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Browsing FON-Article by Author "Panawat Sanprakhon"

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    An Integrative Stress Reduction Program for Family Caregivers of Persons With Advanced Dementia: A Pilot Study
    (Journal of Gerontological Nursing, 2022) Panawat Sanprakhon
    The current study sought to pilot test and examine the effects of an integrative stress reduction program (ISRP) on caregiver stress and sleep quality and behav-ioral and psychological symptoms of dementia (BPSD) of care recipients. Family caregivers (N = 12) of persons with moderate to severe dementia were recruited from memory clinics in Thailand. Twelve caregivers participated in five educational sessions on dementia care, stress, and BPSD management over 4 weeks. The Rela-tive Stress Scale and Pittsburgh Sleep Quality Index were used to measure care-giver outcomes. The Neuropsychiatric Inventory was used to measure BPSD of care recipients. Outcome variables were collected at baseline, postintervention, and follow up. Data were analyzed using one-way repeated measures analysis of vari-ance. Participants reported statistically decreased stress, improved sleep quality, and decreased BPSD among care recipients postintervention and at follow up (all p < 0.001). The ISRP was feasible and shows promise in reducing stress and improv-ing sleep quality in caregivers and lessening BPSD in care recipients.
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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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    Integrative Stress Reduction Program for Family Caregivers of Persons With Advanced Dementia: A Randomized Controlled Trial
    (Western Journal of Nursing Research, 2023) Panawat Sanprakhon
    Background: Older adults with advanced dementia require significant care, leading to high stress levels in caregivers. Objectives: The current study aimed to evaluate the effects of an Integrative Stress Reduction Program on Thai caregiver's outcomes of stress, sleep quality, and caregiver-assessed neuropsychiatric symptoms of persons with dementia. Methods: A single-blind randomized-controlled trial was conducted. A sample of family caregivers of people with dementia was recruited from memory clinics at outpatient community health centers in Thailand and randomly assigned to the experimental and control groups. Participants in the experimental group were enrolled in 5 intervention sessions over 4 weeks, while the control group received usual care. Outcome variables were collected at baseline, 4 weeks postintervention, and 8 weeks of follow-up. Results: Compared with the control group, caregivers in the experimental group (n 27) had significantly decreased stress (p < .01) and better sleep quality (p < .01), and caregivers reported that their family members with dementia (n 27) had decreased neuropsychiatric symptoms (p < .01) after the intervention (week 4) and at the 8-week follow-up. Conclusions: The Integrative Stress Reduction Program improved outcomes for caregivers and decreased neuropsychiatric symptoms in people with dementia.
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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.