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- 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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| 2. |
- Wongsala, Manothai, et al.
(författare)
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Active ageing – perspectives on health, participation, and security among older adults in northeastern Thailand : A qualitative study
- 2021
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Ingår i: BMC Geriatrics. - : BioMed Central. - 1471-2318. ; 21:1
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Tidskriftsartikel (refereegranskat)abstract
- Background: Health, participation, and security are the basic pillars of active ageing suggested by the WHO. The concept is used by professionals but requires exploration from the perspectives of older people themselves. This study aims to explore how older adults experience and describe health, participation, and security. Methods: A qualitative research approach was used based on open-ended interviews with 20 older Thai adults aged 60–92 years. The interviews were analysed using qualitative content analysis. Results: The results showed perspectives related to experiences of daily life and local culture. Health while ageing, was described as the absence of barriers to continued daily living, combined with a peaceful and adaptive mindset. Participation was described as maintaining social networks and being a formal volunteer, with an emphasis on the “making of merits”, of meaningful activities and being respected. Security was described as manageable living conditions and managing to finalize life well by balancing dependency and independency in relation to children to sustain the traditional value of gratitude between generations. Conclusions: These understandings will support healthy policy planning by providing resources and activities that relate to older Thai adults’ perspectives of health, participation and security and ultimately contribute to a better quality of life.
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| 3. |
- Wongsala, Manothai, et al.
(författare)
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Applying the PDSA cycle to a group activity promoting lifestyle change for the active ageing of older Thai adults - a focused ethnography
- 2022
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Ingår i: BMC Geriatrics. - : NLM (Medline). - 1471-2318. ; 22:1
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: The proportion of the older Thai population is increasing rapidly. Lifestyle may impact active ageing in later life. Interventions that empower older Thai adults to initiate and carry out lifestyle changes are needed. This study applied the Plan-Do-Study-Act (PDSA) cycle, a tool for improving lifestyle changes, with the aim of exploring interactions among older Thai adults when participating in group activities. METHOD: Focused ethnography was used based on participant observations, field notes and video recordings of 15 older Thai adults aged 62-78 years. RESULTS: Older Thai adults faced difficulties at the beginning since they were unfamiliar with initiating and carrying out lifestyle changes according to the PDSA concept. This provided a learning opportunity enabling older Thai adults to reach their individual goals of lifestyle change. CONCLUSIONS: The PDSA cycle has the potential to empower older adults in group contexts to promote lifestyle changes related to active ageing.
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| 4. |
- 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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| 5. |
- 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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| 6. |
- Wongsala, Manothai, et al.
(författare)
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"Lomwong Saansook" : A Group Meeting Using PDSA Wheel to Improve Health, Participation and Security among Thai Older Adults
- 2019
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Ingår i: iHSEP2019 Conference Abstract Book. - : Ministry of Public Health, Thailand. - 9786161141509
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Konferensbidrag (refereegranskat)abstract
- Background In general, activities to promote well being among the elderly in Thailand are not selfinitiated Therefore, older people need to be encouraged to find out how to manage their daily life and activities This study applied the concept of the PDSA wheel Plan Do Study Act in order to enhance their wellbeingThe activity called Lomwong SaansookThai wordsLSmeetings implemented among older adults aged 60 and above The PDSA concepts are used to encourage participants to plan a goal, do it by themselves, and use the group dynamic with other participants in studying evaluating to improve the activities Topics of meetings included health issues, participation, and security related to the active aging concepts Objective To describe older adults¶ perceptions of changes and improvement in their daily lives after participating in LSmeetings Methodology This qualitative study employed the phenomenography method using focus group interviews which were conducted two weeks after four LSmeetings with 15 participants They were divided into two focus groups contained seven and eight participants including males and females Data were collected by field notetaking and video recordingData were analyzed by the multistage coding process to identify themes of description Results The participants described their perceptions of changes and improvements by five themes, including not familiar but possible with supporting, behaviors improving, meaningful knowledge needs, learn with each other, and success factors DiscussionConclusion Thai older people in this area had difficulties to make goals of lifestyle changes by themselves, but it was possible with the support of the moderator As a result, their healthrelated behaviors had improved The examples of a lifestyle change were improvements in fooddrink intake, exercise, and saving money; however, the causes of changing behaviors were not confirmed clearly The important factors of changing behaviors were meaningful new knowledge, group process, support from the moderator, and good relationships with health personnelAccording to the results of this study, it can be concluded that the meeting using the PDSA wheel may be able to use as a guideline providing sustainable activities for Thai older people to encourage improving individual implementation of lifestyle changes, in order to enhance their wellbeing.
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