Effect of Health Promotion Programe on Diabetes Prevevtion Behaveiors For Risk Group of Hat Kruat Subdistrict Health Promoting Hospital, Mueang District, Uttaradit Province

Abstract

     This quasi-experimental study aimed to examine the effects of home healthcare provided through the participation of a community health network on activities of daily living and quality of life among home-bound and bed-bound older adults at Hat Kruat Subdistrict Health Promoting Hospital, Mueang District, Uttaradit Province. The study compared the mean scores of activities of daily living and quality of life before and after participation in the intervention.The sample consisted of 25 home-bound and bed-bound older adults.Sample size was determined using G*Power with a sig.nificance level of .05, a statistical power of .80, and an effect size of .05. The participants received home healthcare through the participation of a community health network for 12 sessions over a period of 6 months. The intervention consisted of four stages of participation: participation in planning, decision-making, implementation, and evaluation. The research instruments included a general information questionnaire, the Barthel Activities of Daily Living Index (Barthel ADL), and the WHOQOL-BREF-THAI quality-of-life questionnaire. The reliability of the research instruments was assessed using Cronbach’s alpha coefficient, yielding a reliability coefficient of 0.86. Data were analyzed using descriptive statistics and a paired t-test at a statistical significance level of p < .05.

     The results showed that the mean scores for activities of daily living and quality of life among the older adults significantly increased after participation in the home healthcare program (p < .001).