The Effect of a Health-Promoting Program on Quality of Life of Thai Homebound Older Adults: A Quasi-Experimental Study

Articles in Press

Document Type : Original Article

Authors

Division of Adult and Gerontological Nursing, Faculty of Nursing, Roi Et Rajabhat University, Roi Et, Thailand

10.30476/ijcbnm.2025.104786.2655

Abstract

Background: Homebound older adults (HOAs) are especially susceptible to social isolation and
loneliness, which can lead to poorer physical and mental health, as well as accelerated cognitive
decline, which may increase dependence upon their families. Thus, support from family caregivers
is crucial in maintaining the health, safety, and quality of life (QoL) of HOAs. This study aimed to
evaluate the effects of a health-promoting program for HOAs and family caregivers on the QoL among
HOAs in rural Thai.
Methods: This quasi-experimental study was conducted on 114 HOAs and their family caregivers in
Selaphum district, Roi Et, Thailand, from August to October 2023. The control group (N=57) received
usual home visits, while the experimental group (N=57) underwent 12 weeks of an educational
program based on Hulme’s family empowerment framework. Data were collected for QoL using the
Thai version of the brief form of the World Health Organization QoL at baseline and week 12 for both
groups. Data were analyzed through SPSS software version 26 using the Chi-square test, paired t-test,
and independent t-test. Statistical significance was defined as a P value ˂0.05.
Results: The mean total score of QoL was not significantly different between the control group
(87.12±5.06) and experimental group (87.35±5.04) before the intervention (P=0.81). Twelve weeks after
the intervention, the mean total score of QoL was significantly different between the experimental
(103.53±9.83) and control groups (87.44±5.26) (P<0.001).
Conclusion: The health-promoting program for HOAs and family caregivers can provide benefits to
enhance QoL among HOAs. It is suggested that healthcare practitioners should collaborate with family
caregivers through ongoing training, support, and shared decision-making to ensure continuity of care
and enhance HOAs’ well-being.

Keywords

International Journal of Community Based Nursing & Midwifery

Articles in Press, Accepted Manuscript
Available Online from 07 June 2025

Files

Share

How to cite

Statistics