THE Effect of the Elderly Health Promotion Model in the Elderly Clubs: Health Area Region 7

Authors

  • Sadudee Phuhongsai Regional Health Promotion Centre 7 Khonkaen
  • Kanya Janpol Regional Health Promotion Centre 7 Khonkaen

Keywords:

Health Promotion, Elderly, Wellness Plan, Elderly club

Abstract

Background: Health promotion among older adults is vital for enhancing self-care capacity and transferring knowledge from health institutions to communities and families.

Objective: To evaluate the effects of a health promotion model using individualized wellness plans among elderly club members in Health Region 7, Thailand.

Material and Methods: A quasi-experimental design approach was employed. A total of 616 older adults were recruited from 16 elderly clubs across four provinces. The intervention consisted of the program “smart walk, smart brain, smart emotion, and smart eat course,” combined with wellness plans, implemented for six months. Health outcomes were assessed before and after the intervention using a paired t-test and McNemar’s Chi-square test.

Results: Participants had a mean age of 69.56 ± 5.69 years (range 60–88), and 75.5% were female. After the intervention, the six-month prevalence of falls decreased significantly from 8.8% to 5.7% (P = 0.02). Fall risk, measured by the Timed Up and Go test, improved from 12.11 ± 7.48 seconds to 10.64 ± 6.91 seconds (P < 0.001). Cognitive function, assessed by the Abbreviated Mental Test (AMT), increased from 8.55 ± 1.27 to 8.71 ± 1.27 points (P = 0.004).

Conclusion: Integrating wellness plans into elderly club programs effectively reduces the risk of falls and enhances both physical and cognitive outcomes. Community participation is crucial for promoting sustainable health and enhancing the quality of life among older adults.

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References

World Health Organization. Ageing and health [Internet]. 2024 [cited 2025 May 23]. Available from: https://www.who.int/news-room/fact-sheets/detail/ageing-and-health

Health and Social Statistics Group, Social Statistics Division. The 2024 Survey of the Older Persons in Thailand. National Statistical Office, Ministry of Digital Economy and Society; 2024. [cited 2025 May 23]. Available from: https://www.nso.go.th/nsoweb/nso/survey_detail/iM?set_lang=en

Pramote P, Phusit P. Situation of the Thai older person 2022. Bangkok: Amarin Corporations Public Company Limited; 2023. [cited 2025 May 23]. Available from: https://thaitgri.org/?p=40218

Department of Health. DOH Dashboard [Internet]. 2025 [cited 2025 May 23]. Available from: https://dashboard.anamai.moph.go.th/dashboard/bmi60f?year=2025

Bureau of Elderly Health, Department of Health. Aging data profile [Internet]. 2025 [cited 2025 May 23]. Available from: https://sites.google.com/view/agingdataprofile

Edelman CL, Kudzma EC, editors. Health promotion throughout the life span. 9th ed. St. Louis (MO): Elsevier; 2018.

Pronk N, Kleinman DV, Goekler SF, Ochiai E, Blakey C, Brewer KH. Promoting health and well‑being in Healthy People 2030. Public Health Rep. [serial online]. 2021 [cited 2025 May 23]. Available from: https://doi.org/10.1097/PHH.0000000000001254

Department of Health. Guidelines for driving the action plan for elderly health promotion. Bangkok: Amarin Printing; 2019. cited 2025 May 23]. Available from: https://shorturl.asia/S2FRu [in Thai]

Srisamer D, Intaracha W. The effectiveness of using the health pattern on the health behavior of the elderly, Ubon Ratchathani Province. Health R10 J [serial online]. 2021 Jan-Jun [cited 2025 Jul 18];9(1):87–100. Available from: https://he03.tci-thaijo.org/index.php/HPC10Journal/article/view/1624

Phugsachat P, Phuhongsai S. Evaluation of the aging health promotion innovation in elderly school in Roi Et Province. J Res Health Inno Dev [serial online]. 2024 May-Aug [cited 2025 Jul 18];5(2):74–83. Available from: https://he01.tci-thaijo.org/index.php/jrhi/article/view/270990

Sangrueng S. Results of using the curriculum Don’t fall, don’t forget, don’t get depressed, eat delicious food. with personalized wellness plan cooperative in elderly 9 risk groups. EMH [serial online]. 2023 Oct-Dec [cited 2025 Jul 18];8(4):233–4. Available from: https://so06.tci-thaijo.org/index.php/hej/article/view/268952

Kittipibul V, Boontanon N. The development of elderly health screening and elderly health promotion program for preventive long-term care, based on the concept “Do not fall, do not forget, do not depress and good eats”. Regional Health Promotion Center 9 J. 2020;14(34):158–71.

Katanyutanon A. Synthesizing the integrated model for promoting elderly health by wellness plan application in Chonburi Province. J Prapokklao Hosp Clin Med Educat Center. 2024;41(1):70-81.

Phuhongsai S, Janpol K, Faikaow A, Chanahan P. Result of developing desired health literacy of the elderly in elderly clubs: Health Area Region 7. J Nurs Health Sci, Nakhon Phanom Univ. 2023;1(2):52-62

Maleevong K, Durongrittichai V, Buajalearn H, Sawangsalee S, Jantapol B, Hattapornsakwan Y, Mongkolsinh V. Elderly Health Promotion System Development through a Health Literacy Process in Elderly Clubs of the Bangkok Metropolitan. J Pub Health Nurse [serial online]. 2020 Aug. 31 [cited 2025 Mar 1];34(2):84-101. Available from: https://he01.tci-thaijo.org/index.php/phn/article/view/245791

Chalardlon H, Moolsart S, Lawang W. The development of a health promotion activity model for elderly in the Ban Pong Elderly Klungpunya Club, Ratchaburi Province. Nurs J Ministry Public Health [serial online]. 2017 May–Aug [cited 2025 May 23]. Available from: https://he02.tci-thaijo.org/index.php/tnaph/issue/view/6900

Tasuwanin T, Tappakit K. Effects of falling prevention program for elderly. J Nurs Ther Care [serial online]. 2017 Jul-Sep [cited 2025 Jul 18]. Available from: https://he01.tci-thaijo.org/index.php/jnat-ned/article/view/101819 [in Thai]

Committee for Developing Screening and Assessment Tools for the Health of the Elderly, Ministry of Public Health. Manual for screening and assessing the health of the elderly [PDF]. Thailand: Ministry of Public Health; 2021. [in Thai]

Department of Health, Bureau of Elderly Health. Elderly Health Record Book. 7th ed. Bangkok: Kaewchaojom Printing Center, Suan Sunandha Rajabhat University; 2016. [in Thai]

Department of Health, Bureau of Elderly Health. Elderly Health Record Book. 9th ed. Bangkok: GD Production Co., Ltd.; 2021. [in Thai]

Health Promotion for the Elderly Development Cluster, Health Promotion Center Region 7, Khon Kaen. Manual for developing individual wellness plans: “Sufficient wellness, slowing ageing, long healthy life”. Khon Kaen: Pen Printing Co., Ltd.; 2021. [in Thai]

Banpuwan W. Health promotion and dementia prevention manual for Publish Health officer. (Health Promotion & Prevention Individual Wellness Plan). Bangkok: Samcharoen Panich Co., Ltd.; 2017. [cited 2025 May 23]. Available from: https://share.google/hCzsr8XGfcAktrwrR [in Thai]

Sherrington C, Fairhall N, Kwok W, Wallbank G, Tiedemann A, Michaleff ZA, et al. Exercise for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2019 Jan 31;1(1):CD012424. doi: 10.1002/14651858.CD012424.pub2.

Hopewell S, Adedire O, Copsey BJ, Boniface GJ, Sherrington C, Clemson L, et al. Multifactorial and multiple component interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2018 Jul 23;7(7):CD012221. doi: 10.1002/14651858.CD012221.pub2.

World Health Organization. Step safely: Strategies for preventing and managing falls across the life-course. Geneva: WHO; 2021. [cited 2025 May 23]. Available from: https://www.who.int/publications/i/item/978924002191-4

Livingston G, Huntley J, Sommerlad A, Ames D, Ballard C, Banerjee S, et al. Dementia prevention, intervention, and care: 2020 report of the Lancet Commission. Lancet. 2020 Aug; 396(10248):413–446. doi: 10.1016/S0140-6736(20)30367-6.

Rosenberg A. Mangialasche F. Ngandu T, Solomon A, Kivipelto. Multidomain Interventions to Prevent Cognitive Impairment, Alzheimer’s Disease, and Dementia: From FINGER to World-Wide FINGERS. J Prev Alzheimers Dis. 2019 Oct 10;7(1):29–36. doi: 10.14283/jpad.2019.41

Takács J., Nyakas C. The role of. Social factors in the successful ageing – Systematic review. Development in Health Sciences. 2021 Mar ;4(1). doi: 10.1556/2066.2021.00044

Olanrewaju O, Kelly S, Cowan A, Brayne C, Lafortune L. Physical activity in community dwelling older people: A systematic review of reviews of interventions and context. PLoS One. 2016 Dec 20;11(12):e0168614. doi: 10.1371/journal.pone.0168614.

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Published

2025-09-30

How to Cite

Phuhongsai, S., & Janpol, K. (2025). THE Effect of the Elderly Health Promotion Model in the Elderly Clubs: Health Area Region 7. Community Health Development Quarterly Khon Kaen University, 13(3), 26–44. retrieved from https://he05.tci-thaijo.org/index.php/CHDMD_KKU/article/view/6706

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Original Article