Development of an Information Service Model for Chronic Disease Prevention among Adults in Sub-district Health Promoting Hospitals

Main Article Content

Pornchita Upatum

Abstract

This research aims to: 1) Examine the state of information services for chronic disease prevention for adults at Sub-district Health Promoting Hospitals (SHPHs); 2) Study the information behavior for chronic disease prevention among adults; and 3) Develop a model for information services for chronic disease prevention for adults at SHPHs using a mixed-methods research approach. The primary data sources included six SHPH personnel and 600 adults aged 20-40 years. Research tools consisted of semi-structured interviews and questionnaires. Quantitative data were analyzed using percentages, means, and standard deviations, while qualitative data were analyzed using inductive content analysis. 


The research findings revealed that: 1) SHPHs provide information services for chronic disease prevention for adults through recommendations and demonstrations; 2) Information behavior and health beliefs for chronic disease prevention among adults include: 2.1) Information behavior: (1) Information needs: (1.1) The most needed content includes recommendations for information sources, chronic disease prevention, nutrition, and exercise; (1.2) The most preferred information formats are video clips and infographics; (1.3) The most convenient channel for receiving information is online platforms. (2) Most individuals have never actively searched for information but receive it primarily from social media (Facebook / LINE); and (3) Most individuals use the received information for self-care and for taking care of those close to them. 2.2) Overall, the average score of health beliefs was at a moderate level, with personal factors being related to all aspects of health beliefs. and 3) The developed model for information services for chronic disease prevention for adults at SHPHs, which aligns with adults’ learning needs, consists of three fundamental components: 3.1) SHPHs encompass fundamental factors that support information services for chronic disease prevention for adults, including service policies, information service projects or activities, service providers, information and communication technology, service channels, networks, and facilities; 3.2) Information covers news and knowledge for chronic disease prevention recorded in formats that align with user needs; and 3.3) Users include both adults who use and do not use information services, with both groups needing information services to enhance health information skills.

Article Details

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Research Article

References

Bartlett, J. C. (2020). Consumer health information literacy and information behavior of young adults. In: Jean, B. S., Jindal, G., Liao, Y. and Jaeger, P. T. (Eds.), Roles and responsibilities of libraries in increasing consumer health literacy and reducing health disparities (Advances in Librarianship, vol. 47) (pp. 103-118). United Kingdom: Emerald Publishing Limited.

Bryant, S. L., Bridgen, R., Hopkins, E., McLaren, C. and Stewart, D. (2022). NHS knowledge and library services in England in the digital age. Health Information and Libraries Journal, 39(4), 385-391.

Chae, S., Lee, Y. J. and Han, H. R. (2021). Sources of health information, technology access, and use among non-english-speaking immigrant women: Descriptive correlational study. Journal of Medical Internet Research, 23(10), e29155. https://doi:10.2196/29155

Chen, D. W., Banerjee, M., He, X., Miranda, L., Watanabe, M., Veenstra, C. M. and Haymart, M. R. (2023). Hidden disparities: How language influences patients' access to cancer care. Journal of the National Comprehensive Cancer Network, 21(9), 951-959.e1. https://doi:10.6004/jnccn.2023.7037

Chimezie, R. O. (2023). Health awareness: A significant factor in chronic diseases prevention and access to care. Journal of Biosciences and Medicines, 11(2), 64-79.

Falek, A. and Burdan, F. (2022). The importance of the quality of information and the methods of its distribution in the process of promoting a healthy lifestyle. Folia Medica Cracoviensia, 62(1), 89-101.

Fishbein, M. and Cappella, J. N. (2006). The role of theory in developing effective health communications. Journal of Communication, 56(1), S1–S17.

Flaherty, M.G. (2018). Promoting individual and community health at the library. Chicago: American Library Association.

Frieden, T.R. (2016). Ten things I wish someone had told me when I became a health officer. American Journal of Public Health, 106(7), 1214-1218.

Harolds, J. A. and Miller, L. B. (2020). Quality and safety in healthcare, part LXXVIII: expected competencies of the chief nursing officer and most other healthcare executives. Clinical Nuclear Medicine, 47(4), e377-e379. https://doi:10.1097/RLU.0000000000003221

Ishizaki, Y., Higashino, H. and Kaneko, K. (2016). Promotion of the transition of adult patients with childhood-onset chronic diseases among pediatricians in Japan. Frontiers in Pediatrics, 18(4), 111. https://doi:10.3389/fped.2016.00111

Jacobs, J. C., Blonigen, D. M., Kimerling, R., Slightam, C., Gregory, A. J., Gurmessa, T. and Zulman, D.M. (2019). Increasing mental health care access, continuity, and efficiency for veterans through telehealth with video tablets. Psychiatric Services (Washington, D.C.), 70(11), 976-982. https://doi:10.1176/appi.ps.201900104

Jacobs, W., Amuta, A. and Jeon, K. C. (2017). Health information seeking in the digital age: An analysis of health information seeking behavior among US adults. Cogent Social Sciences, 3(1), 1302785. https://doi:10.1080/23311886.2017.1302785

Kakee, N. (2022). Basic policy surrounding the promotion of health care transition for patients with childhood-onset chronic diseases of the Ministry of Health, Labour and Welfare in Japan. Brain and Nerve = Shinkei kenkyū no shinpo, 74(6), 763 -770.

Knowles, M.S. (1980). The modern practice of adult education: From pedagogy to andragogy. Englewood Cliffs, NJ: Cambridge Adult Education.

Kurt, S. (2018). ADDIE model: Instructional design. Retrieved from https://educationaltechnology.net/the-addie-model-instructional-design

Liu, Yen-Wen and Tang, Chia-Chun. (2024). Health beliefs, protective behaviors, and information-seeking. Nursing Research, 73(2), 158-165.

Lovelock, C. and Wirtz, J. (2022). Service marketing: People, technology, strategy (7th ed.). New Jersey: World Scientific.

Makesh, D. and Rajasekhar, S. (2020). A study of health information search behaviour and its application among young adults. Indian Journal of Youth and Adolescent Health, 7(1), 1-6. https://doi.org/10.24321/2349.2880.202001

Malik, A., Islam, T., Ahmad, M. and Mahmood, K. (2023). Health information seeking and sharing behavior of young adults on social media in Pakistan. Journal of Librarianship and Information Science, 55(3), 579-595.

Meppelink, C. S. (2015). Designing digital health information in a health literacy context (Doctoral dissertation). Universiteit van Amsterdam, Netherlands.

Miller, D. P., et al. (2017). Usability of a novel mobile health iPad app by vulnerable populations. JMIR mHealth and uHealth, 5(4), e43. https://doi:10.2196/mhealth.7268

Nadarsyah, N. N. and Priyanto, P. H. (2022). Decentralization of policy in health services through the public and private partnership. In: Alaverdov, E. and Bari, M. W. (Eds.), Regulating human rights, social security, and socio-economic structures in a global perspective (pp 108-123). Pennsylvania: IGI Global.

Navkiran, K. and Satinderbir, K. (2021). Role of libraries in promoting health information literacy in India. In: Holland, B. J. (Eds.), Handbook of research on knowledge and organization systems in library and information science (pp. 366-383). Pennsylvania: IGI Global.

Netto, J., Hartz, Z. and Magalhães, J. (2022). One health and information management using big data in health: A Brazilian case study for COVID-19. In: de Magalhães, J. L., Jamil, G. L. and Jamil, L. C. (Eds.), Handbook of research on essential information approaches to aiding global health in the one health context (pp. 36-51). Pennsylvania: IGI Global.

Nicholas, Y., Mohammed, I. M, Ufere, J. K. and Kuna, I. A. (2022). Effect of facilities management service quality on user satisfaction and institutional image. Malaysian Journal of Real Estate, 16(2), 86-95.

Niu, Z., Willoughby, J. and Zhou, R. (2021). Associations of health literacy, social media use, and self-efficacy with health information–seeking intentions among social media users in China: Cross-sectional Survey. Journal of Medical Internet Research, 23(2), e19134.

O'Callaghan, C., Tran, C. Tam, N., Wen, L. M. and Harris-Roxas. (2022). Promoting the get healthy information and coaching service (GHS) in Australian-Chinese communities: Facilitators and barriers. Health Promotion International, 37(2) daab129, https://doi.org/10.1093/heapro/daab129

Palumbo, M. and Pandolfini, V. (2020). Lifelong learning policies and young adults: Considerations from two Italian case studies. International Journal of Lifelong Education, 39(1), 75-89.

Park, J. and Kim, Y. (2022). Factors associated with chronic disease and health care utilization among young adults in South Korea. Population Health Management, 25(3), 407-412.

Patel, N., Waldrop, D. and Ownby, R. L. (2023). Creating a tailored info app to promote self-management skills in persons with chronic health conditions: Development strategies and user experience. Distance Learning (Greenwich), 20(1), 9-18.

Rahmadhani, W. and Dorji, S. (2023). The effect of government policy management on the quality of health services. Disease Prevention and Public Health Journal, 17(1), 7-12.

Saadia, H. and Naveed, M. (2023). Effect of information literacy on lifelong learning, creativity, and work performance among journalists. Online Information Review, https://doi:10.1108/oir-06-2022-0345

Saboga-Nunes, L., Santini, LA, da Silveira, F., Moro, E. and Estabel, L. (2022). Access to health literacy best practices and the role of health libraries (BiblioSUS Network BVS) in Brazil. European Journal of Public Health, 32(Suppl 3), ckac129.512. https://doi:10.1093/eurpub/ckac129.512

Saks, D.W. (2022). Young adults searching for health-related information on the Internet. Asia Pacific Journal of Health Management, 17(3), 1619.

Strategy and planning division of Office of the Permanent Secretary Ministry of Public Health. (2025). แผนปฏิบัติราชการกระทรวงสาธารณสุขประจำปี พ.ศ. 2568 [Government action plan 2025, Ministry of Public Health]. Retrieved from https://spd.moph.go.th/wp-content/uploads/2025/05/แผนปฏิบัติราชการ-กสธ.-ปี-68-Final-V.2.pdf [In Thai].

United Nations. (2023). A guide to action on lifelong learning for health in cities. Retrieved from https://www.uil.unesco.org/en/learning-cities/guide-action-lifelong-learning-health-cities

U.S. Department of Health and Human Services. (2024). Healthy people 2020. Retrieved from https://health.gov/healthypeople/priority-areas/health-literacy-healthy-people-2030.

Upatum, P. (2023). The development of health information literacy model for the elderly in the health service agencies. TLA Research Journal, 16(2), 28-44. [In Thai].

Watson, K. B., Carlson, S. A., Loustalot, F., Town, M., Eke. P. I., Thomas, C. W. and Greenlund, K. J. (2022). Chronic conditions among adults aged 18-34 years United States, 2019. MMWR. Morbidity and Mortality Weekly Report, 71(30), 964-970.

World Health Organization. (2023). Noncommunicable diseases. Retrieved from https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases

Ying-Ying, J., Fan, M. and Wei-Wei, Z. (2022). Reflections on evolvement of health promotion policies for chronic disease control and prevention in China: A literature study. Chinese Journal of Public Health, 38(3), 381-384.

You, Mi-Ae and Ahn, Jeong-Ah. (2025). Health information orientation and health literacy as determinants of health promotion behaviors in adolescents: A cross-sectional study. Frontiers in Public Health, 12. https://doi.org/10.3389/fpubh.2024.1522838

Zhao, H., Fu, S. and Chen, X. (2020). Promoting users' intention to share online health articles on social media: The role of confirmation bias. Information Processing & Management, 57(6), 102354.

Zhao, Y. C., Zhao, M. and Song, S. (2022). Online health information seeking among patients with chronic conditions: Integrating the health belief model and social support theory. Journal of Medical Internet Research, 24(11), e42447.