| 1. |
- Manasatchakun, Pornpun, 1983-, et al.
(författare)
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Community nurses’ experiences regarding the meaning and promotion of healthy aging in northeastern Thailand
- 2018
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Ingår i: Journal of Holistic Nursing. - Thousand Oaks, CA : Sage Publications. - 0898-0101 .- 1552-5724. ; 36:1, s. 54-67
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: Describe community nurses’ experiences regarding the meaning and promotion of healthy aging in northeastern Thailand.Method: Data were collected through five focus group interviews with 36 community nurses in northeastern Thailand. Latent content analysis was conducted to analyze the data.Findings: Healthy aging was characterized by the interconnection of older persons, older persons’ family members and the community. Healthy aging was associated with two themes: “being strong” and “being a supporter and feeling supported”. The nurses’ experiences in promoting healthy aging were described using the themes “providing health assessment”, “sharing knowledge” and “having limited resources”.Conclusions: The findings of this study provide a deeper understanding of the meaning of healthy aging from a holistic viewpoint. Community nurses must pay attention to older persons and their surroundings when planning how to promote healthy aging. Person-centredness should be applied in practice to promote healthy aging. The current findings contribute useful information that should help policy makers develop healthy aging strategies in Thailand.
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| 2. |
- Manasatchakun, Pornpun, 1983-, et al.
(författare)
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Conceptions of healthy ageing held by relatives of older people in Isan-Thai culture : A phenomenographic study
- 2018
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Ingår i: Journal of Aging Research. - : Hindawi Limited. - 2090-2204 .- 2090-2212.
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Tidskriftsartikel (refereegranskat)abstract
- Healthy ageing has been studied in various contexts. However, no studies have focused on healthy ageing from the perspective of children or grandchildren, who are the main informal caregivers for older people in northeast Thailand, also referred to as the Isan region. Therefore, this study aimed to describe the conceptions of healthy ageing harboured by children and grandchildren caring for older people in northeast Thailand. A qualitative descriptive design was performed using a phenomenographic approach with an epistemological basis in the lifeworld theory to understand the varying conceptions of healthy ageing based on participants’ lived experience. We conducted in-depth interviews comprising open-ended questions to gain an understanding of the conceptions of healthy ageing held by 14 children and grandchildren of older persons in northeast Thailand. The data collected during these interviews were analysed using the phenomenographic analysis method. The results of our analysis indicated that the conceptions of healthy ageing can be categorized into the following four descriptive categories: being independent, not being afflicted by diseases or illnesses, being a giver and a receiver, and being wise. These findings highlight that healthy ageing entails autonomy, interdependence and wisdom and emphasize the importance of holistic view on the meaning of healthy ageing. Healthcare providers should understand the different meanings of healthy ageing from the perspectives of children and grandchildren of older people and integrate their perspectives when collaborating with them to promote healthy ageing. The findings of this study may facilitate further research and ensure the provision of support to the relatives of older people to promote healthy ageing in northeast Thailand.
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| 3. |
- Manasatchakun, Pornpun, et al.
(författare)
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Conceptions of healthy aging held by relatives of older persons in Isan-Thai culture : a phenomenographic study
- 2018
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Ingår i: Journal of Aging Research. - New York, NY : Hindawi Publishing Corporation. - 2090-2204 .- 2090-2212. ; 2018
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Tidskriftsartikel (refereegranskat)abstract
- In Thailand, family nurses are expected to provide support for older persons and their family members to promote healthy aging. Family bonds are strong, and relatives are expected to take care of their older family members. However, there is limited research on how older persons’ family members perceive healthy aging. This study aimed to describe the conceptions of healthy aging held by the children and grandchildren of older persons in northeast Thailand. In a phenomenographic study, 14 interviews were performed to qualitatively analyze different conceptions of healthy aging. Four descriptive categories emerged: being independent, not being afflicted by diseases or illnesses, being a giver and a receiver, and being wise. The conceptions of healthy aging entail both autonomy and interdependence. The relative’s perspective needs to be considered when policies relating to healthy aging are implemented in the community and when family nurses provide support to families to promote healthy aging.
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| 4. |
- Manasatchakun, Pornpun, 1983-, et al.
(författare)
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Factors associated with healthy ageing among older persons in Northeastern Thailand
- 2016
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Ingår i: Journal of Cross-Cultural Gerontology. - New York : Springer. - 0169-3816 .- 1573-0719. ; 31:4, s. 369-384
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to describe factors associated with perceived health and healthy aging among older people in northeastern Thailand. Thailand's aging population is growing and facing an increasing old-age dependency ratio. Northeastern Thailand, known as Isan, is a region in which the number of older residents is projected to grow rapidly. Older people in this region are likely to confront great threats to their health and well-being. These issues require appropriate attention and actions to promote healthy aging. However, healthy aging in this region has not been studied. A cross-sectional study was conducted on a sample of 453 older people, aged 60 years or older. Participants completed the Healthy Aging Instrument (HAI) and provided relevant demographic characteristics. Mann-Whitney U tests, Kruskal-Wallis tests and multiple regression models were used to analyze the data. Through comparative analyses, significant differences in HAI scores were observed for the following factors: marital status, residential area, disability, income level, and perceived meaningfulness in life. In the multiple regression models, residential area, disability, and marital status explained 24.30 % of the variance in HAI scores. Health promotion strategies and future targeted intervention programs should consider the importance of these factors.
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| 5. |
- Manasatchakun, Pornpun, 1983-, et al.
(författare)
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Healthy Ageing in Isan-Thai culture – A phenomenographic study based on older persons' lived experiences
- 2016
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Ingår i: International Journal of Qualitative Studies on Health and Well-being. - Järfälla : Co-Action Publishing. - 1748-2623 .- 1748-2631. ; 11
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Tidskriftsartikel (refereegranskat)abstract
- Healthy ageing is a concept that concerns older persons’ quality of life and is a key factor in promoting wellbeing. The older population in Thailand is growing. Isan (a region of north-eastern Thailand) has been reported as having one of the most rapidly increasing older populations in the country. In order to care for and promote the health of older people, healthcare providers should understand how healthy ageing is perceived by this target group. Although healthy ageing has been studied in different contexts as well as perspectives,no studies have previously focused on older persons’ experiences of healthy ageing from a life world perspective in Isan-Thai. Therefore, the aim of this study is to describe older persons’ qualitatively different conceptions of healthy ageing in Isan-Thai culture. A phenomenographic approach with an epistemological base in lifeworld theory was used to disclose the various ways to conceptualize healthy ageing. Individual, qualitative interviews were conducted with 17 older people aged 60 and above who live in Isan-Thai. The findings of this study revealed three categories of descriptions: “being independent in dependence”, “being at peace”, and “being a valuable person”. This study also found family members, friends, healthcare providers, and religion important to healthy ageing in the Isan-Thai culture. Understanding how older people conceptualize healthy aging is valuable for healthcare providers. They can apply these findings regarding healthy ageing in their fieldwork when caring for older people. © 2016 P. Manasatchakun et al.
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| 6. |
- Manasatchakun, Pornpun
(författare)
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Understanding healthy aging in Isan-Thai culture
- 2017
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- The older population in Thailand is growing, and the number of older people who suffer from health problems is increasing as well. The health situation of the older population challenges healthcare providers to care for older people. Healthy aging is key to promoting the health of older people and sustaining their well-being. However, little is known about healthy aging in Thailand, especially in northeastern Thailand, or the Isan region, where the number of older people is increasing. Thus, this thesis aims to understand the factors associated with perceived health and healthy aging and how older people and their relatives in the Isan region conceptualize healthy aging. This thesis also focuses on how community nurses experience the meaning and promotion of healthy aging in this region.This thesis includes four studies. The first is a quantitative cross-sectional study with 453 participants aged 60 years or older. The second and third studies are qualitative with a phenomenographic approach that is based on lifeworld theory. Participants in the second and third studies include 17 older people and 14 relatives who are responsible for caring for older people, respectively. The fourth study is a qualitative study that involves focus group interviews with 36 community nurses who work with older people in the Isan region.The findings of the first study show a variance (24.3%) in perceived health and healthy aging based on residential area, marital status and disability status. The meaning of healthy aging, which was derived from the second, third and fourth studies, was divided into three domains: being interconnected; being able to do something good and feeling strong; and thinking beyond the capacity and functions of body and mind. The promotion of healthy aging was described as “providing health assessments”, “sharing knowledge”, and “having limited resources”.The findings of the first study revealed the key factors that will help healthcare providers promote healthy aging. The findings of the second, third and fourth studies revealed that older people, their children and grandchildren, and community nurses attach different meanings to healthy aging. The finding regarding promotion of healthy aging emphasizes that the person-centredness should be integrated in practice when promoting healthy aging. The results of this thesis will be useful to policymakers, who can apply this enhanced understanding of healthy aging to develop healthcare practices that promote healthy aging.
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| 7. |
- Phoosuwan, Nitikorn, et al.
(författare)
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Life situation and support during pregnancy among Thai expectant mothers with depressive symptoms and their partners : a qualitative study
- 2020
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Ingår i: BMC Pregnancy and Childbirth. - : Springer Science and Business Media LLC. - 1471-2393 .- 1471-2393. ; 20
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Tidskriftsartikel (refereegranskat)abstract
- Background: Expectant parents may have positive and negative emotions during pregnancy and receive support from different sources. Studies on life situation and support among couples have rarely been conducted. This study aims to explore life situation and support during pregnancy among expectant mothers with depressive symptoms and their partners.Methods: Twenty-seven expectant mothers, in the last trimester of pregnancy with depressive symptoms (Edinburgh Postnatal Depression Scale score >= 7) from seven public antenatal care clinics in Sakonnakhon, a north-eastern province of Thailand, and their partners were interviewed. In total, 54 semi-structured interviews were subjected to content analysis.Results: Four categories emerged: (1) Having obstacles in life, (2) Facing life transition, (3) Enhancing confidence, and (4) Dissatisfaction with support. The informants described obstacles regarding economy, fear of health problems, getting an abnormal child and partners' behaviours. They received support from family members and social networks, but some were dissatisfied with the support from the healthcare. For example, expectant fathers wished to receive more health information and be more involved.Conclusions: Healthcare professionals should be aware of the influence of cultural and contextual factors when providing antenatal care to expectant parents. Male involvement in the care must not be neglected.
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| 8. |
- Wongsala, Manothai
(författare)
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Active ageing among older Thai adults in north-eastern Thailand – implementing the Plan-Do-Study-Act cycle
- 2023
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Active ageing is agreed as the national agenda by the Thai Government to sustain the older population to live well in society as a valued resource. Activities to promote active ageing are often provided in group formats, initiated by health providers, and often without promoting capacity and responsibility to enhance active ageing by older adults themselves. Therefore, a model which encourages this capacity and responsibility in older adults and suits Thai healthcare traditions is needed. This thesis aims to explore and describe older Thai adults’ experiences of enhancing active ageing by implementing the Plan-Do-Study-Act (PDSA) cycle. The cycle was applied to group meetings named Lomwong Saangsook (LS) meetings. Study I explored how older Thai adults experience and describe active ageing through its basic pillars of health, participation, and security based on individual interviews which were analysed with qualitative content analysis. Active ageing was described related to local culture and living context. Health was described as the ability to maintain daily living and an adaptive mindset. Participation was described as maintaining social networks, being valuable and respected. Security was described in relation to children and having manageable living conditions as well as managing to finalize life well. Study II explored interactions among older adults during participating in LS-meetings. Participant observation with thematic analysis was used. The PDSA cycle supported them to reach their individual goals of lifestyle change to enhance active ageing in group contexts. Study III explored experiences of applying the PDSA cycle among older Thai adults through focus group interviews which were analysed with thematic analysis. The PDSA cycle provided the environment to learn in a group dynamic with the support of moderators. Study IV described older adults´ experiences of lifestyle changes six months after finishing carrying out the meetings. Individual interviews were conducted and analysed with qualitative content analysis. Some older Thai adults kept their individual goals and adjusted the routes to reach these goals so they were suited to their own context. They also formed other new goals inspired by knowledge gained during the LS-meetings and the success of other members. Older Thai adults have their own perspectives on active ageing through its three basic pillars. They have capacity and responsibility to take the initiative to enhance their own active ageing by applying the PDSA cycle. Findings can be applied to create practices to support enhancing active ageing for the older Thai population. Keywords: Active ageing, lifestyle change, PDSA cycle, qualitative, Thailand
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| 9. |
- Wongsala, Manothai, 1971-, et al.
(författare)
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Experiences of lifestyle changes among Thai older adults six months after applying the PDSA cycle
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Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
- Background: Thai older adults are valuable resources in their society. The Thai health service system is challenged when it comes to ensuring that older Thai adults can continue to live healthy and independent lives in society. It is of great value to support independence and improve older people's active ageing. Promoting lifestyle changes by applying the Plan-Do-Study-Act cycle (PDSA cycle), at group meetings in a municipality context, is a way of focusing on active ageing. Objectives: To describe older adults´ experiences of lifestyle change six months after finishing group meetings applying the PDSA cycle. Methods: A qualitative approach with individual interviews and a qualitative content analysis were used with 12 Thai older adults who participated in the meetings applying the PDSA cycle. Results: Three categories and six sub-categories emerged: Keeping individual goals, influenced by the surroundings, and formulation of additional goals were the overall categories. Discussion: These Thai older adults showed that they had the ability to make lifestyle changes with the support of the PDSA cycle, but not all maintained their planned activities after six months. The question is how healthcare professionals and the surroundings, may further support and motivate these people to maintain these changes based on their own preferences in a sustainable way.
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| 10. |
- Wongsala, Manothai, et al.
(författare)
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Lifestyle Changes Using the Plan-Do-Study-Act Cycle among Older Thai Adults – A Focus Group Study
- 2023
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Ingår i: Activities, Adaptation & Aging. - New York, United States : Taylor & Francis Group. - 0192-4788 .- 1544-4368. ; 47:4, s. 566-587
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to explore experiences of applying the Plan-Do-Study-Act (PDSA) cycle among older Thai adults. A qualitative research approach was used based on focus group interviews with eight male and five female participants aged 62–78 years old. Data was analyzed using qualitative thematic analysis. The findings presented how older adults set, carried out, and adjusted their own lifestyle change plans to enhance active aging. Although participants experienced difficulties at first, learning during the group process following the PDSA steps became easier. Support from the moderator during meetings, as well as family during the execution of their plans at home ensured successful application of the PDSA cycle. The PDSA cycle encouraged participants to be concerned about their health, something they themselves found beneficial. This tool will be useful to apply in health practice and policy when performing group activities to enhance active aging.
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