Quality of Life of Older Adults with Physical and Mobility Disabilities during the COVID-19 Pandemic: A Cross-Sectional Study in Thailand

Nanthamongkolchai, Sutham; Tojeen, Athicha; Munsawaengsub, Chokchai; Yodmai, Korravarn; Suksatan, Wanich

doi:10.3390/su14148525

Cited by 7 publications

(10 citation statements)

References 35 publications

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“…Older workers in our study had high levels of COVID-19 preventive behaviors, which may be explained by older workers adopting good behaviors to prevent COVID-19 through compliance with DMHTT measures and screening and vaccinations, along with strength-building behaviors [ 14 ]. While all age groups are susceptible to COVID-19 infection, older adults are more likely to experience severe symptoms due to infection [ 35 , 36 ]. Consistent with Pender’s HBM, age is one of the personal factors that can affect an individual’s behaviors and be related to health status [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

Health-Risk Behaviors, COVID-19 Preventive Behaviors, and the Impact of the COVID-19 Pandemic on the Working-Age Population of Bangkok, Thailand

Nanthamongkolchai

Taechaboonsermsak²,

Tawatting³

et al. 2022

IJERPH

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Although studies have extensively discussed the effects of COVID-19 on global health behaviors, little is known about the extent of COVID-19 preventive behaviors and their negative effects on the working-age population of Bangkok, Thailand. Therefore, this study aimed to examine health-risk behaviors, COVID-19 preventive behaviors, and the impact of the COVID-19 pandemic among the Thai working-age population. An online cross-sectional survey was conducted among working-age adults through a self-administered questionnaire. Data were analyzed with descriptive statistics and stepwise multiple regression. Of the 313 Thai participants (227 females, 72.5%), 84.0% had high levels of health-risk behaviors for preventing COVID-19 infection, most respondents (89.1%) had high levels of knowledge about COVID-19, and most respondents (61.7%) had high levels of overall COVID-19 preventive behaviors. Stepwise multiple regression revealed that health-risk behaviors (β = 0.445), knowledge of COVID-19 (β = 0.148), gender (β = 0.145), and age (β = 0.133) were predictive of COVID-19 preventive behaviors. Additionally, most respondents (48.9%) had moderate overall effects from COVID-19. Based on our findings, these factors must be considered when implementing public policies to improve COVID-19 preventive behaviors among the currently employed working-age population. In addition, appropriate interventions must be established and evaluated for the pandemic’s long-term effects.

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Section: Discussionmentioning

confidence: 99%

Health-Risk Behaviors, COVID-19 Preventive Behaviors, and the Impact of the COVID-19 Pandemic on the Working-Age Population of Bangkok, Thailand

Nanthamongkolchai

Taechaboonsermsak²,

Tawatting³

et al. 2022

IJERPH

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“…We used the Access to Health Service Scale (AHSS) to assess access to health services. This questionnaire was developed by Nanthamongkolchai et al [13]; it includes 16 items with five answer options that are scored between 1.00 and 5.00 points. A score higher than 80% of the total indicates high access to health services [13].…”

Section: Dependent Variable Access To Health Servicesmentioning

confidence: 99%

“…This questionnaire was developed by Nanthamongkolchai et al [13]; it includes 16 items with five answer options that are scored between 1.00 and 5.00 points. A score higher than 80% of the total indicates high access to health services [13]. The Cronbach's alpha coefficient in this study was 0.95.…”

Section: Dependent Variable Access To Health Servicesmentioning

confidence: 99%

“…We used the Social Support Scale (SSS) to assess perceived social support among the participants. The SSS, which was developed by Nanthamongkolchai et al [13], consists of 25 items about social support evaluated through responses that concern emotions, recognition and appreciation, participation, instruments and information support. The total social support scores are classified into three levels: ≤59 = low, 60-79 = moderate and ≥80 = high.…”

Section: Independent Variable 231 Social Supportmentioning

confidence: 99%

“…Older adults with physical disabilities have limitations in caring for their health [10] and experience barriers to daily life, such as health care and access to government services; this can affect physical and mental health [11]. Although the welfare state assists some people with disabilities to live in society, welfare services are not very comprehensive according to a study conducted in Thailand [12,13]. Older adults with disabilities who had inadequate access to health services, especially to health care, may have barriers to accessing medical services in particular during the era of the COVID-19 pandemic [14,15].…”

Section: Introductionmentioning

confidence: 99%

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Factors Influencing Access to Health Services among Chronically Ill Older Adults with Physical Disabilities in the Era of the COVID-19 Outbreak

Nanthamongkolchai

Tojeen

Yodmai

et al. 2022

IJERPH

Self Cite

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Chronically ill older adults with physical disabilities frequently face difficulties in their daily lives and require essential health service access, especially in the COVID-19 context. This study aimed to examine the association between social support, perception of benefits due to disability and access to health services among chronically ill older adults with physical disabilities during this crisis in Thailand. A total of 276 chronically ill older adults with physical disabilities were included in this cross-sectional study. Self-reported questionnaires were assessed through multi-stage random sampling. Correlations between the independent variables and health service access were examined using multiple regression analysis. Of the respondents, 159 were female (59.6%). Most participants perceived benefits (58.8%) and access to health services (56.2%) at good levels, while social support was at a moderate level (47.9%). Stepwise multiple regression analysis showed that social support (β = 0.351), perception of benefits (β = 0.257) and age (β = 0.167) were positively correlated with health service access. The findings are relevant for health care providers and multi-professional teams, who should enhance older adults’ social support and perception of benefits to improve their access to health services, particularly among chronically ill older adults with physical disabilities, in the era of COVID-19.

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Exploring the Significance of Physical Activity and Quality of Life Among Hemiplegic Elderly: A Novel Approach Using Mixed-Methods Grounded Theory

Sawangjaithum,

Riewpaiboon,

Sirirungruang

et al. 2024

Preprint

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Background Elderly stroke survivors commonly live a sedentary life with some degree of physical disability despite their independent functional ability in performing activities of daily living (ADL) and ambulation. The perception and meanings given to physical activity (PA) play a significant role in promoting active aging for better Quality of life (QoL). This study aims to explore the QoL-related meanings of PA given by hemiplegic older adults living in Thailand's rural community to construct an explorative theoretical model. Methods A mixed-methods grounded theory (MM-GT) embedded research design. In-depth interviews collected the qualitative data from twenty samples of community-dwelling elderlies who were hemiplegic stroke survivors for more than one year. Quantifying the PA level of respondents was embedded using Global Physical Activity Questionnaires (GPAQ), whereas WHOQOL-BREF and Stroke Impact Scale (SIS) were used for quantifying QoL. Results The constructive theoretical model displayed three hierarchical meaningful PA categories. Firstly, initial PA refers to activities that positively drive to being more independent in performing ADL and negatively drive to avoid burdening the family. Secondly, identity PA meant what they do regarding the accountabilities to prior family roles, which were commonly viewed negatively instead of living a sedentary, empty life. Thirdly, optimizing PA was denoted as what they do to maintain and balance their existence in the community’s social and physical context. The more meaningful PA was, the more possibility to turn into action and contribute to QoL of elderly hemiplegic stroke survivors. The MM-GT embedded design helped to disclose the multidimensional QoL-related meanings of the PA behavior of older people, while the cognitive theories enhanced learning property and explanatory power. On the other hand, the theory of everything helped to ensure the inclusion of individual and societal perspectives and subjective and objective evidence. Conclusions These findings have significant implications for geriatrics, rehabilitation, and public health, providing insights into the role of PA in the QoL of elderly stroke survivors and suggesting potential strategies for promoting active aging and improving QoL in this population.

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Quality of Life of Older Adults with Physical and Mobility Disabilities during the COVID-19 Pandemic: A Cross-Sectional Study in Thailand

Cited by 7 publications

References 35 publications

Health-Risk Behaviors, COVID-19 Preventive Behaviors, and the Impact of the COVID-19 Pandemic on the Working-Age Population of Bangkok, Thailand

Health-Risk Behaviors, COVID-19 Preventive Behaviors, and the Impact of the COVID-19 Pandemic on the Working-Age Population of Bangkok, Thailand

Factors Influencing Access to Health Services among Chronically Ill Older Adults with Physical Disabilities in the Era of the COVID-19 Outbreak

Exploring the Significance of Physical Activity and Quality of Life Among Hemiplegic Elderly: A Novel Approach Using Mixed-Methods Grounded Theory

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