An Outcome of Self-care Promoting Program in Exercising with an Elastic Band on the Physical Fitness of the Homebound Older Adults


  • Srivikan Yokseng -
  • Patcharee Komjakraphan


Homebound older adults, Physical fitness, Elastic band


This experimental research aimed to determine an outcome of self-care promoting program in exercising with an elastic band on the physical fitness of the homebound older adults. There were 60 participants involved in this research using the simple random sampling method. Then they were selected by the met eligible criteria into control group with 30 participants and experimental group with another 30. Both groups received a usual nursing care; nevertheless, the experimental group received the self-care promoting program using an elastic band developed from a conceptual framework in ability development of Orem’s self-care for eight weeks. After that, their physical fitness was evaluated in terms of muscle strength, flexibility, and endurance of lungs and heart. Data were analyzed using descriptive statistics, percentage, and standard deviation. The hypothesis was tested using independent t-test and non-parameters.
The results showed that the mean scores of muscle strength, flexibility, and cardiovascular endurance of the experimental group were significantly higher than those of the control group (p < .05). These findings indicated that the self-care promoting program using an elastic band improved a physical fitness and should be implemented in homebound older adults. This research could promote health care more effectively. It will be used as a reference source for health care providers or caregivers to apply the self-care promoting program using a stretched rubber band for Thai older adults in the future. This exercise increases physical performance in the elderly.


American College of Sports Medicine [ACSM]. (2018). ACSM guildelines for exercise testing and prescription (10th ed.). New York: Lippincott Williams and Wikins.

Chang, T.F., Liou, T.H., Chen, C.H., Huang, Y.C., & Chang, K.H. (2012). Effects of elastic-band exercise on lower-extremity function among female patients with osteoarthritis of the knee. Disability and Rehabilitation, 34, 1727-1735.

Department of Older Persons. (2021). Measures to Implement National Agenda on Aged Society 64 Sustainable changer. Bangkok: Amarin Printing& Publishing. (in Thai).

Krabuanrat, C. (2007). Elastic of life conquer disease. Bangkok: Grand sport group. (in Thai).

Orem, D.E., Taylor, S.G., & Repenning, K.M. (2001). Nuring. Concepts of practice. St. Louis, MO: Mosby year book.

Petchalalai, C. (2019). Effect of elastic band exercise program on physical performance in Thai elderly. KKU Journal for Public Health Research, 12, 52-61.

Polit, D.F., & Beck, C.T. (2012). Nursing research: Principles and methods. (7th ed.) New york: Lippincott Williams & Wilkins.

Poontong, S. (2018). Effect of the Elastic Band Exercise with Correction of Work-Related Body Position Program on Self-Care Behavior and Knee Pain of Rubber Tappers. A Thesis submitted in Partial fulfillment of the Requirements for the degree of Master of Nursing Science in Community Nurse Practitioner Prince of Songkla University. (in Thai).

Rogers, M.E., Sherwood, H.S., Rogers, N.L, & Bohlken, R.M. (2002). Effects of dumbbell and elastic band training on physical function in older inner-city African-American women. Women Health, 36(4), 33-41.

Samahito, S. (2013). Standard test and dirt test standard for the elderly 60-89 years old. Bangkok: Sport Science Bureau, Department of Physical Education. (in Thai).

Thinchana, N., Naka, K., & Srikaew, M. (2018). Effects of Home Exercise Promoting Program Using a Stretched Rubber Band on the Physical Fitness of the Elderly. Songklanagarind Journal of Nursing, 38(2), 70-78.

Wanarak, J. (2021). Care model Development for Home bound Elderly and the Bedridden by Participation of Ethices Club. Journal of Health Science, 30(2), 285-294.

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How to Cite

Yokseng, S., & Komjakraphan, P. (2022). An Outcome of Self-care Promoting Program in Exercising with an Elastic Band on the Physical Fitness of the Homebound Older Adults. Princess of Naradhiwas University Journal, 14(3), 207–229. Retrieved from