Health is important for midlife women, especially as they often oversee family affairs (Coleman & Ganong, 2004). However, midlife women may have limited time for self-care because of heavy workloads in and outside the home (Arpanantikul et al., 2020). A previous study noted that women do not exercise due to lack of time and family obligations (Williams et al., 2006). Other studies showed that most midlife women had inadequate knowledge about self-care (Anjaly et al., 2014). Lack of knowledge about self-care can lead to poor health, especially in the presence of chronic diseases. According to Thai health reports, the number of midlife women with body mass index ≥25 kg/m 2 , high fasting blood sugar, high blood pressure and total cholesterol ≥200 mg/dl (Aekplakorn, 2009) is higher in comparison to women of other ages. The number of community-dwelling midlife women with hypertension and diabetes mellitus is also rising and those women generally perform self-care irregularly, but this is thought to improve with group support (Arpanantikul et al., 2015).

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