DEVELOPMENT OF A THREE-DIMENSIONAL FAMILY STRENGTHENING MODEL (SOCIAL, HEALTH, ECONOMIC) ON THE QUALITY OF LIFE OF CITIZENS IN THAILAND
Keywords:
Family Strength; Quality of Life, Three-Dimensional Integration, Action ResearchAbstract
This research aimed to develop and evaluate the effectiveness of a three-dimensional family strengthening model (social, health, and economic dimensions) on the quality of life of Thai citizens. This participatory action research was conducted from January to December 2023 in four regions of Thailand: Phitsanulok, Kalasin, Rayong, and Ranong provinces. The sample consisted of 206 households. Research instruments included a general information questionnaire, a three-dimensional needs assessment form, and the WHOQOL-BREF-THAI. The results revealed that most participants were family members (68.00%) with an average age of 50.36 years. Their greatest needs were for educational support (75.20%), followed by occupational assistance (40.80%), and housing support (40.30%). The majority had never received annual health check-ups (78.60%) and primarily used sub-district health promoting hospitals (68.00%) for healthcare services. After implementing the developed model, participants' quality of life significantly improved across all dimensions: physical health (Z = 3.00, p < 0.001), psychological well-being (Z = 5.488, p < 0.001), social relationships (Z = -2.646, p = 0.004), environment (Z = 1.155, p < 0.001), and overall quality of life (Z = 2.50, p = 0.006). This study demonstrates that integrating family assistance across three dimensions (social, health, and economic) through the participation of networks including government agencies, volunteers, and community leaders effectively strengthens families and enhances the quality of life of Thai families.
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