Synthesizing the Integrated Model for Promoting Elderly Health by Wellness Plan Application in Chonburi Province

Abstract

BACKGROUND: The implementation of a wellness plan to promote health among the elderly is regarded as a vital lesson in Chonburi province.

OBJECTIVE: To synthesize an integrated model for promoting health among older people through the implementation of a wellness plan.

METHODS: This applied research employed mixed-methods data collection, consisting of three phases: a situational analysis of activities promoting health among older people, the implementation of the wellness plan, and monitoring and evaluation. The sample groups consisted of 15 health promotion providers and 750 older people living in Chonburi. All research instruments met appropriate research tool quality standards. Data were collected between April and October 2023. Quantitative data were analyzed using descriptive statistics and paired t-test, while the qualitative data were analyzed using both content and thematic analysis.

RESULTS: The success of an integrated model for promoting health comprises three key components: health workforce, budget, and implementation based on the PIRAB principles at the district and sub-district levels. This model operates through a mechanism of planning, elderly health screening, individual wellness plan development, implementation, evaluation, and recommendations for development. The success factors are contingent upon collaboration within the healthcare network. The results of the wellness plan implementation revealed that 100% of the older people used the individual wellness plan. After utilization of this plan, 75.5% of the older people had a statistically significant reduction in risk along with an increase in health literacy (t=-7.103, p<0.001).

CONCLUSIONS: The integrated model for promoting health among older people in Chonburi province involves crucial processes driven by a network that includes government, local sectors, and older leaders. This collaborative approach fosters learning about the wellness plan through planning, implementing, and evaluation, aiming for sustainable development.