Journal of Nursing and Public Health Research

Factors Predicting Road Accident Prevention Behaviors among Students and Personnel at Songkhla Rajabhat University

Yaowalak Teanuan — 2026-01-21

This cross-sectional descriptive study aimed to examine the factors and levels of road accident prevention behaviors and to analyze a causal relationship model of such behaviors among students and personnel of Songkhla Rajabhat University. The sample consisted of 574 students and 183 personnel who rode motorcycles in Khao Roop Chang subdistrict, Mueang district, Songkhla province. Data were collected using questionnaires assessing attitudes toward road accident prevention behaviors, perceived behavioral control regarding accident prevention, subjective norms related to road accident prevention, and intention toward road accident prevention behaviors. Data were analyzed using descriptive statistics and stepwise multiple regression analysis.

The results showed that students and personnel demonstrated high levels of attitudes, perceived behavioral control, subjective norms, and road accident prevention behaviors (Mean (S.D.) = 4.10 (0.57), 4.43 (0.47), 4.47 (0.47), and 4.52 (0.45), respectively). The level of intention toward road accident prevention behaviors was moderate (Mean (S.D.) = 3.23 (0.55)). Multiple regression analysis revealed that perceived behavioral control and subjective norms were significant predictors of road accident prevention behaviors among both students and personnel, jointly explaining 23.3% and 19.2% of the variance, respectively (R² = 0.23 and R² = 0.19, p-value < 0.01). Intention toward road accident prevention behaviors was significantly associated with preventive behaviors only among personnel, whereas attitudes were not significantly associated with preventive behaviors in either group. These findings can be used as a guideline for designing road accident prevention measures in higher education institutions, particularly for motorcycle riders. The study also suggests promoting a culture of safe riding through peer group mechanisms and multisectoral participation.

Development of a Health Care System for Bedridden Older Adults in the Community

Weena Limsakul — 2026-01-23

This research and development study aimed to examine the current situation of care for bedridden older adults in the community and to develop and evaluate a health care system for bedridden older adults in the community. The study sample consisted of individuals involved in the care of bedridden older adults and family caregivers, totaling 40 participants. The study was conducted in three phases: 1) assessment of the current situation of care for bedridden older adults in the community; 2) development of a health care system for bedridden older adults in the community; and 3) evaluation of the health care system for bedridden older adults in the community. The research instruments included a focus group discussion guide, a social support assessment questionnaire, a quality of life assessment questionnaire, and a satisfaction questionnaire regarding the health care system for bedridden older adults in the community. Data were analyzed using descriptive statistics and the Wilcoxon signed-rank test.

The results showed that the health care system for bedridden older adults in the community involved responsible organizations from both the health care team and the Subdistrict Administrative Organization, which provided care-related equipment and arranged care assistants for dependent older adults in the community; however, the system was not yet comprehensive or fully integrated across all relevant organizations. The developed community-based care system comprised six components: 1) assessment of dependency levels and support needs, 2) support for establishing a social welfare system to enhance access to health services for dependent older adults, 3) home visits for bedridden older adults, 4) home environment modification, 5) access to emergency services, and 6) development of caregivers’ knowledge and caregiving skills. The evaluation of the implementation of the health care system in the community, as assessed by the social support of caregivers of bedridden older adults before and after system development, demonstrated a statistically significant difference (p-value = 0.048), whereas caregivers’ quality of life did not show a statistically significant difference (p-value = 0.44). The findings suggest that the health care system in the community for bedridden older adults should be further applied and evaluated to examine its effectiveness in promoting the quality of life of caregivers of bedridden older adults.

The Development of a Self-Care Management to Reduce Knee Pain among Older Adults with Knee Osteoarthritis by a Community Participation

Saowalak Thajang — 2026-01-26

This action research aimed to develop self-care for reducing knee pain among older adults with knee osteoarthritis through community participation. The research participants included 50 older adults with knee osteoarthritis selected by purposive sampling, along with 50 caregivers or family members, 20 village health volunteers, 2 community leaders, and 2 registered nurses from Klingkham Subdistrict Health Promoting Hospital. The research process consisted of four steps conducted in two cycles: 1) situational study leading to planning, 2) problem identification and planning, 3) community-based implementation and observation, and 4) reflection, evaluation, and plan improvement. The research instruments included an interview form for general information and the situation of knee osteoarthritis among older adults, focus group discussion guidelines, brainstorming and reflective meeting guidelines, and a satisfaction assessment form. Quantitative data were analyzed using descriptive statistics, including percentages, means, and standard deviations, while qualitative data were analyzed using content analysis.

The results showed that the self-care development approach through a community participatory process consisted of four components: 1) collaborative study and selection of diverse educational materials with the community, 2) provision of knowledge training for the health care team, the sample group, and stakeholders, 3) promotion of the safe use of pain-relieving herbal remedies in the community, and 4) home visits conducted by the community health team. These processes resulted in improved self-care for reducing knee pain among all participants. The overall satisfaction evaluation was at a high level (Mean = 4.12, S.D. = 0.68). Therefore, health personnel can apply this process as a guideline for promoting self-care to reduce knee pain in collaboration with community health teams.

Factors Influencing Dietary Consumption Behaviors among the Working-Age Population in Thailand

Boonprajuk Junwin — 2026-01-29

This cross-sectional survey study aimed to analyze factors influencing dietary consumption behaviors among the working-age population in Thailand. Participants were 10,260 working-age individuals aged 19–59 years. Data were collected using an online questionnaire, which included measures of personal characteristics, enabling factors related to dietary consumption, reinforcing factors related to dietary consumption, and dietary consumption behaviors. Data were analyzed using descriptive statistics and stepwise regression analysis.

The results showed that enabling factors related to dietary consumption were at a high level (Mean = 4.08, S.D. = 0.61), while reinforcing factors related to dietary consumption were at a moderate level (Mean = 3.44, S.D. = 0.38). Overall dietary consumption behaviors were also at a moderate level (Mean = 3.30, S.D. = 0.26). Factors that significantly predicted dietary consumption behaviors included reinforcing factors related to dietary consumption (b = 0.24; p-value < 0.001), enabling factors related to dietary consumption (b = 0.04; p-value < 0.001), living in a nuclear family (b = 0.03; p-value < 0.001), absence of underlying diseases (b = 0.02; p-value < 0.001), male sex (b = -0.01; p-value = 0.04), and number of family members (b = -0.008; p-value < 0.001). These variables jointly explained 14.80% of the variance in dietary consumption behaviors among the working-age population (adjusted R² = 0.15). Among the predictors, reinforcing factors and enabling factors related to dietary consumption demonstrated the strongest predictive power. Therefore, health professionals should promote nutrition education that supports appropriate information dissemination for working-age adults, emphasizes awareness of family-based dietary planning, and enables individuals to make appropriate food purchasing decisions.

The Effects of a Health Literacy Promotion Program on Health Literacy and Health Behaviors in Urban Stroke Patients at Vajira Hospital

Piyanoot Promthong — 2026-01-29

This quasi-experimental study aimed to examine the effects of a health literacy promotion program on health behaviors and health literacy levels among urban stroke patients at Vajira Hospital. A total of 60 participants were purposively selected and assigned to either an experimental group or a control group, with 30 participants in each group. The research instruments included the health literacy promotion program, a general information questionnaire, a health behavior assessment, and a health literacy assessment. Descriptive statistics were used to analyze general information. Differences in mean scores before and after the intervention were analyzed using the dependent t-test, while differences in mean scores between the experimental and control groups were examined using the independent t-test.

The results showed that after participating in the program, the experimental group had a significantly higher mean health literacy score (Mean = 72.10, S.D. = 6.58) compared with before the intervention (Mean = 41.30, S.D. = 5.87; p-value < 0.001). Regarding health behaviors, the experimental group also demonstrated a significantly higher mean score after the program (Mean = 117.40, S.D. = 8.21) than before participation (Mean = 83.00, S.D. = 7.45; p-value < 0.001). Based on these findings, the health literacy promotion program should be implemented to enhance health literacy and promote effective health behaviors among stroke patients, thereby improving their self-care management.

The Development of a Care Model for Psychiatric Patients through the Participation of Network Partners in Toom Sub-District, Prang Ku District, Si Sa Ket Province

Kanchalida Jangtaton — 2026-02-27

This participatory action research aimed to develop a model of care for psychiatric patients through the involvement of network partners in Toom Subdistrict, Prang Ku District, Si Sa Ket Province. Purposive sampling was employed to recruit participants, including 25 psychiatric patients and a total of 57 caregivers, village health volunteers, community leaders, and health network partners. The research process consisted of three phases: 1) preparation, 2) implementation, and 3) evaluation. Data were collected using questionnaires, in-depth interviews, and focus group discussions. Quantitative data were analyzed using descriptive statistics and paired t-tests, while qualitative data were analyzed using content analysis.

The findings revealed that most patients were diagnosed with schizophrenia (60%) and had a history of missed medical appointments (64%). Caregivers demonstrated insufficient knowledge regarding psychiatric disorders. The developed care model, the TOOM Model, comprises four key components: the use of communication technology, community empowerment, collaboration among network partners, and caregiver support. Following implementation, scores related to knowledge, perceptions, participation, and caregiving behaviors among network partners, as well as patients’ activities of daily living skills, significantly improved (p-value < 0.001). Therefore, the TOOM Model represents an effective approach that is well suited to rural community contexts and contributes to the sustainable improvement of psychiatric patient care.

Integrating Buddhist Wisdom with Holistic Health Promotion: A Case Study of Monks in the Digital Era in Muang Uttaradit District

Seubtrakul Tantalanukul — 2026-03-17

This research and development study aimed to: (1) examine the situation of holistic health and digital technology use among monks, (2) analyze the relationship between adherence to Buddhist principles and holistic well-being, and (3) develop and evaluate the effectiveness of a holistic health promotion program integrating Buddhist wisdom with digital technology. The research was conducted in four phases: situational analysis, program development, program implementation and evaluation, and program refinement into a finalized version. Participants consisted of 250 monks in Mueang Uttaradit District, Uttaradit Province, selected through multistage sampling. The research instruments included a questionnaire on holistic health status and digital technology use, a holistic well-being assessment, and a program satisfaction questionnaire. Quantitative data were analyzed using descriptive statistics, t-tests, Pearson’s correlation, and multiple regression analysis. Qualitative data were analyzed using content analysis.

The results showed that 30.80% of the monks had a body mass index in the obese range, 21.60% had hypertension, and 17.20% experienced high levels of stress. A total of 95.20% of the monks used smartphones, with an average usage of 3.80 hours per day. Adherence to Buddhist principles was positively associated with holistic well-being at a statistically significant level (p-value < 0.001). The “Samanah Well-being in the Digital Era” program consisted of a health-recording application, an electronic manual integrating Buddhist principles with health care, exercise videos based on Buddhist practices, and a monitoring and evaluation system. After three months of program implementation, the monks showed significant improvement in holistic well-being across all dimensions (p-value < 0.001). Participants reported a high level of satisfaction with the program (Mean = 4.24). These findings indicate that the program has strong potential to promote holistic well-being among monks and could be expanded to support the implementation of health-promoting temple policies.

Development and Evaluation of a Self-Management Model for Patients with Type 2 Diabetes with Family and Community Participation among Ethnic Groups in Mae La Noi District, Mae Hong Son Province

Amornrat Anuwatnonthakate — 2026-03-20

This research and development study aimed to develop and evaluate the effectiveness of a self-management model for patients with type 2 diabetes, involving family and community participation among ethnic groups in Mae La Noi District, Mae Hong Son Province, Thailand, on self-care behaviors and glycated hemoglobin (HbA1c) levels. The study was conducted in two phases. Phase 1 involved the development of the self-management model. Phase 2 evaluated the effectiveness of the model using a quasi-experimental one-group pretest–posttest design (n=40). Data collection instruments included a self-management behavior assessment questionnaire and laboratory testing of glycated hemoglobin (HbA1c). Quantitative data were analyzed using descriptive statistics and comparisons of mean scores before and after the intervention, while qualitative data were analyzed using content analysis.

The results showed that the developed self-management model consisted of four key components: culturally appropriate education and skill training, family support for behavioral change, participation of village health volunteers and community members in follow-up care, and proactive home visits conducted by a multidisciplinary team. After the intervention, participants demonstrated significantly higher mean scores of self-management behaviors (p-value = 0.01) and a significant improvement in glycated hemoglobin levels (p-value < .001). Therefore, this model can be applied to the care of patients with type 2 diabetes in primary health care settings through collaboration among health professionals, families, and communities, particularly in remote areas or among ethnic populations.