DEVELOPMENT OF A HEALTH PROMOTION MODEL FOR OLDER PERSONS IN NORTHERN THAILAND

Abstract

This mixed-methods research aimed to 1) study the context of health promotion for the elderly in four upper northern provinces of Thailand 2) develop a health promotion model for this demographic 3) enhance health care for the elderly in Mae Hong Son, Chiang Mai, Lampang, and Nan provinces. The quantitative phase involved 323 elderly participants using questionnaires validated by five experts (IOC ≥ 0.50), with Path Analysis employed to confirm construct validity. The qualitative phase utilized focus group interviews with four groups (32 participants in total), ensuring reliability through triangulation. The results revealed that: 1) policy perception is a fundamental factor driving development and motivating health self-care, with a distinct need for innovations aligned with local lifestyles and culture 2) the developed “Lanna Healthy Model” is an integrated framework emphasizing the application of information technology alongside community participation and comprehensive health service systems. Path Analysis confirmed that the model is significantly driven by motivation, potential development, and policy perception 3) effective health promotion requires providing opportunities for elderly participation in decision-making tailored to their specific contexts. Furthermore, strengthening leadership roles among the elderly, in conjunction with family support networks, is crucial for achieving successful and efficient health care outcomes.