Multimorbidity in the elderly is a major public health issue with serious consequences. This study investigated the effects of health promotion programs on perceived self-efficacy and self-care practices among the elderly with multimorbidity using a quasi-experimental study design from February to July 2021. The study samples were the elderly from Doi Saket District, Chiang Mai Province, Thailand, selected by a multistage random sampling technique. The experimental and control groups each comprised 40 elderlies with multimorbidity. All elderly participants took part in a 12-week health promotion program. The perceived self-efficacy and self-care practices of the study samples were assessed using interviews, and the group results were compared using the independent t-test. Repeated measures analysis of variance (ANOVA) was applied at a significance level of 0.05 for three different periods. Follow-up results after the intervention showed that the experimental group had significantly higher mean scores of perceived self-efficacy and self-care practice than the control group (p-value<0.05). The health promotion program enhanced perceived self-efficacy and self-care practices in the elderly with multimorbidity. It can also be applied to improve the quality of life of people in other age groups.

Purpose: The objective of this qualitative research is to report the problems and challenges related to Chiang Da herbal tea Community Enterprise (CE), Doi Saket District, Chiang Mai Province. Methodology: In-depth interviews (IDI) and Focus groups discussion (FGD) were conducted to obtain genuine comprehension from the CCE leader and members. The data were evaluated using content analysis. Finding: The finding was reported in 4 aspects of problems and challenges: 1) Human resources and membership, 2) marketing, 3) Budget, Finance, and Accounting and 4) Application of modern technology and information technology. The CCE member should develop knowledge and skills related to the issues mentioned above to be able to operate an enterprise group effectively. Practical implications: The government should play a role to promote and support the development of knowledge, skills, and capacity of the group by supporting policy, finance, equipment, and personnel providing advice. Furthermore, it is critical to use a successful community enterprise group as a model for learning and application. Contribution to literature: This study contributes to the existing literature as it is applied to other communities with similar characteristics and contexts, particularly community enterprises in rural areas that produce community products using local resources. The emphasis should be on developing the group members' potential.