Main Article Content
Purpose : This quasi-experimental research aimed to examine the effects of holistic health promotion program (HHPP) on quality of life (QOL) among the elderly in Bangkok.
Methods : Participants were 45 elderly (aged 60-75), purposively recruited from 2 communities in Bangkok and randomly allocated to an experimental group (n=23) and a control group (n=22).The experimental group attended a 12-week HHPP, consisted of the activities, learning about elderly, nutrition, mood and stress management by using deep breathing and meditation, group discussion and Rusie Dutton (RD) practice (Wat Pho style) 2 times a week. The control group received no intervention. Data were collected before and after the experiment. Data were presented as percentage and means and standard deviation. Independent sample t-test and paired t-test were used to compare means difference between groups and within-group (pretest vs. posttest), respectively. A p-value < .05 was considered statistical significant.
Result : The results showed the improvement of health behaviors, health status and QOL in the experimental group. Levels of physical activity and exercise, BP, flexibility of shoulder, VO2max and QOL in both physical, and environmental domain were significantly increased when compared to prior training and the control group (p < .05). Significant improvement was also found in food consumption behavior, mood and stress management, BW, BMI, resting HR, flexibility of back, and QOL in psychological domain post-training (p < .05) in the experimental group but not in the control group (p < .05). The QOL in social domain was not different before and after training and between groups.
Conclusion: The finding indicates that HHPP was effective for improving health behavior in physical activity and exercise, health outcomes and quality of life (QOL) in the elderly. Therefore, HHPP should be implemented for the elderly in other area.
ACSM (American College of Sports Medicine), (2006), Preparticipation health screening and risk Stratification, in ACSM’s Guidelines for Exercise Testing and Prescription. 8th ed. Philadelphia Lippincot: Williams & Wilkins.
Buranruk, O. (2009). Effects of Thai yoga on metabolism, cardiovascular and autonomic nervous systems in dabetes. Doctoral dissertation, Faculty of Public Health, Khon Kaen University, Khon Kaen.
Bureau of Policy and Strategy, MOPH (Ministry of Public Health), Thailand, (2016). Strategies, KPI and Collecting Data Guideline of Ministry of Public Health 2016. (Online). Retrieved December 16, 2017, from Ministry of Public Health Website: http://kpo.moph.go.th/webkpo/download/Strategy/And KPI 2558.
Chaudhury, H., Campo,M., Michael, Y., and Mahmood, A. (2016). Neighbourhood environment and physical activity in older Adults. Social Science & Medicine, 149, 104-113.
Deibert, P., König, D, Vitolins, M.Z., Landmann, U., Frey, I., Zahradnik, H., and Berg, A., (2007). Effect of a weight loss intervention on anthropometric measures and metabolic risk factors in pre- versus postmenopausal women. Nutrition Journal, 6(31), 1-7.
Field, T. (2011). Yoga clinical research review. Complement Therapy in Clinical Practice, 17(1), 1-8.
Jone, J. and Rikli, R. (2002). Measuring functional fitness of older adults. (Online). Retrieved December 1, 2016, from: http://www.dnbm.univr.it/documenti/OccorrenzaIns/matdid/matdid182478.pdf.
Khongprasert, S. (2011). The Effect of Thai dance exercise program on functional performance and quality of life in the patients with parkinson’s disease. Doctoral dissertation, Faculty of Sports Science, Chulalongkorn University. Bangkok.
Leszczynska, A., Daniszewska, B., Pruszynska, M., and Przedborska, A.(2016). Effect of a health improvement programme on quality of life in elderly people after fall. Polish Annals of Medicine, 23(2), 129-134.
Mahutnirunkul, S., Tuntiphiwattanasakul, W., Phumpisarnchai, V., Wongsuwon, K., and Ponmanarungkul, R. (2002). The WHOQOLBREF-Thai (26 items), (Online). Retrieved September 28, 2015, from Department of Mental Health Website: https://www.dmh.go.th/test/whoqol/
Ngowsiri, K. (2013). The Effects of holistic health promotion program on quality of life in peri-and postmenopausal women. Doctoral dissertation, Faculty of Sports Science, Chulalongkorn University. Bangkok.
NHSO (National Health Security Office). (2016). Long Term Care Guidline in Public Health for Dependent Elderly in the CommunityBased under National Health Security System, 2016.
Nick, N., Petramfar, P., Ghodsbin, F., Keshavarzi, S., and Jahanbin, I. (2016). The Effect of yoga on balance and fear of falling in older adults. PM&R, 8(2), 145-51.
Noolord, R. (2013). A Development of physical exercise program in the Thai hermit exercise style to reinforce physical flexibility for matthayomsuksa 1 students. Master’s Thesis, Faculty of Education, Thepsatri Rajabhat University, Lopburi.
Pattanakit, A. (1994). Rusie Dutton traditional Thai exercise. Bangkok, Pechkarut.
Peepathum P. (2005). The effects of applied ascetics exercise on flexibility and health. Master’s Thesis. Faculty of Sport Science, Srinakharinwirot University, Bangkok.
Ponzio, E., Sotte, L., Errico, M., Berti, S., Barbadoro, P, Prospero, E., and Minelli, A. (2015). Qi-gong training reduces basal and stress-elicited cortisol secretion in healthy older adults. European Journal of Integrative Medicine, 7(3), 194-201.
Wang, Y.F. (2014). Assessing age-friendly features and needs of elderly toward age-friendly city in Amphoe Muang Ratchaburi province, Thailand. Master’s Thesis, College of Public Health Sciences. Chulalongkorn University. Bangkok.
Yagli, N.V., and Ulger, O. (2015). The effects of yoga on the quality of life and depression in elderly breast cancer patients. Complementary Therapy in Clinical Practice. 21, 7-10.
Yodmai, K. (2013). The Effect of Home-based Lifestyle Change Intervention Toward Quality of Life Among Elderly in Samsung District, Khonkean Province, Thailand. Master’s Thesis, College of Public Health Sciences. Chulalongkorn University. Bangkok.