The Effect of a Self-Efficacy Enhancing Program through Line Application on the Dementia Prevention Behaviours among Older Adults, Bangkok Metropolitan
Keywords:
Dementia Prevention Behaviours, dementia, LINE application, older adult, self-efficacyAbstract
Dementia is a syndrome in older adults characterized by a progressive decline in memory and other cognitive functions, which affects behavior and the ability to perform activities of daily living. The objective of this study was to examine and compare the effects of a self-efficacy enhancement program using the LINE application on dementia-preventive behaviors among older adults in Bangkok. The participants in this quasi-experimental study comprised 72 older adults aged 60–79 years residing in Bangkok, who were equally divided into an experimental group (n = 36) and a control group (n = 36). The experimental group received a 7-week self-efficacy enhancement program via the LINE application, consisting of weekly 45-to-60-minute group sessions, supplemented by cognitive stimulation homework assigned through the LINE application every two weeks. The control group received routine care. Data were collected using a personal information questionnaire, a dementia-preventive behavior scale (Cronbach's alpha = .96), and the Thai version of the Montreal Cognitive Assessment (MoCA-Thai). Data were collected at baseline and at week 7, with monitoring via Google Forms every two weeks. Data were analyzed using descriptive statistics (frequency, percentage, mean, and standard deviation) and inferential statistics (paired-samples t-tests and independent-samples t-tests). The results revealed that after the intervention, the mean score of dementia-preventive behaviors in the experimental group was significantly higher than its baseline score and significantly higher than that of the control group. Therefore, the self-efficacy enhancement program via the LINE application can effectively improve dementia-preventive behaviors. This program empowers older adults by fostering their perceived self-efficacy and building their confidence in maintaining self-care practices to prevent dementia.
References
World Health Organization. Ageing and health [Internet]. Switzerland: World Health Organization [cited 1 October 2025]. Available from: https://www.who.int/news-room/fact-sheets/detail/ageing-and-health.
Department of Older Persons (DOP). Statistics of the elderly in Thailand, 77 provinces [Internet]. Thailand: Department of Older Persons (DOP) [Cited 15 March 2024]. Available from: https://www.dop.go.th/th/know/1/1766. (in Thai).
Thai Health Promotion Foundation (ThaiHealth). Changes in older adults. [Internet]. Thailand: Thai Health Promotion Foundation (ThaiHealth) [Cited 15 March 2024]. Available from: https://www.thaihealth.or.th/?p=229273. (in Thai).
Muangpaisan W. Gerontology and geriatrics for primary care practice. Bangkok: Thai Society of Gerontology and Geriatric Medicine; 2017. (in Thai).
World Health Organization. Dementia [Internet]. 2025 [cited 2026 May 11]. Available from: https://www.who.int/news-room/fact-sheets/detail/dementia.
Department of Older Persons. General information on older adults [Internet]. 2026 [cited 2026 May 11]. Available from: http://www.dop.go.th/en/statistics_page?cat=1&id=2598 (in Thai).
Tiparat W, Meng-aied S, Suwanweala S, Chuaykaew B. Factors Predicting Dementia Preventive Behavior among Older Adults-at-Risk. The Journal of Faculty of Nursing Burapha University 2019;27(1):100-8. (in Thai).
Bandura A. Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review journal. 1977;84(2):191-215.
Glun-gumnird N, Nunthaitaweekul P. Effects of self-efficacy promoting program combined with resistance exercise on pain and physical activity among patients with knee osteoarthritis. Thai Journal of Nursing 2023;72(4):1-10.
Faul F, Erdfelder E, Lang A, Buchner A. G*Power 3: A flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behavior Research Methods Journal. 2007;39(2):91-175.
Jaingam N, Thongwachira C, Topon S. Dementia prevention model among community-based elderly in Taling Chan District, Bangkok, Thailand [Master’s Thesis]. Bangkok: Thammasat University; 2021. (in Thai).
Samruamchit K, Lagampan S, Amnatsatsue K. Effects of A Brain Function Promoting Program on Cognitive Function and Dementia Prevention Behaviors for Older Adults. Journal of Health and Nursing Research. 2019;35(3),34–45. (in Thai).
Tohpaeroh M, Jaisomkom A, Piboonrungroj P, Tongnuang P, E-tae W, Chehleh W, et al. Effect of Dementia Prevention Program in Older Person based on Multicultural Way through Application to Enhance Cognitive Ability of Older Persons at Risk of Dementia, Narathiwat Province. Princess of Naradhiwas University Journal 2020;13(1):73-90. (in Thai).
Gonpimai W. Effectiveness of Cognitive Training Program in Elderly with Mild Cognitive Impairment in Primary Care Cluster of Pak Chong Nana Hospital. Regional Health Promotion Center 9 Journal. 2024;18(2):755–68. (in Thai).
Pattaradech C. Effects of Brain Exercise Activities through Line Group on Cognitive Function Among the Elderly of the Friends Help Friends Seniors Club in Songkhla Hospital, Songkhla Province. Journal of Health Research and Innovation. 2022;5(1):63–74. (in Thai).
Lee J, Cho E, Kim H, Lee K, Kim E, Seok Ye B. The development and evaluation of a self-efficacy enhancement program for older adults with mild cognitive impairment. Applied Nursing Research Journal. 2023;73:1-11.
Pongkiatchai R, Purana W, Wongwiseskul S. The Effect of Self-Management-Promoting Program for Dementia Prevention in Adults Age Maha Sawat Sub-district, Phutthamonthon District, Nakhon Pathom Province, Thailand. Academic Journal of Community Public Health. 2024;10(1):38–48. (in Thai).
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