia preventive behaviors. The content validity and reliability of the research instruments were approved. Data were analyzed using descriptive statistics and multiple regression.
The research results found that the overall dementia preventive behaviors of the older adults with chronic diseases were at a moderate level (M = 2.24, SD = .27). The factors influencing dementia preventive behaviors included perceived self-efficacy of dementia prevention (ß = .378, p < .001), knowledge of dementia (ß = .260, p < .001), and perceived susceptibility of dementia (ß = .184, p < .05). These factors could significantly predict 29.90% of the variance in dementia preventive behaviors (R2 = .299, F = 7.968, p < .05).
Health care providers should develop programs to promote knowledge and perceived susceptibility, and increase perceived self-efficacy of preventing dementia in older adults with chronic diseases in rural communities.
References
Best, J. W. (1977). Research in education (3rd ed.). Prentice-Hall.
Bloom, B. S. (1968). Learning for mastery. Instruction and curriculum. Regional education laboratory for the carolinas and virginia, topical papers and reprints, number 1. Evaluation Comment, 1(2), n2.
Boonsatean, W., Ruearudipirom K., & Pettan, S. (2022). Influential factors on dementia preventive behaviors of older adults living in communities, Pathum Thani Province. Songklanagarind Journal of Nursing, 42(3), 97-110. (in Thai)
Choi, W. H., Seo, Y. M., & Kim, B. R. (2019). Factors influencing dementia preventive behavior intention in the elderly people. Journal of East-West Nursing Research, 25(2), 138-146.
Chutngern, S., Chaichanawirote, U., & Hanrungcharotorn, U. (2018). Factors affecting dementia risk-reducing behaviors among older adults in Bangkok. Journal of Health and Nursing Research (Journal of Boromarajonani College of Nursing, Bangkok), 34(1), 81–90. (in Thai)
Cohen, J. (1992). Quantitative methods in psychology: A power primer. Psychological Bulletin, 112(1), 155-159. https://web.mit.edu/hackl/www/lab/turkshop/readings/cohen1992.pdf
Department of Health Service Support. (2023). Report on the results of health screening for the elderly in the community. https://3doctor.hss.moph.go.th/main/rp_screen (in Thai)
Foundation of Thai Gerontology Research and Development institute (TGRI). (2023). Situation of the Thai older persons 2022. Institute for Population and Social Research, Mahidol University. Amarin Corporations Public. https://library.anamai.moph.go.th/mmi/Main/cvr/000/004/690/8/240531-135343-27123_2565_eng.pdf (in Thai)
Han, E. K., Kim, D., Park, Y., Kwon, J. A., & Kwon, H. (2021). A comparative study on factors influencing preventive behavior of dementia between elders attending dementia care village senior centers and elders attending general senior centers in Korea. Indian Journal of Public Health Research & Development, 12(3), 347-356.
Hawong, S., Thaingtham, W., & Nanthamongkolchai, S. (2017). The health promotion program for the elderly at risk group of Alzheimer's in community. Journal of Public Health Nursing, 31(1), 110–128. (in Thai)
Institute of Geriatric Medicine. (2015). Geriatric syndromes. https://www.med.cmu.ac.th/en/service/excellence-center/gmc/ (in Thai)
Jitapunkul, S., Kamolratanakul, P., & Ebrahim, S. (1994). The meaning of activities of daily living in a Thai elderly population: Development of a new index. Age and Ageing, 23(2), 97-101. (in Thai)
Khunkhavan, T., Hoyrat, P., & Tuanwisetkul, S. (2023). Factors influencing dementia preventive behaviors among older people in Chaiyaphum Province. Thai Journal of Nursing, 72(3), 47–54. (in Thai)
Lamont, R. A., Nelis, S. M., Quinn, C., Martyr, A., Rippon, I., Kopelman, M. D., Hindle, J. V., Jones, R. W., Litherland, R., & Clare, L. (2020). Psychological predictors of ‘living well’with dementia: Findings from the IDEAL study. Aging & Mental Health, 24(6), 956-964.
Li, H., Zhang, J., Wang, L., Yang, T., & Yang, Y. (2022). A health promoting-lifestyle prediction model for dementia prevention among Chinese adults: Based on the health belief model. BMC Public Health, 22(1), 2450. https://doi.org/10.1186/s12889-022-14828-9
Livingston, G., Huntley, J., Sommerlad, A., Ames, D., Ballard, C., Banerjee, S., Brayne, C., Burns, A., Cohen-Mansfield, J., Cooper, C., Costafreda, S. G., Dias, A., Fox, N., Gitlin, L. N., Howard, R., Kales, H. C., Kivimäki, M., Larson, E. B., Ogunniyi, A., … Mukadam, N. (2020). Dementia prevention, intervention, and care: 2020 report of the Lancet Commission. Lancet, 396(10248), 413-446.
National Health Security Office. (2016). Long-term care guide for public health care for the elderly with dependent area in the National Health Security System, Fiscal Year 2016. National Health Security Office. (in Thai)
Pibarnwong, P., Juntaparuk, C., Pangsuk, P., Pinyo, P., & Talordpong, P. (2019). A study of dementia and factors associated with dementia among elderly in North East, Thailand. Journal of Boromarajonani College of Nursing, Surin, 8(2), 46–57. (in Thai)
Rosenstock, I. M., Strecher, V. J., & Becker, M. H. (1988). Social learning theory and the health belief model. Health Education Quarterly, 15(2), 175-183.
Srisatidnarakul, B. (2020). Effect size, power analysis, optimal sample size calculations using G*power software. Chulalongkorn University Press. (in Thai)
Srimuang, P., & Pitivirayuth, P. (2022). Predicting factors of dementia preventive behaviors among elderly people living in Samut Prakan Province. Journal of Preventive Medicine Association of Thailand, 12(2), 303-318. (in Thai)
Tiparat, W., Meng-aied, S., Suwanweala, S., & Chuaykaew, B. (2019). Factors predicting dementia preventive behavior among older adults-at-risk. The Journal of Faculty of Nursing Burapha University, 27(1), 100–108. (in Thai)
Trakulsithichoke, S. (2018). Prevention of dementia in older persons. Journal of Nursing, 36(4), 6–14. (in Thai)
World Health Organization. (2019). Risk reduction of cognitive decline and dementia: WHO guidelines. https://www.who.int/publications/i/item/risk-reduction-of-cognitive-decline-and-dementia
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Nursing Journal CMU
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวารสารพยาบาลสาร
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับมหาวิทยาลัยเชียงใหม่ และคณาจารย์ท่านอื่นๆในมหาวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
