The Effects of an Enhancing Health Literacy Program with Family Participation on Health Literacy of Caregivers, Fall Prevention Behaviours, and Balance of Older Adults at Risk for Fall
Keywords:
Enhancing health literacy program, Family participation, Older adults, Fall, BalanceAbstract
This quasi-experimental research, two-group pre-posttest design, aimed to study 1) the health literacy regarding fall prevention of older adults among caregivers, and 2) fall prevention behaviours and balance of older adults at risk for fall. Sample was 34 older adults at risk for fall and their caregivers. The experimental group received an enhancing health literacy program with family participation for 8 weeks, while the control group received routine nursing care. Data were collected using a questionnaire regarding health literacy, and fall prevention behaviours, as well as fall assessment tool (The Berg Balance Scale: BBS). The research tools were validated by three experts. The questionnaire of health literacy, fall prevention behaviours, and the BBS were tested using Cronbach's alpha coefficient, yielding values of, 0.83, 0.82, and 0.78, respectively. Reliability of the questionnaire regarding the health literacy in the knowledge part was verified using KR-20, obtaining a value of 0.77. Data were analyzed by mean, standard deviation, Dependent t-test, and Independent t-test.
The results indicated that after receiving the enhancing health literacy program with family participation, the experimental group had a higher mean score of the caregivers’ health literacy, as well as the prevention behaviours and balance of the older adults at risk for fall than before receiving the program with statistical significance (p<.05), and the experimental group had higher mean score of the caregivers’ health literacy, as well as the prevention behaviours and balance of the older adults at risk for fall higher than the control group with statistical significance (p<.05).
The findings from this study can be used as a guideline for enhancing health literacy with family participation to prevent fall, and to promote balance in older adults.
References
Akepalakorn, W. (2017). The Report of Thailand Population Health Examination Survey in Nonthburi. Health System Research Institute. (in Thai)
Chesser, A.K., Woods, N.K., Reyes, J., & Rogers, N.L. (2018). Health literacy and olders: Fall prevention and health literacy in a Midwestern State. Journal of Aging Research and Healthcare, 2(2), 31-40.
Department of Health. (2018). Health promotion and dementia prevention of older adults manual for health personnel “Do not fall, do not forget, do not depress and good eats” Retrieved December 12, 2020, from http://203.157.212.7/ltc/document/m002.pdf.
Foundation of Thai Gerontology Research and Development institute. (2020). Situation of the Thai Elderly 2020. Retrieved December 12, 2020, from http: // www.thaitgri.org.
Institute of Geriatric Medicine, Ministry of public Health. (2019). Practice Guideline for Fall Prevention and Assessment in Older Adults. Retrieved November 14, 2020, from http://agingthai.dms.go.th/agingthai/wp-content/uploads/2021/01/book_9.pdf.
Kaeodumkoeng, K. (2019). Health Literacy: Process, Practice, Evaluation Tools. Bangkok: ID Oil Digital Printing Lt.d. (in Thai)
Matsee, C., & Waratwichi, C. (2017). Promotion of health literacy: from concept to practice. Boromarajonani College of Nursing, Uttaradit Journal, 9(2), 96-111.
Kobayashi, L.C., Smith, S.G., O’Conor, R., Curtis, L.M., Park, D., & Wagner, C.V., Wolf, M.S. (2015). The role of cognitive function in relationship between age and health literacy: cross-sectional analysis of older adults in Chicago, USA. BMJ Open, 5(4), e007222.
Kongmaha, P., & Danyuthasilpe, C. (2018). Effect of a resistance exercise program for older adults on body balance capability. The Journal of Boromarajonani of Nursing Nakhonrachasima, 24(1), 91-103.
Kulapeng, W., Anothaisinthawee, T., Pantumongkol, W., Wisaiprom, J., & Tuntiweas, S. (2018). A Study on the Introduction of Community-based Preventive Interventions for Fall and Dementia in the Thai Elderly. Health intervention and technology assessment program, Ministry of Public Health. (in Thai)
Nutbeam, D. (2008). The evolving concept of health literacy. Social Science and Medicine, 67(12), 2072-2078.
Polit, D.F., & Beck, C.T. (2012). Nursing Research: Generating and assessing evidence for nursing practice. (9th eds). Philadelphia: Lippincott, Williams & Wilkins.
Pongaumpai, P., Hoontrakul, S., & Roojanavech, S. (2018). The effects of family empowerment program on fall prevention capabilities of the elderly. Royal Thai Navy Medical Journal, 45(2), 311-327.
Prommapong, N., Piphatvanitcha, N., & Jullamate, P. (2018). Factors related to fear of falling among older adult patients. RTUNC 2018 The 3th National Conference Ubonratchathani, 315-325.
Public health office of Trang. (2019). The report of chronic patient data 2019. Retrieved December 20, 2020, from: http:// tro.moph.go.th/provis/main/index.php.
Sarapun, A., Sirisopon, N., Kainaka, P., Onsiri, S., Outayanik, B., Threrawachjareanchai, S., & Sukomol, N. (2017). Factors related to a fall prevention behavior of elderly. Journal of The Royal Thai Army Nurses, 18(Special), 215-222.
Sebern, M. (2005). Shared care elder and family member skills used to manage burden. Journal of Advanced Nursing, 52(2), 170-179.
Sermsinsiri, K., Semsri, S., & Nonakaravathin, S. (2019). The effect of square-stepping exercise on balance of elderly adults at risk of falls. Journal of The Royal Thai Army Nurses, 20(1), 359-370.
Simplee, S., & Banchonhattakit, P. (2019). Effects of health literacy promoting programs and exercise by applying maneewach exercise for preventing fall in older adult in Buriram Province. Journal of Health Education, 42(2), 149-159.
Strategy and Planning Division, Ministry of Public Health. (2019). Public health statistic. Retrieved December 20, 2020, from http://www.35.190.29.12/uploads/files/1662820210118045737.pdf.
Tasuwanin, T., & Tappakit, K. (2017). Effects of a falling prevention program for elderly. Journal of Nursing and Health Care, 35(3), 186-195.
Trang Provincial Office Social Development and Human Security. (2020). The report situation social and human security 2020. Retrieved December 12, 2020, from http://trang.m-society.go.th/wp-content/uploads/2020/08/pdf.
Wungrath, J., & Mongkol, P. (2020). Effectiveness of a health literacy enhancement program for caregivers of dependent older persons in a community of the Northern Part, Thailand. Journal of Public Health and Development, 18(2), 24-36.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Princess of Naradhiwas University Journal
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
