Thai Journal of Health Education

Cognitive behavior Therapy with Vernonia cinerea (L.) Less Herb Product : Quitter reflections

Natika Rachabootr — Thu, 28 Dec 2023 00:00:00 +0700

Abstract

Counseling based on the concept of cognitive behavior therapy with the use of Vernonia Cinerea (L.) Less Thai Herb Product can help people with smoking behavior change their thinking. There is a change in the thought process that makes more sense. It gives them more ways to deal with their problems, accept and understand their own problems with smoking. There is a clearer goal to stop smoking. Have the skills to manage suffering from the urge to smoke. Moreover, Vernonia Cinerea (L.) Less Thai Herb Product is great for relieving suffering from nicotine withdrawal symptoms. Makes it possible to quit smoking continuously. The qualifications of the counselor are training in knowledge, process, and counseling skills based on the concept of cognitive behavior therapy. Have knowledge about Thai such as, Vernonia Cinerea (L.) Less Thai Herb Product. This consists of 6 steps: Step 1: Build a relationship and set a goal to stop smoking. Step 2: Provide knowledge about cigarettes, the harms, symptoms, and effects of smoking and determine a plan to stop smoking. Step 3: Provide knowledge about thoughts related to smoking addiction. Step 4: Practice skills in managing upsetting symptoms with thought change techniques. Step 5: Practice skills for managing symptoms. Suffering from symptoms of smoking withdrawal with behavior modification techniques. Step 6: Practice skills to prevent smoking again. and follow up on treatment results. This can be adjusted according to the suitability of the client’s needs. Evaluation therapy with the development of flexible thinking, reasoning, emotional management, Smoking addiction behavior and quality of life.

Effects of oral health literacy program on oral health care behaviors of working people in workplace

Thu, 28 Dec 2023 00:00:00 +0700

This quasi-experimental study aimed to evaluate the effects of oral health literacy program on oral health care behaviors of working people in workplace. The 44 subjects were classified as an experimental group (n=22) and a control group (n=22) by simple random sampling of working people in workplace at Rayong Province. The experimental group received the 6 week – oral health literacy program. The program was composed of 6 activities: 1) Dental Social Security Scheme 2) Oral cleaning 3) self-oral examination 4) dietary 5) oral health risk behaviors, and 6) creating an environment for oral health. The constructed questionnaires used in both groups before, after and follow up experiment were about 1) personal information 2) oral health literacy, and 3) oral health care behaviors. Data were analyzed using percentage, mean, standard deviation, and paired t-test, independent 2 t-test, and Repeated Measure ANOVA at a 5% significance level. After the program implementation, the experimental group showed statistically significant improvements in mean scores for oral health literacy and oral health care behaviors after intervention and better than the control group (p < 0.05). After the one-month follow up the experimental group showed statistically significant improvements in mean scores for oral health literacy and oral health behaviors after intervention (p < 0.05).

The oral health literacy program result shows improved oral health care behaviors among the working people in workplace. This program can be applied and implemented by various organizations and entities as policies and programs for the oral health of their personnel.

Effect of Health Promotion Program by Applying Health Belief Model with Hermit Dutton Posture and Herb Slime on Health Promotion among Osteoarthritis Patients

Suphattra Sakkhaphrom, Apinan Siangsanan, Natnapa Heebkaew Padchasuwan — Thu, 28 Dec 2023 00:00:00 +0700

Knee degeneracy is a disease caused by the deterioration of the cartilage. The change is caused by irreversible deterioration and can be exacerbated. Knees carry too much weight, causing rapid osteoarthritis. The purpose of this study was to study the effect of the body management program in combination with herbal knee replacement slime to promote the health of 60 patients with degenerative arthritis. The 30 participants were given a health promotion program that the researchers developed, including perceived susceptibility, perceived severity, perceived barriers, self-care treatment for patients with degenerative arthritis, severity assessment pain measurement and prophylactic management combined with an innovative herbal knee roll. The comparison group was administered with a fixed posture, and the research period was 10 weeks. Data were collected by using questionnaires, analyze data using paired t-test statistics, and independent t-test. A statistical significance level was set 0.05.

The results showed that after the experiment, there was an average of knowledge scores on degenerative arthritis, perceived susceptibility of osteoarthritis, perceived severity of osteoarthritis, perceived barriers for patients with degenerative arthritis and self-care practices. The pain level was measured using an evaluation of the severity of degenerative knee arthritis over the comparative group and over before the experiment, statistically significant p<0.05. It was also found that after the experiment, the experimental group had a statistically significant mean pain level (Mean diff 9.53, p-value <0.001, 95% CI = 8.25 to 10.81) and statistically significantly lower than before the experiment (Mean diff 4.20, p-value <0.001, 95% CI = 2.80 to 5.60). Therefore, the body management program with herbal kneading slime to promote the health of patients with degenerative arthritis can be used to prevent osteoarthritis.

Effect of Health Literacy Program on Self-management Behaviors of Diabetic Patients Receiving Services at Ban Suan Municipality Public Health Service Center

Thu, 28 Dec 2023 00:00:00 +0700

This is quasi-experimental research two-group pre-post-test control group design. Aims to study the effect of a health literacy program on the self-management behaviors of diabetic patients receiving services at the Ban Suan Municipality Public Health Service Center. The sample group consisted of 54 diabetic patients who could not control their blood sugar levels and were treated at the Ban Suan Municipal Health Service Center, Muang District, Chonburi Province, divided into two groups: an experimental group of 27 people and a control group of 27 people. Two types of tools are used in this research: tools used to collect data and tools used in the experiment. The researcher conducted the data collection himself. Data were analyzed by frequency, percentage, mean, standard deviation statistics, paired t-tests, and independent t-tests.

The results showed that the experimental group had a mean of overall self-management behavior at the high level (=75.11, SD = 1.84), and the mean was significantly higher than before the program at the 0.05 level (t=-53.22, p-value <.001; 95%CI -30.159 t0 -27.916)The experimental group that received the health literacy program had significantly higher mean self-management behaviors among diabetic patients than the control group receiving regular nursing care at Ban Suan Municipality Public Health Service Center statistically at the 0.05 level (t=42.71, p-value <.001; 95%CI 19.272 to 21.172). This research suggests that Promoting health literacy for effective self-management should include teaching and learning activities. Practicing contemplation and awareness actual practice will lead to changes in self-management behavior for better diabetes patients.

Effects of Stroke Prevention Behavior Promotion Program among Patients with Hypertension Unable to Control Blood Pressure by Applying the Protection Motivation Theory and Social Support

Chidchanok Juisub, Natnapa Heebkaew Padchasuwan — Thu, 28 Dec 2023 00:00:00 +0700

Stroke is the cause of death. and long-term disability that can occur in both females and males, especially among patients with high blood pressure and an inability to control blood pressure, which is a risk factor that causes stroke. The objective of this study was to study the effects of a stroke prevention behavior promotion program on uncontrolled hypertension patients by applying the protection motivation theory and social support. It was quasi-experimental research, consisting of 60 people divided into two groups: an experimental group of 30 people and a comparison group of 30 people. The experimental group received a behavior promotion program organized by the researcher. It consisted of lectures to educate about stroke. Noxiousness, perceived probability, response efficacy, self-efficacy, and practices to prevent stroke assemble video media and use a role model’s demonstration of exercise, meditation, and choosing healthy food. In addition, we use heart innovation-three colors to indicate health. The comparison group received treatment as usual. The duration of the research was 10 weeks. Data was collected using questionnaires. The data were analyzed using a paired t-test and an independent t-test. The statistical significance level was set at 0.05.

The results showed that after the experiment, the experimental group had the highest mean scores for knowledge of stroke. recognizing the severity of nervousness, perceived probability, response efficacy, self-efficacy, and practices to prevent stroke more than the comparison group and more than before the experiment, statistically significant at p<0.05. In addition, it was found that after the experiment, the experimental group had a lower mean systolic blood pressure (SBP) than the comparison group, statistically significant (Mean diff = -16.83, 95%CI = -20.81 to -12.84, P-value <0.001), and after the experiment, the mean systolic blood pressure (DBP) was lower than the comparison group, statistically significant (Mean diff = -8.17, 95%CI = -12.14 to -4.19, P-value = 0.001). Therefore, this behavior promotion program can be used to promote stroke prevention behaviors in patients with hypertension.

The Effectiveness of Line Application Chat Bot in Reducing Stress Among A Private Hospital Staff in Rayong Province

Pawinee Kaewnin, Anamai Thetkathuek, Tanongsak Yingratanasuk — Thu, 28 Dec 2023 00:00:00 +0700

This research study aims to assess general stress levels and work-related stress among hospital staff of a private hospital in Rayong province. Additionally, the study aims to evaluate the effectiveness and satisfaction levels after using a Line application chat bot. The sample group consisted of 41 participants, and data were collected from June to August 2022 using four survey instruments: personal information, work-related data, stress assessment (SPST-20), Thai version of Job Content Questionnaire (Thai JCQ), and satisfaction assessment. Data analysis was conducted using descriptive and inferential statistics, including Pearson correlation and McNemar's test. The study aimed to determine stress levels before using the Line application chatbot by adding friends in the Line application and selecting individualized stress management methods based on the predefined text responses generated by the research author. The study also included four broadcast knowledge messages sent by the research author once a week. After the specified period, stress levels were reassessed.

The research findings indicate that before using the Line application chatbot, the overall stress levels among the private hospital staff were high, with 53.6% experiencing general stress. This high stress had significant physical impacts, including muscle tension or pain, followed by back pain and headaches resulting from stress. After using the chatbot, there was a reduction in the overall general stress levels, with 46.3% experiencing stress. This reduction was statistically significant (p-value < .05). Based on of classification of job characteristics using the Demand Control Model Karasek, the following findings were observed skill discretion average score of 3.3, decision authority average score of 2.9, Job demands average score of 2.8, social support average score of 3.2, active jobs 43.9%, high strain jobs 24.3%, low strain jobs 19.5%, passive jobs 12.2%.

The research suggests several recommendations for the organization to consider to take care of the physical, mental, and social well-being of the staff. These recommendations include increasing opportunities for employee involvement in decision-making, soliciting opinions for developing a job knowledge system that combines active and passive approaches, organizing work schedules to achieve a work-life balance, and reducing stress resulting from work.

Effects of Health Literacy and Social Support Program on Hypertension Control Behaviors Among Essential Hypertension Patients, Mueang District, Khon Kaen Province

Pongsakon Krasae, Natnapa Heebkaew Padchasuwan, Pannee Banchonhatthakit — Thu, 28 Dec 2023 00:00:00 +0700

Hypertension is a chronic, noncommunicable disease that is very common, and cases tend to increase every year. If the patient does not receive proper care or has an inability to control blood pressure levels, this will cause complications and lead to death. This research study is quasi-experimental. To study the effects of a health literacy promotion program combined with social support on blood pressure control behavior in patients with hypertensive disease. The cause is unknown. The experimental group of 36 people received a health behavior promotion program. By applying the concept of health literacy combined with social support from the researcher and a comparison group of 36 people living their lives and receiving health services in normal facilities the duration of the activity was 12 weeks. General data were analyzed using descriptive statistics. and analyze the comparison of mean scores with independent t-test and paired t-test statistics at the statistical significance level of 0.05.

The research results show that after the experiment, the experimental group had a mean score of health literacy and health behavior in controlling high blood pressure that was significantly higher than in the comparison group and before the experiment. The mean blood pressure of the experimental group was lower than the comparison group (systolic: mean_diff 12.90, 95% CI 10.91–15.88, p < 0.001, and diastolic: mean_diff 8.08, 95% CI 6.91–12.43, p < 0.001), and before the experiment, it was statistically significant (systolic: mean_diff 13.25, 95% CI 10.31–18.58, p < 0.001, and diastolic: mean_diff 8.13, 95% CI 6.78–12.73, p < 0.001). This program can promote and support patients with high blood pressure. High blood pressure can continuously change your health habits and help you control your high blood pressure better.

Effects of Oral Health Care Program Applying Self-Efficacy Theory on Oral Health Care Behaviors among Elderly

Kamolros Saongam, Aim-utcha Wattanaburanon — Thu, 28 Dec 2023 00:00:00 +0700

This research aims to assess the effects of oral health care programs applying self-efficacy theory on the oral health care behaviors of the elderly. The population is the elderly Moo.10 Ban Mai Thai Charoen village, Khlong Thap Chan subdistrict, Aranyaprathet district, Sa Kaeo province, a total of 67 people, which were divided into 30 people in the experimental group and 30 people in the control group. The research instruments were an oral health care program applying self-efficacy theory, a questionnaire among the elderly, Pre – Post Test of knowledge about oral health and a questionnaire on the oral health care behaviors among elderly. Data were analyzed using percentages, mean, standard deviation, paired t-test, and independent t-test, which were statistically significant at a .05 level.

The results showed that 1) The average scores of oral health knowledge in experiment group after the experiment were higher than those before the experiment, which were statistically significant at a .05 level. When divided the level of knowledge before the experiment, the mean score of oral health knowledge was at the lowest level. After the experiment, it was at the best level. 2) The average scores of oral health care behaviors in experiment group after the experiment were higher than those before the experiment, which were statistically significant at a .05 level. When divided the level of behaviors before the experiment, the mean score of oral health care behaviors was at the most moderate level. After the experiment, it was at the best level. and 3) After the experiment, the experimental group had a higher mean score of oral health knowledge and oral health care behaviors than the control group. which were statistically significant at a .05 level.

According to recommendations from research results, the oral health care program applying self-efficacy theory in this research was successful. Due to the courtesy of the village headman and village health volunteers Communicated and remind the sample group when the date of participation in the program. If this program is continued to be used in the area, it should be coordinated with people in the area every time.

Factors Related to Correct Tooth Brushing Among Elementary School Students in Municipal School of Nakhon Ratchasima Province

Thu, 28 Dec 2023 00:00:00 +0700

This cross-sectional analytic study aimed to identify factors related to correct tooth brushing among elementary school students in Nakhon Ratchasima Province. The study’s sample size included 213 students. Using stratified random sampling by dividing the population into groups according to their study level. Then, randomly sample students at each grade level in proportion to the population. Data were collected from June to December 2021 using an online questionnaire. For data analysis, descriptive statistics, such as percentages, means, standard deviations, medians, minimums, and maximums, were used. Adjusted odds ratios (ORs), 95% confidence intervals (95%CI), and p-values were determined using multiple logistic regression analysis. The study findings revealed that students had an appropriate level of knowledge (85.5%), attitude (70.9%), and correct tooth brushing (56.8%). It was also found that parents demonstrated an adequate level of knowledge and attitude (90.6% and 75.1, respectively), but their correct tooth brushing was deemed inappropriate (65.3%). In addition to parental age (ORadj=2.05; 95%CI=1.04-4.02; p=0.037) and students’ attitudes (ORadj=3.29; 95%CI=1.62-6.70; p=0.01), there was also a significant relationship with students’ correct tooth brushing. This study indicates that among school-aged children, especially those with young parents or no prior parenting experience, oral health awareness needs to be raised.

Associations between Health Literacy and Self-Care Practices among Hypertension Patients at Nong Mai Daeng Sub-district Health Promoting Hospital, Mueang Chonburi District, Chonburi Province

Juthathip Empia, Korakod Ritprasom, Natthaphat Thumduang, Niracha Tamsikam — Thu, 28 Dec 2023 00:00:00 +0700

Health literacy is a crucial role in population behavioral health management. This cross-sectional analytical study aimed to investigate the association between health literacy and self-care practices among hypertension patients in Nong Mai Daeng Sub-district Health Promoting Hospital, Mueang Chonburi District, Chonburi province. One hundred forty-five hypertension patients were collected by using self-administered questionnaire including general information, health literacy and self-care practices of hypertension questionnaires. Data were analyzed by using Chi-square test for discrete variables, and Spearman rank correlation for continuous variables.

The results showed that the average blood pressure of hypertension patients was 133/88 mmHg, high level for a while accounted for 71.04 percent, and self-care practices were high level and moderate level at 58.62 and 41.38 percent, respectively. The health literacy, including Cognitive skill, Self-management skill and Decision skill, associated significantly with the self-care practices (p<0.001). Moreover, univariate analysis revealed that smoking and consuming alcohol were also associated with the self-care practices (p<0.05). Therefore, health care providers should find strategies, based on these data, to develop health literacy of hypertension patients to use for desirable health behavior, thereby controlling hypertension appropriately.

Surveillance and Prevention of Coronavirus Disease 2019 (COVID-19) in Household in Communities towards Village Health Volunteers : a Case Study in Sri Suk Sub-District, Samrong Thap District, Surin Province

Thu, 28 Dec 2023 00:00:00 +0700

Village health volunteers are health models to surveillance and prevention coronavirus 2019 (COVID-19). The research aims to study surveillance and prevention of coronavirus 2019 (COVID-19) among village health volunteers in Sri Suk Sub-District, Samrong Thap District, Surin Province. Data collection during October – November 2022 with 89 village health volunteers. Data were analyzed using descriptive statistics.

The results found that village health volunteers have received 100% knowledge about COVID-19, 85.40% have searched or screened at-risk groups in their area of responsibility, 94.74% have screened every household, 100% separate risk groups to observe symptoms, 100% provided information and followed up with visits to observe the symptoms of high-risk contacts at home, and 89.90% were ready with equipment for work, such as face masks and thermometers. In terms of protecting themselves from contracting COVID-19, it was found that 96.60% washed their hands before and after doing activities both in the household and the community, 96.60% wore masks when outside the home, and 94.40% kept distance when in community areas. In terms of COVID-19 monitoring and prevention knowledge, 48.30% had a moderate level and 31.50% had a low level. The problems and obstacles in COVID-19 monitoring and prevention have been discovered, as people in the village conceal travel information from different regions. They did not cooperate with screening, and lack of masks, alcohol gel and other prevention equipment. Suggestion for village health volunteers should gain risk of infection, quarantine and testing measures, classification of patients and use of disinfectant products to increase potential for surveillance and prevention.

Health Literacy and Factors Associated with Health Service Access Among Elderly People in Nakhon Ratchasima Province

Thanyaluk Wichai, Rachanon Nguanjairak — Thu, 28 Dec 2023 00:00:00 +0700

Health literacy affects elderly people’s ability to access health care. The purpose of this cross-sectional analytical study was to investigate health literacy among the elderly and its association to health service access. A multi-stage random sampling was used to select a sample of 442 elderly people in Nakhon Ratchasima Province. A structured questionnaire was used to collect data between March and August 2021, including demographic and characteristic data, perceptions of health security, health literacy, and access to health services for the elderly. Descriptive statistics and logistic regression analyses were used for data analysis.

Results of the study showed that most of the sample was female, aged 60-70 years (Mean±SD = 70.07±7.52 years), monthly family income less than 30,000 baht (Median = 6,000, Max = 80,000, Min = 600) and had universal health care coverage (90.95%), while the elderly had the perception of health security at an adequate level (86.88%). Similarly, the overall level of health literacy and health services was adequate (58.60% and 62.67%, respectively). Results of the association between factors showed that the health service access was significantly associated with gender (AOR = 1.89; 95%CI: 1.07-3.35), age (AOR = 1.94; 95%CI: 1.06-3.57) and monthly family income (AOR = 5.66; 95%CI: 1.22-26.19) health literacy in terms of understanding of health information and services (AOR = 3.29; 95%CI: 1.58-6.85), communication and social support (AOR = 4.09; 95%CI: 2.05-8.12), self-management for health (AOR = 2.04; 95%CI: 1.03-4.03) and the overall health literacy (AOR = 4.06; 95%CI: 1.72-9.58). The present study demonstrates the key factors involved with access to health services in the elderly. Health practitioners should become aware of these factors to promote and support the elderly in accessing optimum health services.

Development of Health Behavior Modification Model for Hypertensive Patients with Community Participation at Ban Nong Bua, Sak Long Sub-district, Lom Sak District, Phetchabun Province

chainupak khunpiluek — Thu, 28 Dec 2023 00:00:00 +0700

This action research used appreciation influence control (AIC) techniques, aimed to study the current problem, knowledge, and practice, developed a model for changing health behaviors of patients with hypertensive patients with community participation, and studied the results of development process. The target group were 50 hypertensive patients in the Ban Nong Bua community, Sak Long sub-district, Lom Sak district, Phetchabun province, and 10 community leaders were representatives from relevant government agencies. Data were collected interviews, observational forms, and focus groups. Data analyzed by descriptive statistics and compare the mean for knowledge and practice with paired t-test statistics, presented with t-test, mean difference (Mean difference: Mean diff.), 95% confidence interval (95%CI of Mean diff.) and p-value. Qualitative data analyzed by content analysis.

The results found that: 1) Most hypertensive patients had a low level of knowledge about hypertension, and their practices of changing health behaviors were low and inappropriate, and participation and support of community leaders and related government agencies is low. 2) The model for changing health behavior of hypertensive patients with community participation found that the action to change health behavior of hypertensive patients consists of 6 projects/activities, consisting of three projects for practice by themselves including (1) exercise project for hypertensive patients, (2) project for growing non-toxic vegetables in the household, and (3) project for friends to help hypertensive patients. And projects that hypertensive patients with high blood pressure must participate in and request cooperation from relevant government agencies. and the community to participate. There were three projects jointly implemented by hypertensive patients, in which relevant government departments and communities are invited to participate: (1) Project to develop a model for changing health behavior of hypertensive patients with community participation. (2) Project to reduce the consumption of food condiments with family support in hypertensive patients. (3) Project to develop knowledge for caregivers of hypertensive patients. And 3) projects/activities themselves, including 1) exercise project for hypertensive patients, 2) project for growing non-toxic vegetables in the household, and 3) Before and after participating in activities according to the developed model, it was found that the mean score of knowledge statistically significantly different (Mean diff.= 11.46, 95%CI: 10.49 - 12.46, p-value <0.001) and mean score of practice statistically significantly different (Mean diff.= 37.93, 95%CI: 34.59 – 41.32, p-value<0.001)

Development of Chemical Residue Management Model in Blood Samples through Healthcare Following 4E Principles in Tha Lad Khaow Sub-district, Chok Chai District, Nakhon Ratchasima Province

Thu, 28 Dec 2023 00:00:00 +0700

This action research aimed to develop and study the results of using this management approach for chemical residue management in bloodstream through healthcare following 4E principles (Emotions, Eating, Exercise, Elimination). The target group were 36 individuals who had a risk level of unsafe chemical residues in their blood. This study had three phases: Phase 1, studying the context; Phase 2, developing the approach; and Phase 3, studying the results of using the approach. The research tools included behavior assessment questionnaires, data recording notebooks, and laboratory test result forms. Quantitative data were analyzed using descriptive statistics, frequency, and percentage, and the results were compared before and after using the approach using dependent t-tests. Qualitative data were analyzed using content analysis.

Research findings reveal that: 1) The results of managing chemical residues in blood through healthcare based on the 4E principles consist of 6 components; (1) Training courses for community health volunteers and individuals with chemical residues in blood, (2) Toxic substance management learning center based on the 4E principles, (3) Weekly activities organized by community health volunteers in the community for groups with chemical residues, (4) Monthly blood chemical testing, (5) Herbal sauna room, and (6) Follow-up and evaluation. 2) The results of the development based on the training curriculum for the target group indicate significant statistical differences at a 0.05 level in the comparison of average scores for knowledge, self-perceived abilities, expectations of positive outcomes from practices, and self-management skills of the target group before and after participating in the activities. 3) The results of implementing the program indicate that the target group had chemical residues in their blood at risky levels 22 people and 14 people at unsafe levels. But after participating program, 35 people, or 97.22 percent of the target group had normal levels of chemical residues in their blood, of which 22 people were at risk, changed to normal levels as 21 people or 95.45%, but 1 person or 4.55% was still at the same risk level. In addition, 14 participants were the unsafe group changed to normal level 100.00%. This discovery indicates that the developed approach is an appropriate and efficient method for managing chemical residues in the blood, particularly for farmers and consumers who are exposed to chemical contamination in their food.

Community Potential Development for Managing Infectious Waste After Coronavirus Disease 2019 Pandemic in Isan Sub-District, Mueang District, Buriram Province

Prasit Sripadung, Phatcharee Srikuta — Thu, 28 Dec 2023 00:00:00 +0700

This participatory action research aims to study the community context, to develop community potential in infectious waste management and to study the results of the development after the spread of the Coronavirus Disease 2019 in Isan Sub-district, Mueang District, Buriram Province. The target group of this research was comprising of 40 Ban Nong Phong community leaders, Isan sub-district. The research was carried out between November 2022 to May 2023. There were 3 Phases; Phase 1 Community and current situation regarding community infectious waste, Phase 2 Development of community potential in infectious waste management using the Quality Management Process; PDCA with 4 steps: Plan, Do, Check and Act. Also, applying the theory of Self-Efficiency and Phase 3 to study the results of community potential development in infectious waste management. Tools used to collect data included: secondary data record form, guideline for group discussion, self-questionnaire, activity participation observation form and the researcher's diary filed note. Qualitative data was analyzed by content analysis. Quantitative data were analyzed by number, percentage, mean, standard deviation and the development results were compared with the Paired t-test. The results showed that after the development process, the target groups had increased the mean scores of knowledges, self-efficacy and results expectations than before the development at a statistically significant, except the participation in community infectious waste management whose mean scores were not different from those before and provide communities with infectious waste management guidelines that can be implemented in accordance with the community context. Setting guidelines for community infectious waste management should be integrated with existing projects in the community. There should be support from government agencies and the private sectors in the area to carry out activities to achieve the goals of community infectious waste management.

Experience of Counselor’s Identity Integration

Warat Panyatiyakul, Warunyu Kongchaimongkhon — Thu, 28 Dec 2023 00:00:00 +0700

This phenomenological research aims to study counselor’s experience of identity integration which reflects the integration between counselor’s professional identity and personal identity. 7 participants are professional counselors who have been working as a counseling psychologist for more than 5 years. The research uses semi-structure interview to acquire information follow by theme analysis.

The results show that counselor’s experience of identity integration could be summarized into two main themes which are 1. Identity Development, which consist of Reflection, Supervision, Application of Counseling Process in Daily Life, and Integration of Counseling Knowledge and Life, and 2. Developed Identity, which reflect changes in both counselor’s professional and personal identity. The results also demonstrate developmental dynamic of counselor’s identity which provides insights on developmental process such as identification, identity modification, and identity integration.