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This action research aimed to develop stroke preventive care service model for clients with chronic illness having CVD risk in context of primary care. Participants were representatives from three groups, including 18 clients with chronic disease, nine health providers and nine other stakeholders. Indepth interviews and focus group discussions were used for qualitative data collection. The Guidelines for Assessment of Cardiovascular Risk was used for quantitative data collection. The study included three steps which were: situational analysis, development process and model synthesis. Content analysis was used for qualitative data analysis; descriptive statistic was used for quantitative data analysis. Findings revealed “The Integrated Stroke Preventive Care Service Model” (ISPCSM) comprising five steps of care services, 1) awareness in modifying risky behaviors, 2) integrated care services in non-communicable diseases: NCDs clinic, 3) stroke fast track services, 4) continuing rehabilitation services, and 5) home visit and long term care services. The ISPCSM are services that has integrated between health care services to prevent stroke and social services of long-term care system.
2. Strategy and Planning Division Ministry of Public Health. Statistical Thailand; 2017. Thai.
3. International health policy program. Thailand burden of disease 2011. Thai health promotion foundation; 2014. Thai.
4. Mahasarakham provincial public health office. Illness with non-communicable disease of kaedum contracting unit for primary care; 2015. Thai.
5. World Stroke Organization. World stroke day 2016. [Internet]. [Cited 2017 May 6]. Available from: http://www.worldstrokecampaign.org/get- involved/world-stroke-day.html
6. Sriprasert P. Service plan health area 7. Major chronic non-communicable diseases (NCD), Health area7; 2013. Thai.
7. Intolo S, Sritanyarat W. Health care service for older persons with stroke: Focusing on prevention or cure. Journal of Nursing Science and Health. 2016; 39(4): 22-32. Thai.
8. Limwattananon C, Tiamkoa S, Waleekhachonloet O, et al. Differences in stroke care and outcomes across health insurance schemes: a quantitative analysis. Health system research institute, Bangkok, 2014. Thai.
9. Bureau of Epidemiology, Department of disease control, Ministry of public health. Chronic diseases surveillance report. Bangkok, 2012. Thai.
10. National stroke foundation. Acute stroke services framework 2011. [Internet]. [cited 2017 Dec 6]. Available from http://strokefoundation. com.au/site/media/Acute_Stroke_Framework_ Services_2011.pdf
11. Okamoto E, Miyamoto M, Hara K, et al. Integrated care through disease-oriented clinical care pathways: experience from Japan’s regional health planning initiatives. Int J Integr Care. 2011; 11(Spec 10 th Anniversary Ed): e125.
12. Kemmis S, McTaggart R. Participatory action research: Communicative action and the public sphere. In N. Denzin & Y. Lincoln, Eds. Handbook of qualitative research. 3 rd ed. Thousand Oaks: Sage; 2005. p. 559-604.
13. Bureau of non-communicable diseases. Department of disease control, Thailand Ministry of Public Health. Guidelines for risk assessment of cardiovascular disease. 3 rd ed. Bangkok; 2016. Thai.
14. Chuenjairuang P, Sritanyarat W. Development of primary health care services for stroke prevention in persons with warning signs of stroke. Pacific Rim Int J Nurs Res. 2012; 16(4): 313-25.
15. Sukhumanpitak J, Nantsupawat W, Hornboonherm P. Development of a care model for male stroke patients in secondary hospital using a participatory action research. Nurs’ Assoc Thailand, North-Eastern Divis. 2012; 30(1): 32-8. Thai.
16. Baokumphai Y, Jongudomkarn D. Effects of the “Kumpavapee model” toward the potential development of the family leaders in prevention, caring, and rehabilitation of stroke patients in community: case study at the Khon Kaen hospital, KKU Research Journal of Humanities and Social Sciences (Graduate Studies). 2013; 13(4): 122-34. Thai.
17. Nuntaboot K. Community health care system: concept, design and tools. Nonthaburi: Thailand Nursing System Research Institute. Bangkok; 2008. Thai.
18. Thangkratok P. The role of the nurses in the chronic disease management. Songklanagarind J Nurs. 2017; 37(2): 154-59. Thai.