FON-Article

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Browsing FON-Article by Author "Orranuch Chusri"

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    Exploring the Association BetweenLoneliness, Subjective Cognitive Decline, and Quality of Life Among Older Thai Adults: A Convergent Parallel Mixed-Method Study
    (SOUTHERN GERONTOLOGICAL SOCIETY, Journal of Applied Gerontology, 2023) Panawat Sanprakhon; Orranuch Chusri
    Examining the rising prevalence of subjective cognitive decline as an early indicator of dementia in adults, this study investigates its complex interaction with loneliness and quality of life in individuals with preclinical dementia. Using a convergent parallel mixed-method approach, we employed Structural Equation Modeling on a cohort of 149 older adults. Qualitative insights were derived from focused group discussions and in-depth semi-structured interviews with a cohort of 23 older adults. Loneliness emerges as a pivotal contributor, exerting a discernible partial indirect effect on quality of life through subjective cognitive decline (indirect effect = 0.145, p = .006). Noteworthy differentials surfaced, with the impact of subjective cognitive decline on quality of life heightened in those with chronic diseases (4χ2 = 6.139, p = .013). Loneliness, wielding a palpable impact, intricately interlaces with quality of life, the nexus of which is intricately mediated by subjective cognitive decline.
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    External Factors Confronting Elderly Day Care in The Aftermath of The Covid-19 Crisis in Bangkok, Thailand
    (Journal of Food Health and Bioenvironmental Science, 2023-09) Orranuch Chusri
    The study aimed to investigate at the external factors affecting elderly day care centers after COVID-19 crisis in Bangkok, Thailand. The research method used was qualitative research, which included a review of the literature and in-depth interviews with three groups of stakeholders in Bangkok: two officers from the government sector, two elderly day care center owners and three caregivers from the private sector and three elderlies and two family members from the community sector. The semi-structured interview questions were open-ended and validated by two experts. The researcher then utilized the content analysis, case study research and PESTLE analysis techniques to examine the factor. Results showed the three perspectives (the government sector, the private sector, and the community sector). The factors that impact elderly care centers vary among different groups of individuals, with the government and private sectors having contrasting approaches. The government has implemented various measures to control the standards of elderly care centers and manage the spread of COVID-19. However, the private sector prioritizes business expansion and service provision, often neglecting government standards. This contrasts with the public sector, which values diverse factors such as standards for care centers, caregiver qualifications, disease control measures, service fees, convenience and the quality of services provided by the centers. In conclusion, elderly day care centers can better adapt to the challenges posed by the COVID-19 crisis and provide improved care for the elderly by enhancing affordability and integrating technology. Government should focus on improving certification standards and creating supportive living environments for the elderly.
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    Pilot testing of the strengthening caregiving activities program for Thai informal caregivers of dependent older people
    (Geriatric Nursing, 2022) Panawat Sanprakhon; Orranuch Chusri
    This study sought to evaluate the feasibility and preliminary effect of the Strengthening Caregiving Activities Program on care partners' caregiver burden and activities of daily living (ADLs) ability. The program was used for the informal caregivers of dependent older people; 29 participants were recruited from a community center in Thailand. Caregiver burden and ADL changes were assessed for preliminary effects using the one-way repeated measure ANOVA at baseline, post-intervention, and follow-up. The six program sessions were implemented as intended, with 93.10% of participants reporting satisfaction with the program (M = 26.653; SD = 3.380). Caregiver burden statistically decreased after the intervention and follow-up (p < .05), but the care partners' ADLs did not. This program was feasible and showed promise for the reduction of caregiver burden. A randomized controlled trial should be conducted to test the effect of the Strengthening Caregiving Activities Program on large samples of caregivers.