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
ANFUSI Town in Yichang City,northwest of Zhijiang City,is a national demonstration town of urbanization and rural development in Hubei and site of a large industrial park.The reporter went there to see the work in pro...ANFUSI Town in Yichang City,northwest of Zhijiang City,is a national demonstration town of urbanization and rural development in Hubei and site of a large industrial park.The reporter went there to see the work in progress on building a 4,000-square-meter smart greenhouse with a bucolic landscape and an aquatic product factory equipped to produce surimi.In 2000,there were just a few small local businesses in Anfusi.展开更多
The study was designed to investigate into the level of cassava commercialization, extent of gender effects and other factors on household commercialization index （HCI） of cassava in both rural and peri-urban areas ...The study was designed to investigate into the level of cassava commercialization, extent of gender effects and other factors on household commercialization index （HCI） of cassava in both rural and peri-urban areas of Rivers State, Nigeria. The study used a stratified random sampling technique to select 50 cassava farmers each from Etche and Ekwerre LGAs of the state （i.e. 100 farmers in all）. A set of structured questionnaire and interview schedule was used to retrieve information from the farmers. Data analysis was done using descriptive statistics, Chow test and truncated regression analysis model based on Maximum Likelihood derived from Censored Normal or TOBIT approach. It was found that significant difference exist in the HC1 of rural farmers （49%） and peri-urban （40%）. The drivers of HCI varied across the areas but on the whole it was noted that gender, farm size, distance to market, labour, farming experience, price of cassava and access to market information signiftcantly influenced the probability of expanding the scale of commercialization of cassava in the area. It was recommended that government and interested bodies should give priority to women in designing and implementing cassava commercialization programmes policies that will improve farmers access to land and also help build on capacities of the farmers to commercialize such as access to extension service, establishment of market information service （MIS）, development of market and transport infrastructure were recommended too.展开更多
The cartier that the natural tourism projects rely on should be the objective natural environments, including the mountains, water, animals and plants and so on, which are the object present before the development of ...The cartier that the natural tourism projects rely on should be the objective natural environments, including the mountains, water, animals and plants and so on, which are the object present before the development of the project. Therefore, what the natural tourism projects should first be ＂the economic value of the natural resources＂. However, after the man-made planning and being given the humanity, they have the ＂economic value of the human resources＂. In the construction of the future path of the development, we should also have the dynamic study on the subjective preferences of the Chinese consumers. The change of these subjective preferences directly results from the change of the levels of their own income.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ANFUSI Town in Yichang City,northwest of Zhijiang City,is a national demonstration town of urbanization and rural development in Hubei and site of a large industrial park.The reporter went there to see the work in progress on building a 4,000-square-meter smart greenhouse with a bucolic landscape and an aquatic product factory equipped to produce surimi.In 2000,there were just a few small local businesses in Anfusi.
文摘The study was designed to investigate into the level of cassava commercialization, extent of gender effects and other factors on household commercialization index （HCI） of cassava in both rural and peri-urban areas of Rivers State, Nigeria. The study used a stratified random sampling technique to select 50 cassava farmers each from Etche and Ekwerre LGAs of the state （i.e. 100 farmers in all）. A set of structured questionnaire and interview schedule was used to retrieve information from the farmers. Data analysis was done using descriptive statistics, Chow test and truncated regression analysis model based on Maximum Likelihood derived from Censored Normal or TOBIT approach. It was found that significant difference exist in the HC1 of rural farmers （49%） and peri-urban （40%）. The drivers of HCI varied across the areas but on the whole it was noted that gender, farm size, distance to market, labour, farming experience, price of cassava and access to market information signiftcantly influenced the probability of expanding the scale of commercialization of cassava in the area. It was recommended that government and interested bodies should give priority to women in designing and implementing cassava commercialization programmes policies that will improve farmers access to land and also help build on capacities of the farmers to commercialize such as access to extension service, establishment of market information service （MIS）, development of market and transport infrastructure were recommended too.
文摘The cartier that the natural tourism projects rely on should be the objective natural environments, including the mountains, water, animals and plants and so on, which are the object present before the development of the project. Therefore, what the natural tourism projects should first be ＂the economic value of the natural resources＂. However, after the man-made planning and being given the humanity, they have the ＂economic value of the human resources＂. In the construction of the future path of the development, we should also have the dynamic study on the subjective preferences of the Chinese consumers. The change of these subjective preferences directly results from the change of the levels of their own income.
