Participants’ Views on Lifestyle Intervention Program Enhancing Long-Term Health-Related Behaviors Improvement among Prehypertension and/or Prediabetes Mellitus Older Adults: A Qualitative Study Examined in Thailand at Health Promoting Hospitals

Abstract

This study aimed to investigate the view of prediabetes and prehypertension elderly patients living around temple on long-term self-management in proficient way underneath the lifestyle intervention program based on both focus-group discussion and In-depth interview methods to fill the gap in partially successful intervention. 62 participants were selected from 220 participants of the quantitative published study by 2 researchers. The triangulation method was used to put great emphasis on the consistency and the credibility of the results. Almost all of the participants had benefited from the program regarding proper foods, suitable exercise and an inspiration of lifestyle modification. They made changes of eating behavior and exercise behavior during program attendance, however, after the program had finished, they had minimal concern to take care of themselves. Nonetheless, more than half of them demonstrated some health-related behaviors changes due to they gave the value of the suggestion in different aspects. Moreover, high-frequency program attendance was not related to blood results improvement. The knowledge obtained from program intervention together with adequate contact between the patient and the program staff, personal problems solving, personal attitude, practice and acceptable played a key role for long-term lifestyle modification and completely successful intervention.

Facilitators and Barriers to Uptake of Community-Based Diabetes Prevention Program Among Multi-Ethnic Asian Patients With Prediabetes

“…Having family members join group activities has shown to improve glycemic control, diabetes knowledge, self-efficacy and quality of life (37,(45)(46)(47). While family can be both a barrier and facilitator for lifestyle changes, their influence is substantial, especially in Asian cultures, and hence family should be included as agents of change in any proposed intervention (44,(48)(49)(50)(51)(52)(53)(54)(55). In addition to program-related factors, inadequate comprehension of requisite program components (e.g., metformin) were important determinants hindering participation.…”

Analysis of Factors Affecting Depression in Older Adults in South Korea

“…Maintaining a healthy lifestyle, including nutrition, physical activity, cognitive and social participation, and metabolic and vascular risk monitoring are known to be important in reducing the risk of cognitive decline and disability [38]. It is also reported that the intervention program, including these lifestyle factors, promoted balanced nutrition habits, exercise, and social participation of older adults, improving their quality of life [39]. Lifestyle intervention is increasingly emerging as an important goal for preventing dementia and depression, promoting health in the older adults [40].…”

Applying the PDSA cycle to a group activity promoting lifestyle change for the active ageing of older Thai adults – a focused ethnography

“…Believing and following health providers has a positive side, as it is easy to invite them to participate in interventions, but this could entail a risk of not matching the needs of older adults and cause them to be passive consumers. There are several studies about using programmes that tended to be of the kind that motivated individual older adults to improve their daily lifestyle, such as a study using the Physical Activity Intervention Programme [ 23 ], the Intervention Programme for Depressive Symptoms [ 24 ], and the lifestyle intervention programme enhancing long-term health-related behaviour improvement [ 25 ]. However, all the programmes mentioned in previous studies were operated by staff that acted as coaches and educators and lacked initiatives from older adults themselves.…”