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The objective of this research was to encourage the participation of health problem evaluation and
management for adults in the urban workplaces. The research tools comprised of the demographic record
forms, the diabetes risk assessment form in the next 12 years with the sensitivity of 76.50 % and the specificity
of 60.20 %, the health diaries, tape recorders, guideline questionnaires of heath behavior and health
assessment instruments, which were prepared and verified compliance by the public health center. The 20
employees of Wangkanai group with the risk of non-communicable disease were purposive sampling. The
research was conducted during November 2013 – January 2014. The process of research was composed
of 1) planning 2) acting 3) observing and 4) reflecting and re-planning. The researchers collected data
regarding research participants’ health data before starting the project, after joining the program for one
month respectively. After the participants were informed of the results of health changes at the end of the
month, the participants had visited a nutritionist, a fitness expert and the researchers to receive individual
feedbacks and to have an interview on the result of changing health status. Demographic data and health
status data before starting the project were analyzed using basic statistics. Health status data after joining
the program for one month were classified by individual and the qualitative data were analyzed by content
The results of this study revealed that four-step participatory action research of participants starting
from the planning stage, participants were involved in the choice of how they performed, how they
evaluated their own practice, tools that helped in monitoring behavioral health behaviors including information
on exercise and eating from the experts. In acting stage, after perceiving their health status information,
participants inspired, identified goals, and made behavioral modification plan. Then participants modified
health behaviors under inspiration, goals, and cooperation plan among researchers, participants, and
experts enhancing individual context of practice leading to good trend of health documentary in one month.
Additionally, after one month, the participants were aware of the changes in health status, reflecting on
the barriers, supportive factors to improve the behavioral modification plan to be implemented in the next
phase to lead to success. The researchers suggested that the success of enhancement of participation of
health problem management, being contributed to the change of health behaviors, depends on the unique
personal plan and the participation willingness of the health owners. The participants should be provided
counseling and reflection to understand the various aspects of information.
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