Application of the Purpose in Life Model for Enhancing Holistic Health Promotion of Thai Adolescents Living with HIV
Article Sidebar
Main Article Content
Abstract
This participation action research (PAR), with a technical collaborative approach, is aimed at developing a purpose in life model for enhancing holistic health promotion of Thai adolescents living with HIV. The study was conducted from September, 2015-March, 2017. The data were collected using 4 instruments: 1) demographic data; 2) holistic health record; 3) rapport semi structured interview; and 4) two sets of semi structured interview. The participants comprised 2 groups; 22 adolescents living with HIV and two professional nurses. Data were gathered by in-depth interviews. Demographic data were analyzed by descriptive statistics and qualitative data were analyzed by Strauss & Corbin’s grounded theory. This participation action research (PAR), with a technical collaborative approach, is aimed at developing a purpose in life model for enhancing holistic health promotion of Thai adolescents living with HIV. The study was conducted from September, 2015-March, 2017. The data were collected using 4 instruments: 1) demographic data; 2) holistic health record; 3) rapport semi structured interview; and 4) two sets of semi structured interview. The participants comprised 2 groups; 22 adolescents living with HIV and two professional nurses. Data were gathered by in-depth interviews. Demographic data were analyzed by descriptive statistics and qualitative data were analyzed by Strauss & Corbin’s grounded theory.
The results illustrated the model to increase knowledge of enhancing holistic health promotion of Thai adolescents living with HIV. The model consisted of 5 steps in 54 weeks. Step one, understanding the purpose in life and holistic care experience consisted of 2 activities: 1) building trust and rapport, and 2) understanding the perception of purpose in life and holistic care of the participant. Step two, searching for the purpose in life consisted of 2 activities: 1) searching for the purpose in life, and 2) sharing the purpose in life. Step three, designing life paths for the purpose in life consisted of 4 activities: 1) reviewing the purpose in life, 2) sharing holistic care activities with nurse professions, 3) defining activities to achieve the purpose in life and recording in the “my path in life and my commitment form 4) sharing activities to achieve the purpose in life by storytelling. Step four, practicing to achieve the purpose in life consisted of 5 activities; 1) practicing activities and recording in the form, 2) sharing holistic care activities with nurse professions, 3) using technology to search for holistic care activities and access to health services, 4) increasing feelings of pride and inspiration in a variety of ways, 5) cultivating a sense of social responsibility. Step five, evaluation and encouraging continuous practice; consisted of one activity called “making bracelet from beads”. The seven consequences were identified in relation to holistic care: 1) focusing on life’s purposes, 2) accepting HIV, 3) living with consciousness, 4) maintaining hope for cure, 5) making choices for life, 6) caring for oneself, and (7) responsibility towards others.
The findings would benefit stakeholders in promoting holistic health and improving quality of life of adolescents living with HIV.
Article Details
References
2. World Health Organization. Adolescent development [Internet]. 2016 [cited 2017 July 20]. Available from http://www.who.int/maternal_child_adolescent/ topics/adolescence/dev/en/
3. Ongwandee S. Adolescents at risk for HIV infection [Internet]. [cited 2018 February 20]. Available from: http://www.thaihealth.or.th/Content/34201-วัยรุ่นกลุ่มเสี่ยงติดเชื้อเอชไอวี.html. Thai.
4. Balthip Q, Chandrema S. Process of establishing purpose of life of Thai teenagers living with HIV. Songklanagarind J Nurs. 2013; 33(3): 1-15. Thai.
5. Balthip Q, Purnell M. Pursuing meaning and purpose in life among Thai adolescents living with HIV: A grounded theory study. J Assoc Nurses AIDS Care. 2014; 25(4): e27-38. Thai.
6. Damon W, Menon J, Bronk KC. The development of purpose during adolescence. Appl Dev Sci. 2003; 7(3): 119-28. DOI: 10.1207/S1532480XADS0703_2
7. Machell KA, Disabato DJ, Kashdan TB. Buffering the negative impact of poverty on youth: The power of life purpose. Soc Indic Res. 2016; 126 (2): 845–61. doi 10.1007/s11205-015-0917-6
8. Hill PL, Burrow AL, Brandenberger JW, et al. Collegiate purpose orientations and well-being in early and middle adulthood. J Appl Dev Psychol. 2010; 31(2): 173-9. doi:10.1016/j.appdev.2009.12.001
9. Hatthakit U. Holistic nursing care integrating Eastern wisdom. Songkhla: Max Media; 2014. Thai.
10. Kemmis, S. and McTaggart, R. Participatory Action Research: Communicative Action and the Public Sphere. In: Denzin, N. and Lincoln, Y., Eds., Strategies of Qualitative Inquiry, Sage, Thousand Oaks, 2007; 271-330.
11. Strauss A, Corbin J. Basics of qualitative research: Techniques and procedures for developing grounded theory. (2 nd ed.). Thousand Oaks, CA.: SAGE; 1998.
12. Balthip Q, Petchruschatachart P. Spiritual care for patients living with chronic health condition in the community. Songkhla: P.C. prospect; 2016. Thai.
13. Boonyasopun U, Balthip Q. Personal development skill for clients at the primary care, secondary care, and tertiary care center. In: Sritanyaratana, W, editor. Health promotion guidelines for nursing profession at the primary care, secondary care, and tertiary care center. Bangkok: Mata Press; 2017.
14. Coleman K, Austin BT, Brach C, et al. Evidence on the chronic care model in the new millennium. Health Aff (Millwood). 2009, 28(1):75-85. doi: 10.1377/hlthaff.28.1.75.
15. Balthip K, Petchruschatachart U, Piriyakoontorn S, et al. Application of purpose in life and self-sufficient economic philosophy in enhancing the holistic health promotion of Thai adolescents. Songklanagarind J Nurs. 2016; 36(3): 111-30. Thai.
16. Petchruschatachart U, Balthip K, Piriyakoontorn S. Life’s assets and quality of life of Thai junior high school adolescent, Songkhla province. Songklanagarind J Nurs. 2016; 36(Suppl.): 55-69. Thai.
17. Thammakul D, Krutthakart S, Thepworachai U, et al. Factors affecting the adherence to antiretroviral medication among HIV/AIDS patients. JSHR. 2010; 4(2): 1-11. Thai.
18. Di Risio M, Ballantyne PJ, Read SE, et al. “HIV isn’t me…”: HIV+ adolescents’ experiences in a positive context of support and treatment. AIDS Care. 2011; 23(6): 694-699. doi: 10.1080/09540121.2010.532539.
19. Call KT, Riedel AA, Hein K, et al. Adolescent health and well-being in the twenty-first century: A global perspective. J Res Adolesc. 2002; 12(1): 69-98. doi: 10.1111/1532-7795.00025
20. Balthip Q, Petchruschatachart U, Piriyakoontorn S, et al. Achieving peace and harmony in life: Thai buddhists living with HIV/AIDS. Int J Nurs Pract. 2013; 19 (Suppl. 2), 7-14.
21. Weaver AJ, Vane A, Flannelly KJ. A review of research on Buddhism and health: 1980-2003. J Health Care Chaplain. 2008; 14(2): 118-32.
22. Tongprateep T. The essential elements of spirituality among rural Thai elders. J Adv Nurs. 2000; 31(1): 197-203. doi: 10.1046/j.1365-2648.2000.01212.x
23. Tuicomepee A. Development of purpose-in life scales in Thai undergraduate students. Mental Health Thailand. 2001, 9(1): 18-26. Thai.
24. Suwannawat J, Kongsuwan V, Suttharangsee W. The effect of group-based learning psychological crisis Intervention on mental health state of adolescents affected by the unrest situation in Southern Thailand. Songklanagarind Journal of Nursing. 2016; 36(3): 131-49.
25. Ausalut W. HIV in children, part 1: A clinical overview. Br J Nurs. 2012; 7(4): 176-179.
26. Ruengrong P, Jiraworawong P, Manyum W, et al. Social media in Thailand education [Internet]. 2013 [cited 2017 July 1]. Available from https://hooahz.wordpress.com/tag/เครือข่ายสังคมออนไลน์/. Thai.
27. Katende-Kyenda NL, Lubbe MS, Serfontein JHP, et al. Prevalence of possible drug–drug interactions between antiretroviral agents in different age groups in a section of the private health care sector setting in South Africa. J Clin Pharm Ther. 2008; 33: 393–400.
28. Tripatri S, Sungthong P, Salachan S. User guide on life assets inventory for Thai children and youth (youth version). 2 nd ed. Bangkok: Appa Printing Group; 2010. Thai.
29. Pender NJ, Murdaugh C, Parsons MA. Health promotion in nursing practice. 6 th ed. Boston: Pearson; 2010.
30. Working Group for Supporting Rural Village Development Work. Principles of royal projetcs [Internet]. [cited 26 June 2017]. Available from http://www.wrp.or.th/%E0%B8%AB%E0%B8%A5%E0%B8%B1%E0%B8%81%E0%B8%81%E0%B8%B2%E0%B8%A3/. Thai.
31. Campbell C. Scott K, Madenhire C, et al. Sources of motivation and frustration among healthcare workers administering antiretroviral treatment for HIV in rural Zimbabwe. AIDS Care. 2011; 23(7): 797-802. doi: 10.1080/09540121.2010.525622
32. Nordenfelt L, Edgar A. The four notions of dignity. Quality in Ageing. 2005; 6(1): 17-21.
33. Nortona WE, Amico KR, Fisher WA, et al. Information motivation behavioral skills barriers associated with intentional versus unintentional ARV non-adherence behavior among HIV patients in clinical care. AIDS Care. 2010; 22(8): 979-87. doi: 10.1080/09540121003758630
34. Kim S, Gerver SM, Fidler S, et al. Adherence to antiretroviral therapy in adolescents living with HIV: Systematic review and meta-analysis. AIDS. 2014; 28(13): 1945–1956. doi: 10.1097/QAD.0000000000000316.