Needs Assessment of Health Literacy and Behavior Promotion in Elderly People with Chronic Non-Communicable Diseases in Bueng Yitho Medical and Rehabilitation Center, Pathumthani Province

Main Article Content

Orathai Rungvachira
Wilailak Langka
Rungtiwa Yamrung
Sunee Lagampan

Abstract

This descriptive research was aimed to assess and prioritize the needs of health literacy and behavior promotion for elderly people with chronic non-communicable diseases. The sample consisted of 137 elderly people between the ages of 60-69 years with high blood pressure and diabetes, who were treated in Bueng Yitho Medical and Rehabilitation Center. The sample size was calculated from the Yamane formula. The research instrument was a five-level scale questionnaire with a dual-response format and a checklist with open-ended comments. The data were analyzed by using the modified priority needs index (PNI Modified) to prioritize the needs from a high to low score. The results found that, in the dimension for developing the skill of health literacy, the sample had similar needs in four areas including information accessibility, understanding, appraisal, and applicability, with PNIModified at .55, .57, .58, and .34, respectively. In the dimension that affects health, the needs of screening and selection of health products were the top priority (PNIModified=.68). Regarding the needs in health behaviors promotion, healthy food needs were the top priority (PNIModified=.57). Therefore, health workers should use the prioritization of needs assessment for planning activities to promote health literacy and health behaviors to meet the real needs of elderly people with chronic non-communicable diseases.

Article Details

How to Cite
1.
Rungvachira O, Langka W, Yamrung R, Lagampan S. Needs Assessment of Health Literacy and Behavior Promotion in Elderly People with Chronic Non-Communicable Diseases in Bueng Yitho Medical and Rehabilitation Center, Pathumthani Province. NJPH (วารสาร พ.ส.) [Internet]. 2021 Aug. 5 [cited 2024 Apr. 18];31(2):54-67. Available from: https://he02.tci-thaijo.org/index.php/tnaph/article/view/252567
Section
บทความวิจัย

References

1. Department of Older Persons. Statistics of the elderly in Thailand 66, December 31, 2019. [internet]. 2020.
[cited 2020 Nov 14]. Available from: http://www.dop.go.th/download/knowledge/th1580099938-275_1.pdf.(in Thai).

2. Prasartkul P, editor. Situation of the Thai elderly 2017. Bangkok: Institute for Population and Social Research, Mahidol University and Foundation of Thai Gerontology Research and Development institute.2018.(in Thai).

3. Aekplakorn W, editor. Report of Thai public health survey by physical examination No. 5, 2014. Nonthaburi: Public Health System Research Institute.2014.(in Thai).

4. McCarthy DM, Waite KR, Curtis LM, Engel KG, Baker DW, Wolf MS. What did the doctor say? Health literacy and recall of medical instructions. Medical care [internet].2012 [cited 2020 Dec 5];266-82.Available from https://pubmed.ncbi.nlm.nih.gov/22411440

5. Nilnate W. Health literacy in Thai elderly in senior citizens club of Bangkok.[Dissertation]. Bangkok: Chulalonkorn University.2014.(in Thai).

6. Intarakamhang U. Creating and developing of Thai health literacy scale. [internet].2017. [cited 2020 Nov 14]. Available from: http://bsris.swu.ac.th/upload/268335.pdf.(in Thai).

7. Department of Older Persons. The 2nd National plan for the elderly phase2 (2002-2011) 2nd revision 2018.
[internet]. 2018. [cited 2020 Nov 14]. Available from: http://www.dop.go.th/th/laws/1/28/816.(in Thai).

8. Ratana-Ubol A. Concept of promoting lifelong education in Thai society. Bangkok: Printing Press of Chulalongkorn University;2019.(in Thai).

9. Janthamungkhun J, Rachabootr N, & Laokhompruttajarn T. Needs Assessment of Health Promotion for Older Adults in Na Siao Sub–district, Muang District, Chaiyaphum Province. Journal of Sakon Nakhon Hospital 2019;22(1):14-27.(in Thai).

10. Knowles MS, Holton EF, & Swanson RA. The Adult Learner, The Definitive Classic in Adult Education and Human Resource Development. 6th ed. Burlington: Elsevier.2011.

11. Registration statistics system. Population by age Bueng Yitho, Pathum Thani Province, December 2019. [internet]. 2019. [cited 2020 Oct 14]. Available from: http://stat.dopa.go.th/stat/statnew/upstat_age_disp.php (in Thai).

12. Pinyo T, Thovicha A. Statistics For Research. 5rd ed. Nonthaburi: Fern Kalhuang Printing and Publishing; 2015.(in Thai).

13. Sørensen K, Van den BS, Fullam, J, Doyle G, Pelikan J, Slonska Z, et al. Health literacy and public health: A systematic review and integration of definitions and models. BMC Public Health 2012;12:1-13.doi: 10.1186/1471-2458-12-80.

14. Pengchan W. Health Literacy. 2017. [internet]. 2019. [cited 2020 Nov 14]. Available from: http://203.157. 65.15/anamai_web/ewt_dl_link.php?nid=10221.(in Thai).

15. Wongwanich S. Research of needs assessment. 3rd ed. Bangkok: Chulalongkorn University Press. 2015.(in Thai).

16. National Reform Steering Assembly. Report of national reform steering assembly public health and environment, knowledge reform and health communication. [internet]. 2016. [cited 2020 Dec 5]. Available from:
https://www.parliament.go.th/ewtadmin/ewt/parliament_parcy/download/usergroup_disaster/8-10.pdf (in Thai).

17. Kerdsri K, Lerkiatbundit S. Relationship between health literacy and self-protection ability among consumers in health products. Thai Journal of Pharmacy Practice2018;10(1):239-48.(in Thai).

18. Chantha W. Health literacy of self-care behaviors for blood glucose level control in patients with type2 diabetes, Chainat province. [Thesis]. Pathum Thani: Thammasat University.2016.(in Thai).

19. Hongkajok H. Influences of health literacy, perceived self-efficacy, and patient-health care provider communication on self-care behaviors among patients with primary hypertension. [Thesis]. Chonburi: Burapha University.2016.(in Thai).

20. Chiangthong A. Effectiveness of the development of health literacy through controlled transformative learning due to glycemic control behavior among diabetic patients. [Dissertation]. Bangkok: Srinakharinwirot University.2018.(in Thai).

21. Rungnapa A. The effects of health literacy enhancement program on hypertensive prevention behavior of pre-hypertension risk group at a Community in Nakhon Pathom province [Thesis]. Nakhon Pathom: Christian University.2017.(in Thai).