en Management and Health System Original Article <div style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:Times New Roman;"><span style="line-height:115%"><span sans-serif=""><b><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">Background</span></span></span></b><span lang="TH"><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">: </span></span></span></span><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">Health</span></span></span> <span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">care provided by youth</span></span></span> <span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">can support homebound and bedridden older adults</span></span></span><span lang="TH"><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">.</span></span></span></span> <span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">The purpose of this study was to develop a</span></span></span> <span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">program for homebound and bedridden older adults in</span></span></span> <span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">rural areas of northeastern</span></span></span> <span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">Thailand</span></span></span><span lang="TH"><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">.</span></span></span></span></span></span><br> <span style="line-height:115%"><span sans-serif=""><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black"></span></span></span></span></span><br> <span style="line-height:115%"><span sans-serif=""><b><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">Methods</span></span></span></b><span lang="TH"><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">: </span></span></span></span><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">The methodology was a mixed method, including</span></span></span><span lang="TH"><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black"> 1) </span></span></span></span><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">exploration of the current situation through qualitative method</span></span></span><span lang="TH"><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">, 2)</span></span></span></span> <span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">development of a training program</span></span></span><span lang="TH"><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">, </span></span></span></span><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">and </span></span></span><span lang="TH"><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">3) </span></span></span></span><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">implementation and evaluation of the program developed through a quasi-experimental method from February to June 2020 in Ta</span></span></span><span lang="TH"><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">-</span></span></span></span><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">Muang Subdistrict, Selaphum District, Roi Et Province, Thailand</span></span></span><span lang="TH"><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">. </span></span></span></span><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">Data were collected through focus group discussions, in</span></span></span><span lang="TH"><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">-</span></span></span></span><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">depth interviews, Thai version of the brief form of the World Health Organization Quality of Life (WHOQOL</span></span></span><span lang="TH"><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">-</span></span></span></span><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">BREF</span></span></span><span lang="TH"><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">-</span></span></span></span><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">THAI), and Srithanya Stress Test </span></span></span><span lang="TH"><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">(</span></span></span></span><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">ST-5</span></span></span><span lang="TH"><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">)</span></span></span></span><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black"> questionnaires</span></span></span><span lang="TH"><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">. </span></span></span></span><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">Quantitative data were analyzed using percentages, means, SDs, and paired <i>t</i></span></span></span> <span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">tests, while qualitative data were analyzed using content analysis</span></span></span><span lang="TH"><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">. </span></span></span></span></span></span><br> <span style="line-height:115%"><span sans-serif=""><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black"></span></span></span></span></span><br> <span style="line-height:115%"><span sans-serif=""><b><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">Results</span></span></span></b><span lang="TH"><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">: </span></span></span></span><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">The qualitative method showed 4 major themes, including 1) lack of caregivers, 2) lack of knowledge, 3) loneliness and stress, and 4) under the poverty line. The training program involved 6 activities</span></span></span><span lang="TH"><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">: </span></span></span></span><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">1</span></span></span><span lang="TH"><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">) </span></span></span></span><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">providing knowledge in caring for older adults to educate and support youth, 2</span></span></span><span lang="TH"><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">) </span></span></span></span><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">demonstrating and practicing in caring for older adults to educate and support youth, 3</span></span></span><span lang="TH"><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">) </span></span></span></span><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">caring for older adults with love and care, 4</span></span></span><span lang="TH"><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">) </span></span></span></span><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">providing hygiene care to older adults, 5</span></span></span><span lang="TH"><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">) </span></span></span></span><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">promoting self</span></span></span><span lang="TH"><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">-</span></span></span></span><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">worth and self</span></span></span><span lang="TH"><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">-</span></span></span></span><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">confidence in youth, and 6</span></span></span><span lang="TH"><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">) </span></span></span></span><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">enhancing community participation</span></span></span><span lang="TH"><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">. </span></span></span></span><a><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">The quantitative method showed </span></span></span></a><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">after the implementation of this training program. </span>&nbsp;<span style="color:black">Findings showed that quality of life had higher mean scores, and stress had lower mean scores compared to the prior implementation</span></span></span><span lang="TH"><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">.</span></span></span></span></span></span><br> <span style="line-height:115%"><span sans-serif=""><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black"></span></span></span></span></span><br> <span style="line-height:115%"><span sans-serif=""><b><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">Conclusion</span></span></span></b><span lang="TH"><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">: </span></span></span></span><span style="line-height:115%"><span new="" roman="" times=""><span style="color:black">This training program could promote bonding among youth and homebound and bedridden older adults through peer support from health volunteers. </span></span></span></span></span></span></span></div> <div> <div><div class="msocomtxt" id="_com_1" language="JavaScript" on<illegal tag>mouseout="msoCommentHide('_com_1')" on<illegal tag>mouseover="msoCommentShow('_anchor_1','_com_1')"></div></div> </div> <span style="font-size:11pt"><span style="line-height:115%"><span style="font-family:Calibri,sans-serif"><span style="font-size:12.0pt"><span style="line-height:115%"><span style="font-family:"Times New Roman",serif"></span></span></span></span></span></span> Program development, Quality of life, Stress disorders, Homebound persons, Bedridden persons, Mixed method 58 62 http://nmj.goums.ac.ir/browse.php?a_code=A-10-1589-1&slc_lang=en&sid=1 Boonyada Wongpiomoln boonyada@reru.ac.th 100319475328460012573 100319475328460012573 No Division of Adult and Gerontological Nursing, Faculty of Nursing, Roi Et Rajabhat University, Thailand Chanidawadee Sayuen chanidatoi@reru.ac.th 100319475328460012574 0009-0003-1700-6206 Yes Division of Community Health Nursing, Faculty of Nursing, Roi Et Rajabhat University, Thailand Ladda Pholputta ladda@reru.ac.th 100319475328460012575 100319475328460012575 No Division of Adult and Gerontological Nursing, Faculty of Nursing, Roi Et Rajabhat University, Thailand Nitchapanrawee Phengphol nitcha@reru.ac.th 100319475328460012576 0009-0002-8152-094x No Division of Adult and Gerontological Nursing, Faculty of Nursing, Roi Et Rajabhat University, Thailand