The Development of Mental Health Promotion Program for the Elderly by Participation of Community at the District Level Songkhla Province

Main Article Content

Maithai Chaiyapan
Bunrome Suwanphahu

Abstract

     This research and development study aims to develop and evaluate the mental health promotionThis research and development study aims to develop and evaluate the mental health promotionprogram for elderly. The study consisted of 3 stages; stage 1 studying problems, needs and guidelines for mental health development, stage 2 developing mental health promotion program, and stage 3 evaluating program. The subjects were divided into an experimental group and a control group with 40 elderly each. The tools included mental health evaluation forms, need assessment questionnaires, guidelines for group discussions, and a mental health promotion program. Descriptive statistics and t-test were used for quantitativeanalysis while content analysis was used for qualitative analysis.


     We found that in stage 1 mental health problems of the subjects were stress, depression andanxiety. Problems affecting mental health were physical and mental deterioration, the lack of motivation,and ignorance of mental health care. The suitable mental health promotion program should launched in a flexible and fun way. In stage 2 the mental health promotion program for elderly we have designed consisted of 5 activities; stress management and spiritual development, prevention of depression, interaction with the family and society, self-evaluating promotion, and access to supportive sources in the community.In stage 3 after applying our program the experimental group significantly obtained higher mental health mean scores (D1=27.28, SD=16.13) than the control group (D2=3.26, SD=4.93) receiving routine care(p<.001, t = 6.35).

Article Details

How to Cite
Chaiyapan, M., & Suwanphahu, B. (2019). The Development of Mental Health Promotion Program for the Elderly by Participation of Community at the District Level Songkhla Province. Journal of Research in Nursing-Midwifery and Health Sciences, 39(3), 150–168. Retrieved from https://he02.tci-thaijo.org/index.php/nur-psu/article/view/218909
Section
Research Articles

References

Foundation of Thai Gerontology Research and Development institute (TGRI). Situation of the Thai elderly 2016. [Internet]. [cited 2018 Jul 8]. Available form: https://www.thaihealth.or.th/Content/

Bunnarakorn S. Promoting holistic health at all ages. Naradhiwas: Princess of Naradhiwas University; 2013.

National Statistical Office. The elderly population survey in Thailand, 2018. Bangkok: Text and Journal Publication Co., Ltd; 2018.

Songkhla Statistical Office. Elderly statistics of Songkhla Province 2017. [Internet]. [cited 2018 Jul 6]. Available form: https://songkhla.nso.go.th/index.php.pdf/

Office of the National Economic and Social Development Board (NESDB). Elderly index and the burden of rates 1994 – 2017. [Internet]. [cited 2018 Apr 15]. Available form: https://social.nesdb.go.th/SocialStat/StatReport/

Center for Quality of Life and Elderly Occupation Promotion Ko Taeo Subdistrict Municipality. Elderly mental health status survey in Ko Taeo Subdistrict Municipality. [Internet]. [cited 2017 Aug 14]. Available for https://www.kt.go.th/

Office of Community Based Health Care Research and Development. Community health system development. [Internet]. [cited 2018 Jun 5]. Available form: https://www.shi.or.th/content/260/1/

Bandura A. Social learning theory. New Jersey: Prentice Hall; 1997.

House, J. S. Understanding social factors and inequalities in health: 20th century progress and 21st century prospects. JHSB. 2002; 43(2): 125-142.

World Health Organization (WHO). Community based rehabilitation: CBR. [Internet]. [cited 2018 Jun 30]. Available form: https://www.who.int/disabilities/cbr/en/

Krejcie, Robert V, Morgan Derryle W. Determining sample size for research activities, JEPM. 1970; 30(10): 607-609.

Thongvisase T, Kingminghae P, Suparatanagool S, et al. Developing activity model embedded in mental health process prototype for elderly promotion. JEDUMSU. 2015; 9(Special Edition): 219-234.Thai.

Department of Mental Health, Ministry of Public Health. Guide happy 5th dimension for the elderly. Nonthaburi. The agricultural cooperative federation of Thailand limited; 2013. Thai.

World Health Organization (WHO). Definition of an older or elderly person: Proposed working definition of an older person in Africa for the MDS project. [Internet]. [cited 2018 Jun 5]. Available form: https://www.who.int/ healthinfo/survey/ ageingdefnolder/

Kotchana C, Virasir S. The effect of social support group on grandmother’s childrearing abilities and stress during raising preschool grandchildren in Loei province. TJHPE. 2010; 33(2): 42-52. Thai.

Gray R.J, Grove K S, Burns N. The practice of nursing research: Appraisal, synthesis, and generation of evidence. [Internet]. [cited 2018 Jul 8]. Available form: https://www.books.google.co.th/ booksPA356&dq=attrition+rate+ formula+for+ sample+size&source.

Ukranan P, Mongkol A, Huttapanom W, et al. Development and psychometric property testing of Thai geriatric mental health assessment. J Psychiatr Assoc Thailand. 2015; 60(1): 35-48. Thai.

Wongwiseskul S, Sukcharoen P, Payomyong S. Community participation model of health promotion for the elderly in Bangphlat district, Bangkok Metropolis. SDU Res. J. 2017; 10 (2):153-173. Thai.

Chalardlon H, Moolsart S, Lawang W. The development of a health promotion activity model for elderly in the Ban Pong Elderly Klungpunya Club, Ratchaburi province. NJMPH. 2017; 27 (2):154-167. Thai.

Petburi P. The effect of social support program on the mental health of the elderly. [Thesis]. [Bangkok]: Thammasat University; 2009. 95 p. Thai.

Kothtong P. The research and development of the program for health behavior promoting in the elderly base on Naturalis. [Mahasarakham]: Rajabhat Mahasarakham University; 2017. 435 p. Thai.

Wiboonsri Y R. Project evaluation: Concepts and practices. Bangkok: Cupress; 2013.

Chaidachatorn S, Thipsungnoen T, Kaewprom K. Mental health status among the elder persons in Nakhon Ratchasima Province. JBCNB, Nakhonratchasima. 2015; 21 (1):31-40. Thai.