A confirmatory factors analysis of health promotion behavior among elderly at risks with ischemic heart disease


  • Nawarat Suthipong Central Chest Institute of Thailand
  • Ungsinun Intarakamhang Behavioral Science Research Institute, Srinakharinwirot University
  • Narisara Peungposop Behavioral Science Research Institute, Srinakharinwirot University


health promotion behavior, elderly, ischemic heart disease, confirmatory factor analysis


        The aims of this study were to conduct confirmatory analysis of health promotion behavior among elderly at risks with ischemic heart disease of fitted with the empirical data. The sample in this study consisted of 690 person; aged 60 to 69 years who living in Nonthaburi Municipality and Pakkret Municipality, Nonthaburi Province. The samples method was stratified random sampling. The questionnaire concerning health promotion behavior among elderly at risks with ischemic heart disease. Content validity, item objective congruence index [IOC], empirical validity, confirmation factor analysis and Cronbach’s alpha coefficients were used to assess the reliability. Data were analyzed using computer program, and LISREL software

        The results of this study showed that the component of the health promotion behavior among elderly at risks with ischemic heart disease consisted of 6 components: nutrition, physical activity, health responsibility, interpersonal relations, spiritual growth, and stress management. The standardized factor loading of these components are between 0.50 - 0.84 consistent with the empirical data χ2 = 518.66, df = 194, p < 0. 001, CFI = 0.98, GFI = 0.94, AGFI = 0.92, RMSEA = 0.049, SRMR = 0.038.

        This study suggested that the health promotion behavior patterns of the elderly were of reliable quality and conform to the theoretical concepts. Their will be used as a measurement for the elderly at risk of ischemic heart disease.


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Bureau of Policy and Strategy, Ministry of Public Health. P&P excellence forum 2017. [internet]. 2017 [cited 2020 January 10]. Available: http://bps.moph.go.th/new_bps/sites/default/files/PPExcellenceForum2017.pdf (in Thai).

Weerakun K, Kositchaiwat J, editors. 7R : Registry, recognition, rule out non-ACS chest pain, risk stratification, reperfusion, refer, rehabilitation & prevention. [internet]. 2014 [cited]. Available: http://www.thaiheart.org/PDF/7R (in Thai).

Pornminthikul A. Atherosclerosis risk factor management. Chiang Mai: Trickthink; 2019. (in Thai).

Kitreerawutiwong N, Mekrungrongwong S. Factor influencing health behavior among elderly living in the community. The Public Health Journal of Burapha University 2016;11(1):63-74. (in Thai).

Tangsurat B, Ponghiran W. The health care behavior of the elderly in Bangmuang sub district municipality, Muang District, Samutprakan Province. DRURDI Research for Community Service Journal 2013;20(1):57-69. (in Thai).

Pender NJ, Murdaugh CL, Parsons MA. Health promotion in nursing practice. 5th ed. NJ: Prentice Hall;2006.

Bureau of Policy and Strategy, Ministry of Public Health (Thailand). Public health statistics A.D. 2018. [internet]. 2019 [cited 2020 January 14]. Available: http://bps.moph.go.th/new_bps/sites/default/files/statistic61%20full.pdf (in Thai).

Department of Medical Services. Guide to screening/evaluating in the older people. Bangkok: Office of the Veterans Affairs Organization. 2015. (in Thai).

Pender NJ, Murdaugh CL, Parsons MA. Health promotion in nursing practice. 6th ed. NJ: Prentice Hall;2011.

Giena,VP, Thongpat S, Nitirat P. Predictors of health-promoting behaviour among older adults with hypertension in Indonesia. Int J Nurs Sci 2018;5(2):201-5. https://doi.org/10.1016/j.ijnss.2018.04.002

Wongwiseskul S, Sukcharoen P, Payomyong S. Community participation model of health promotion for the elderly in Bangphlat district, Bangkok Metropolis. SDU Research. 2017;10(2):153-74. (in Thai).

Kuhirunyara P, Ratanasiri A, Jindawong B, Natiboot P, Watchanapan L, Junthakhun C, et al. Health promotion behaviors of elderly living in an urban community of Khon Kaen province. Srinagarind Medical Journal. 2018;33(2):153-60. (in Thai).

Ruangsit W, Vongprasert J, Kulprateepunya K. Process of activity arrangement associated with HealthCare behaviors of the Thai elderly: a systematic review. Nursing Journal of the Ministry of Public Health 2018;28(3):131-44. (in Thai).

Walker SN, Sechrist KR, Pender NJ. Health promotion model - instruments to measure health promoting lifestyle : health-promoting lifestyle profile [HPLP II] (Adult Version). [internet]; 1995 [cited 2020 February 14]. Available: https://deepblue.lib.umich.edu/bitstream/handle/2027.42/85349/HPLP_II-English_Version.pdf?sequence=3

Payukkaruk P, Thato R. Factors predicting health promoting lifestyles in patients at risk for cardiovascular disease in southern area. Journal of Nursing Science Chulalongkorn University. 2013;25(3):81-92. (in Thai).

Comrey AL, Lee HB. A first course in factor analysis (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum; 1992.

Bollen, KA. Structural equations with latent variables. New York: John Wiley & Sons; 1989.

Aungsuchoti S, Wijitwanna S, Pinyopanuwat R. Statistical analysis for social sciences and behavioral science research: Techniques use the LISREL program. 4thed. Bangkok: Chroendeemunkongkanpim; 2014. (in Thai).





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