Objectives This study aimed to investigate the effect of a peer-training program for village health volunteers(VHVs)to improve chronic disease management among older adults in rural Thailand.Methods The study was guid...Objectives This study aimed to investigate the effect of a peer-training program for village health volunteers(VHVs)to improve chronic disease management among older adults in rural Thailand.Methods The study was guided by community-based participatory research(CBPR).The peer-training program was developed by engaging diverse stakeholders,including community organizations,healthcare services,VHVs,older adults with chronic illnesses,and folk scholars in remote communities with high healthcare needs.The peer-training program comprised a three-day training workshop that convened once a week for three weeks with the following six sessions:knowledge sharing,peer support and empowerment,health literacy and health behavior,the general caring procedure for older adults with chronic illnesses,information sharing and communication,and home visit.From January to April 2021,a total of 28 VHVs completed the peer training program in a rural area in Chiang Rai province,Thailand.The Health Literacy and Health Behavior-3E2S(HLHB-3E2S),the Management of Non-Communicable Diseases Questionnaire(MNCDQ),and a self-confidence questionnaire were used to survey pre(week 1)and post-intervention(week 12),respectively.Then VHVs were interviewed to collect attitudes,and opinions about the intervention.Results After the intervention,the HLHB-3E2S scores(49.39±5.54 vs.52.35±4.26,P=0.001),the MNCDQ scores(44.10±6.27 vs.50.60±4.84,P<0.001),and the self-confidence questionnaire scores(22.28±2.46 vs.23.21±1.81,P=0.01)of VHVs significantly increased.VHVS also reported that the peer-training program enhanced their healthcare services,including health education,chronic disease management,leadership skills,and improving their relationship with healthcare providers.Conclusion Peer training programs are a practical strategy to improve VHVs’capacities.Healthcare professionals should provide a continuous training program for VHVs with their peers to increase capacities,confidence,and satisfaction in caring for the older adults with chronic diseases in the community.展开更多
This study was based on a descriptive research design. The population comprised of males and females aged between 15 and 19 years studying at the high school, college, and university levels in Phetchaburi, Thailand. T...This study was based on a descriptive research design. The population comprised of males and females aged between 15 and 19 years studying at the high school, college, and university levels in Phetchaburi, Thailand. The sample group size was calculated by using Taro Yamane＇s formula at a reliability level of .95. The instrument used was the questionnaire of College of Public Health as modified by Chulalongkorn University for use in research. Instrument quality was calculated by using the Kuder-Richardson 20 formula; an internal consistency value of.86 was obtained. According to the findings, the comparison of access to reproductive health services by adolescents at each level of education, the educational levels of the adolescents were similar to one another in that they were found to have received instruction about sexuality and reproductive health. The instruction most frequently received was on reproductive health and the least frequent subject was life skills, ability to adjust to daily lifestyles. The findings suggested that the capacity of medical and academic personnel should be developed in order to gain knowledge, attitudes to provide reproductive health services, especially on subjects concerning life skills and ability to adjust to daily life and interacting with the people surrounding adolescents, including skills on how to refuse sexual activity with partners.展开更多
Neither of the“Three Industry”Theory nor the“General Agreement of Trading Service”(GATS)of the World Trade Organization(WTO)can be the essential criteria to analyze the property of education.The property of educat...Neither of the“Three Industry”Theory nor the“General Agreement of Trading Service”(GATS)of the World Trade Organization(WTO)can be the essential criteria to analyze the property of education.The property of education can be defined from consumers’perspective.The direct consumers of education are students;but the ultimate consumers of education include parents,employers,society and governments as well.From the perspective of consumers,education is both a service and a productive institution.展开更多
基金This study was funded by National Research Council of Thailand(NRCT106/2562)Mae Fah Luang University.The funders had no role in study design,data collection and analysis,decision to publish,or preparation of the manuscript.
文摘Objectives This study aimed to investigate the effect of a peer-training program for village health volunteers(VHVs)to improve chronic disease management among older adults in rural Thailand.Methods The study was guided by community-based participatory research(CBPR).The peer-training program was developed by engaging diverse stakeholders,including community organizations,healthcare services,VHVs,older adults with chronic illnesses,and folk scholars in remote communities with high healthcare needs.The peer-training program comprised a three-day training workshop that convened once a week for three weeks with the following six sessions:knowledge sharing,peer support and empowerment,health literacy and health behavior,the general caring procedure for older adults with chronic illnesses,information sharing and communication,and home visit.From January to April 2021,a total of 28 VHVs completed the peer training program in a rural area in Chiang Rai province,Thailand.The Health Literacy and Health Behavior-3E2S(HLHB-3E2S),the Management of Non-Communicable Diseases Questionnaire(MNCDQ),and a self-confidence questionnaire were used to survey pre(week 1)and post-intervention(week 12),respectively.Then VHVs were interviewed to collect attitudes,and opinions about the intervention.Results After the intervention,the HLHB-3E2S scores(49.39±5.54 vs.52.35±4.26,P=0.001),the MNCDQ scores(44.10±6.27 vs.50.60±4.84,P<0.001),and the self-confidence questionnaire scores(22.28±2.46 vs.23.21±1.81,P=0.01)of VHVs significantly increased.VHVS also reported that the peer-training program enhanced their healthcare services,including health education,chronic disease management,leadership skills,and improving their relationship with healthcare providers.Conclusion Peer training programs are a practical strategy to improve VHVs’capacities.Healthcare professionals should provide a continuous training program for VHVs with their peers to increase capacities,confidence,and satisfaction in caring for the older adults with chronic diseases in the community.
文摘This study was based on a descriptive research design. The population comprised of males and females aged between 15 and 19 years studying at the high school, college, and university levels in Phetchaburi, Thailand. The sample group size was calculated by using Taro Yamane＇s formula at a reliability level of .95. The instrument used was the questionnaire of College of Public Health as modified by Chulalongkorn University for use in research. Instrument quality was calculated by using the Kuder-Richardson 20 formula; an internal consistency value of.86 was obtained. According to the findings, the comparison of access to reproductive health services by adolescents at each level of education, the educational levels of the adolescents were similar to one another in that they were found to have received instruction about sexuality and reproductive health. The instruction most frequently received was on reproductive health and the least frequent subject was life skills, ability to adjust to daily lifestyles. The findings suggested that the capacity of medical and academic personnel should be developed in order to gain knowledge, attitudes to provide reproductive health services, especially on subjects concerning life skills and ability to adjust to daily life and interacting with the people surrounding adolescents, including skills on how to refuse sexual activity with partners.
文摘Neither of the“Three Industry”Theory nor the“General Agreement of Trading Service”(GATS)of the World Trade Organization(WTO)can be the essential criteria to analyze the property of education.The property of education can be defined from consumers’perspective.The direct consumers of education are students;but the ultimate consumers of education include parents,employers,society and governments as well.From the perspective of consumers,education is both a service and a productive institution.
