Implementation and evaluation of the peer-training program for village health volunteers to improve chronic disease management among older adults in rural Thailand

Pitchalard, Khanittha; Moonpanane, Katemanee; Wimolphan, Pawadee; Singkhorn, Onnalin; Wongsuraprakit, Sathit

doi:10.1016/j.ijnss.2022.06.011

Cited by 8 publications

(10 citation statements)

References 34 publications

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“…The research hypothesis that a familiar community environment contributes to the improvement of social behavior was validated in this study [ 49 ]. Although Guimaraes et al reported that prolonged social isolation can lead to a reduction in the response to social behaviors, the present study observed an improvement in socially isolated behaviors and adverse psychological moods such as anxiety in older adults living alone [ 38 ]. Consistent with other studies, the effectiveness of peer support applied at the community level to improve psychosocial well-being is generally recognized [ 38 , 50 ].…”

Section: Discussioncontrasting

confidence: 57%

“…Although Guimaraes et al reported that prolonged social isolation can lead to a reduction in the response to social behaviors, the present study observed an improvement in socially isolated behaviors and adverse psychological moods such as anxiety in older adults living alone [ 38 ]. Consistent with other studies, the effectiveness of peer support applied at the community level to improve psychosocial well-being is generally recognized [ 38 , 50 ]. The significant value of peer support in facilitating aging in place for community-dwelling older adults was reported in a cohort study by Jacobs et al The report also encourages the exploration of specific application strategies in community practice applications, which is echoed in the present study [ 51 ].…”

Section: Discussioncontrasting

confidence: 57%

“…In addition, participants reported that community-embedded follow-up interventions could help them increase their motivation for health consultation and make health perceptions more concrete. Community-based, focused health education increases the interactivity of the learning process [ 38 ].…”

Section: Resultsmentioning

confidence: 99%

“…For example, the mobilizing factor of peer support is strengthened in health education. This input can be used as an incentive and guidance mechanism to strengthen health cognition and, at the same time, enhance the social connection of elderly osteoporosis patients living alone [ 38 ]. The function of elderly patients living alone to perform self-care needs to be preserved in the process of embedded follow-up management interventions in the community, focusing on the issue of elderly empowerment [ 55 ].…”

Section: Discussionmentioning

confidence: 99%

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Community-embedded follow-up management intervention for geriatric primary care: a mixed-methods study of an integrated health services model

Shi,

Wu,

et al. 2024

BMC Health Serv Res

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Background To propose a community-embedded follow-up management model to provide health services for elderly patients with osteoporosis who live alone. Methods Researchers randomly selected 396 people with osteoporosis living alone from five communities in Nantong, China, for the study. These participants were randomly assigned to control and intervention groups. Twenty-four community physicians in five communities provided professional support based on a community-embedded follow-up management model. Participants completed quantitative questionnaires at baseline and after the 6-month follow-up intervention, and some participants underwent semi-structured face-to-face interviews. The primary outcome is the effectiveness of the community-embedded follow-up management model in improving the quality of life of elderly patients with osteoporosis living alone. Based on an objective quantitative assessment, the qualitative study explains and adds essential components of this community-based follow-up management model. Results The quantitative study showed that scores in physical functioning, ability to perform daily activities, self-efficacy, and mental status were significantly improved in the intervention group compared to the control group (p < 0.05). The most significant improvements were found in “mental status” (p = 0.012) and “self-care skills” (p = 0.003). The qualitative study reported the essential elements of a community healthcare model for older people living alone with osteoporosis, including professional support, personalized services, social support, and empowerment. Conclusions Community-embedded follow-up management meets the need for elderly patients with osteoporosis living alone. It helps to improve health perception, promote physical and mental health, and optimize the quality of life in this population. Personalized services and professional support are two major contributing factors to effective embedded follow-up management in the community.

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Section: Discussioncontrasting

confidence: 57%

Section: Discussioncontrasting

confidence: 57%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Community-embedded follow-up management intervention for geriatric primary care: a mixed-methods study of an integrated health services model

Shi,

Wu,

et al. 2024

BMC Health Serv Res

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“…In training, the volunteers could share their thoughts and opinions with each other. It helped them gain knowledge and develop a positive attitude [24]. In low-resource settings, training village healthcare volunteers to conduct basic mental health care screening, monitoring, and counselling could prevent and minimize mental health problems of people in the community [25].…”

Section: Discussionmentioning

confidence: 99%

Developing a depression care model for the hill tribes: a family and community-based participatory research

Singkhorn

Hamtanon

Moonpanane

et al. 2023

Preprint

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Background A high prevalence of depression has been detected among individuals from the hill tribes in Thailand. However, there is no proper intervention to improve this problem. Using a community-based participatory research (CBPR) design, the study team developed a model of depression care for this population.Methods This study involved 45 people in the model development and 65 people in the model testing, who were patients, family members, Village Health Volunteers (VHVs), community and religion leaders, healthcare personnel, NGOs, and local administrative staff. The model development was divided into three phases: understanding the current situation of depression and care, model development, and evaluation of its effectiveness using psychological and relevant outcomes. Questionnaires, observations, focus groups, and in-depth interviews were used. Content analysis was used for qualitative data. Wilcoxon signed-rank test was used to analyze changes in VHVs knowledge and skills before and after training.Results The resulting model, ‘SMILE’, consisted of stakeholder's readiness (S), external and internal motivation (M), interpersonal relationship (I), life and community assets (L), and empowerment (E). VHVs were trained on the model. After training, VHV’s knowledge has increased from 3.50 ± 1.14 to 8.28 ± 0.81 (p < 0.001), and basic counselling and depression screening skills improved from 3.39 ± 1.23 to 7.64 ± 3.76 (p < 0.001).Conclusion The developed model can be applied to other hill tribe communities in northern Thailand to improve depression care.

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A 9‐year retrospective cohort study of the monitoring and screening of childhood developmental delay in Thailand

Thaineua,

Sirithongthaworn,

Kanshana

et al. 2024

Child

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BackgroundDevelopmental delay in early childhood can have negative long‐term cognitive and psychiatric sequelae, along with poor academic achievement, so early screening and surveillance are paramount. The aim of this study is to evaluate the impact of screening and surveillance on child developmental delay using the Developmental Surveillance and Promotion Manual (DSPM) and the Thai Early Developmental Assessment for Intervention (TEDA4I) for Thai children aged 0–5 years old.MethodsData were obtained from the routine developmental screening for specific disorders at ages 9, 18, 30, 42 and 60 months conducted using DSPM and TEDA4I from 2013 to 2021. Descriptive statistics were used to analyse the data, and the results are visualised graphically herein.ResultsOnly 56% of the children were screened for child developmental delay using DSPM. The proportion of children screened increased from <1% in 2013 to 90% in 2021. Suspected developmental delay prevalence increased significantly from 3.91% in 2013–2015 to 10.00% in 2016–2018 and 26.48% in 2019–2021. Moreover, of the children with suspected developmental delay who received developmental stimulation within a month, only 87.9% returned for follow‐up visits when they were evaluated again using TEDA4I to ascertain any abnormalities and specific areas of deficit. The overall proportion of children diagnosed with developmental delay was 1.29%. During the pandemic, the proportion of screening tests for child developmental delay at routine vaccination visits and follow‐ups decreased but was still at least 80% in each region.ConclusionsSince 1%–3% of children have suspected developmental delay, early detection is key to treating it as soon as possible. We anticipate that our findings will raise awareness in parents and caregivers about childhood developmental delay and lead to the implementation of early intervention and follow‐up at the rural level in Thailand.

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Implementation and evaluation of the peer-training program for village health volunteers to improve chronic disease management among older adults in rural Thailand

Cited by 8 publications

References 34 publications

Community-embedded follow-up management intervention for geriatric primary care: a mixed-methods study of an integrated health services model

Community-embedded follow-up management intervention for geriatric primary care: a mixed-methods study of an integrated health services model

Developing a depression care model for the hill tribes: a family and community-based participatory research

A 9‐year retrospective cohort study of the monitoring and screening of childhood developmental delay in Thailand

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