Development of a Model to Promote Family or Caregiver Engagement in the Care of Cancer Patients in Sathing Phra District, Songkhla Province
Keywords:
family caregiver, cancer patients, participation, long-term care, CARE-S ModelAbstract
This research employed a research and development (R&D) approach with the objective of developing a model to promote family or caregiver engagement in the care of cancer patients in Sathing Phra District, Songkhla Province. The study was divided into four phases: (1) assessing the current situation of cancer patient care, (2) examining the level of caregiver participation, (3) designing and developing the engagement model, and (4) piloting and evaluating the model. The sample consisted of 60 caregivers of cancer patients. Research instruments included questionnaires, a model quality assessment form, a satisfaction survey, and interview guidelines. Data were analyzed using descriptive statistics and paired sample t-tests.
The findings revealed that the developed CARE-S Model comprised five key components: (C) Communication with the healthcare team, (A) Accessible knowledge, (R) Role skill development, (E) Evaluation and follow-up, and (S) Sathing Phra contextualization. After implementation, caregivers showed a statistically significant improvement (p < .001) in both their caregiving competence and confidence—particularly in symptom management, monitoring, and long-term care. Experts rated the model as “excellent” in all quality dimensions, while caregivers reported the highest satisfaction, especially with knowledge accessibility and skill development components.
The study concluded that the CARE-S Model is suitable for enhancing caregiver roles in rural cancer care settings and is scalable to other communities. Further development of tools and support systems is recommended to address the diverse needs of caregivers in different contexts.
References
ช่อผกา ปุยขาว, อรวรรณ พฤกษพงษ์, & วราพร วิชชุวรนันท์. (2562). ผลของโปรแกรมการมีส่วนร่วมของครอบครัวต่อคุณภาพชีวิตในผู้ป่วยมะเร็งระยะสุดท้าย. วารสารพยาบาลกระทรวงสาธารณสุข, 29(2), 63–76.
สำนักงานสถิติแห่งชาติ. (2566). รายงานการวิเคราะห์สถิติผู้ป่วยมะเร็งและการเสียชีวิตในประเทศไทย. กรุงเทพฯ: สำนักงานสถิติแห่งชาติ. Retrieved from http://www.nso.go.th
ศิริกาญจน์ พูลแก้ว. (2563). ปัจจัยที่มีความสัมพันธ์กับความสามารถในการดูแลตนเองของผู้ป่วยมะเร็งลำไส้ที่ได้รับยาเคมีบำบัด โรงพยาบาลมหาราชนครศรีธรรมราช. วารสารสาธารณสุขและวิทยาศาสตร์สุขภาพ, 5(1), 106–118.
ศิริพร เสมสาร, สุชิรา ชัยวิบูลย์ธรรม, & พิชัย จันทร์ศรีวงศ์. (2561). ผลของโปรแกรมส่งเสริมความสามารถของญาติผู้ดูแลต่อผลลัพธ์ด้านญาติผู้ดูแลและด้านผู้ป่วยในการดูแลผู้ป่วยเรื้อรังระยะท้าย. วารสารการปฏิบัติการพยาบาลและการผดุงครรภ์ไทย, 5(1), 112–126.
Allison J. Applebaum & William Breitbart. (2012). Care for the cancer caregiver: A systematic review. https://www.cambridge.org/core/journals/palliative-and-supportive-care/article/abs/care-for-the-cancer-caregiver-a-systematic-review/6264F00C02EBCA0D51BC4C52FC9C0786
Bandura, A. (1997). Self-efficacy: The exercise of control. W.H. Freeman.
Becqué, Y., Wel, M., Aktan-Arslan, M., Driel, A., Rietjens, J., Heide, A., & Witkamp, E. (2023). Supportive interventions for family caregivers of patients with advanced cancer: A systematic review. Psycho‐Oncology, 32, 663 - 681. https://doi.org/10.1002/pon.6126.
Best, J.W. & Khan, J.V. (1993). Research in Education (Vol. 7). Allyn and Bacon.
Champarnaud, L., & Noel, J. M. (2020). Adult learning and digital health literacy: Empowering caregivers through relevant knowledge. Journal of Health Education Research & Development, 38(2), 112–120.
Kishino, M., Ellis-Smith, C., Afolabi, O., & Koffman, J. (2022). Family involvement in advance care planning for people living with advanced cancer: A systematic mixed-methods review. Palliative Medicine, 36, 462 - 477. https://doi.org/10.1177/02692163211068282.
Knowles, M. S. (1984). The adult learner: A neglected species (3rd ed.). Gulf Publishing.
Mentella, M.C.; Scaldaferri, F.; Ricci, C. Cancer and Mediterranean Diet: A Review. Nutrients 2019, 11, 2059. [Google Scholar] [CrossRef] [Green Version]
Senge, P. M. (1990). The fifth discipline: The art and practice of the learning organization. Doubleday.
Stadelmaier, N., Assemat, L., Paternostre, B., Bartholome, C., Duguey-Cachet, O., & Quintard, B. (2021). Supporting Family Members in Palliative Phases of Cancer. Journal of Hospice & Palliative Nursing, 24, E18 - E25. https://doi.org/10.1097/NJH.0000000000000827.
Streck, B. R., Macchi, C. R., O’Donnell, L. M., Liu, T., & Berg, K. A. (2021). Applying interdependence theory to the health context: A review and directions for future research. Health Psychology Review, 15(2), 242–260. https://doi.org/10.1080/17437199.2020.1718521
Stufflebeam, D.L. and W. J. Webster (1989). Evaluation as an Administrative Function, in N.J.
Thibaut, J. W., & Kelley, H. H. (1959). The social psychology of groups. Wiley.
Ullgren, H., Tsitsi, T., Papastavrou, E., & Charalambous, A. (2018). How family caregivers of cancer patients manage symptoms at home: A systematic review.. International journal of nursing studies, 85, 68-79 . https://doi.org/10.1016/j.ijnurstu.2018.05.004.
Ullgren, H., Tsitsi, T., Papastavrou, E., & Charalambous, A. (2018). How family caregivers of cancer patients manage symptoms at home: A systematic review.. International journal of nursing studies, 85, 68-79 . https://doi.org/10.1016/j.ijnurstu.2018.05.004.
Zhang, T. (2000). Participation and empowerment in community development: A theoretical framework. [Doctoral dissertation, University of Minnesota].
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