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BMC Geriatrics

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Open Access 01-12-2022 | Research

Applying the PDSA cycle to a group activity promoting lifestyle change for the active ageing of older Thai adults – a focused ethnography

Authors: Manothai Wongsala, Sirpa Rosendahl, Pornpun Manasatchakun, Els-Marie Anbäcken

Published in: BMC Geriatrics | Issue 1/2022

Abstract

Background

The proportion of the older Thai population is increasing rapidly. Lifestyle may impact active ageing in later life. Interventions that empower older Thai adults to initiate and carry out lifestyle changes are needed. This study applied the Plan-Do-Study-Act (PDSA) cycle, a tool for improving lifestyle changes, with the aim of exploring interactions among older Thai adults when participating in group activities.

Method

Focused ethnography was used based on participant observations, field notes and video recordings of 15 older Thai adults aged 62–78 years.

Results

Older Thai adults faced difficulties at the beginning since they were unfamiliar with initiating and carrying out lifestyle changes according to the PDSA concept. This provided a learning opportunity enabling older Thai adults to reach their individual goals of lifestyle change.

Conclusions

The PDSA cycle has the potential to empower older adults in group contexts to promote lifestyle changes related to active ageing.

Prasartkul P. Situation of the Thai Elderly 2018. Bangkok: Printery Co., Ltd; 2019. Institute for Population and Social Research, Mahidol University and Foundation of Thai Gerontology Research and Development Institute (TGRI)

Larpsombatsiri, K. Policies on health of older adults in Thailand. Regional workshop on integrating policy and research on ageing in ASEAN: conversations across the policy and research divide 2019. https://www.duke-nus.edu.sg/docs/librariesprovider3/education-docs/1)-policies-on-the-health-of-older-adults-(thailand)-by-dr-kitti-larpsombatsiri.pdf?sfvrsn=e28d57e9_4. Accessed 5 Apr 2021.

Active ageing: a policy framework. Geneva: World Heealth Organization; 2002.

Walker A, Zaidi A. New evidence on active ageing in Europe. Intereconomics. 2016;51:139–44. https://doi.org/10.1007/s10272-016-0592-0.CrossRef

Thanakwang K, Isaramalai S, Hattakit U. Thai cultural understandings of active ageing from the perspectives of older adults: a qualitative study. 2014. https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/10466. Accessed 16 Jan 2021

Wongsala M, Anbäcken E-M, Rosendahl S. Active ageing – perspectives on health, participation, and security among older adults in northeastern Thailand – a qualitative study. BMC Geriatrics. 2021;21(41):1–10. https://doi.org/10.1186/s12877-020-01981-2.

Grossman S, Lange J. Theories of aging as basis for assessment. Medsurg Nurs. 2006;15(2):77–83 https://pubmed.ncbi.nlm.nih.gov/16700245/. Accessed 10 Dec 2020.PubMed

Hicks S, Tinkler L, Allin P. Measuring subjective well-being and its potential role in policy: perspectives from the UK Office for National Statistics. Soc Indic Res. 2013;114:73–86. https://doi.org/10.1007/s11205-013-0384-x.CrossRef

Orji CC, Ghosh S, Nwaobia OI, Ibrahim KR, Ibiloye EA, Brown CM. Health behaviors and health-related quality of life among U.S. adults aged 18–64 years. Am J Prev Med. 2021;60:529–36. https://doi.org/10.1016/j.amepre.2020.10.020.CrossRefPubMed

10.

Ong-artborirak P, Seangpraw K. Association between self-care behaviors and quality of life among elderly minority groups on the border of Thailand. J Multidiscip Healthc. 2019;12:1049–59. https://doi.org/10.2147/jmdh.s227617.CrossRefPubMedPubMedCentral

11.

Fisk MJ. The health behaviour and wellbeing of older seafarers on Merseyside — indicated changes through brief interventions. Int Marit Health. 2017;68:133–9. https://doi.org/10.5603/imh.2017.0024.CrossRefPubMed

12.

Nilsson A. Passion för Livet - en projektrapport. Passion for Life - a project report. Ett samverkansprojekt mellan Sveriges kommuner och landsting och Qulturum, Landstinget i Jönköpings län. A collaborative project between Sweden’s the county councils and municipalities and Qulturum. The county council of Jönköping, Sweden; 2006. https://plus.rjl.se/info_files/infosida32187/passion_for_livet_projektrapport.pdf. Accessed 14 Dec 2021.

13.

Hilliard ME, Riekert KA, Ockene JK, Pbert L. The handbook of health behavior change. New York: Springer Publishing Company; 2018.CrossRef

14.

Call M. Why is behavior change so hard? 2020. https://accelerate.uofuhealth.utah.edu/explore/why-is-behavior-change-so-hard. Accessed 13 Apr 2021.

15.

Cherry K. The 6 stages of behavior change 2020. https://www.verywellmind.com/the-stages-of-change-2794868. Accessed 16 Apr 2021.

16.

Bouton ME. Why behavior change is difficult to sustain. Prev Med. 2014;68:29–36. https://doi.org/10.1016/j.ypmed.2014.06.010.CrossRefPubMed

17.

Tombor I, Michie S. Methods of health behavior change. Oxford Res Encyclopedia Psychol. 2017. https://doi.org/10.1093/acrefore/9780190236557.013.125.

18.

Michie S, van Stralen MM, West R. The behaviour change wheel: a new method for characterising and designing behaviour change interventions. Implement Sci. 2011;6(42):1–11. https://doi.org/10.1186/1748-5908-6-42.

19.

Söderlund A, von Heideken Wågert P. Adherence to and the maintenance of self-management behaviour in older people with musculoskeletal pain—a scoping review and theoretical models. J Clin Med. 2021;10(2):303. https://doi.org/10.3390/jcm10020303.

20.

Avery L, Charman SJ, Taylor L, Flynn D, Mosely K, Speight J, et al. Systematic development of a theory-informed multifaceted behavioural intervention to increase physical activity of adults with type 2 diabetes in routine primary care: movement as medicine for type 2 diabetes. Implement Sci. 2016;11(99):1–21. https://doi.org/10.1186/s13012-016-0459-6.

21.

Buriyameathagul K. Characteristics of culture in Thai society and virtual communities. Silpakorn Univ J Soc Sci Human Arts. 2013;13(2):207–70.

22.

Chunuan S, Vanaleesin S, Morkruengsai S, Thitimapong S. The Thai culture and women’s participation in their maternity care. Songkla Med J. 2007;25(3):231–9.

23.

Outayanik B. Effects of a physical activity intervention program on nutritional status and health-related physical fitness of Thai older adults in Bangkok metropolitan area, Thailand. Am J Sports Sci. 2018;6(1):12–9. https://doi.org/10.11648/j.ajss.20180601.13.CrossRef

24.

Chaowanee L, Darawan T, Ratchneewan R, Wanchai L. The Thai group cognitive behavior therapy intervention program for depressive symptoms among older women: a randomized controlled trial. Pac Rim Int J Nurs Res. 2018;22(1):74–85. https://he02.tci-thaijo.org/index.php/PRIJNR/article/view/78778. Accessed 1 Dec 2021.

25.

Jayasvasti I, Jayasvasti M, Pengpid S, Peltzer K, Nanthananate P. Participants’ views on lifestyle intervention program enhancing long-term health-related behaviors improvement among prehypertension and/or prediabetes mellitus older adults: A qualitative study examined in Thailand at health promoting hospitals. Inquiry. 2021;58:1–18. https://doi.org/10.1177/00469580211025209.CrossRef

26.

Taylor MJ, McNicholas C, Nicolay C, Darzi A, Bell D, Reed JE. Systematic review of the application of the plan–do–study–act method to improve quality in healthcare. BMJ Qual Saf. 2014;23(4):290–8. https://doi.org/10.1136/bmjqs-2013-001862.CrossRefPubMed

27.

Knudsen SV, Laursen HV, Johnsen SP, Bartels PD, Ehlers LH, Mainz J. Can quality improvement improve the quality of care? A systematic review of reported effects and methodological rigor in plan-do-study-act projects. BMC Health Serv Res. 2019;19(683):1–10. https://doi.org/10.1186/s12913-019-4482-6.

28.

Gilbertson J, Batty E. An evaluation of ‘Passion for life’: Final Report. Sheffield Hallam University Research Archive. 2011.http://shura.shu.ac.uk/18168/.

29.

Creswell JW. Qualitative inquiry and research design: choosing among five approaches. London: Sage Publications; 2013.

30.

Spradley JP. Participant observation. Belmont: Wadsworth; 1980.

31.

Hjelm M, Holst G, Willman A, Bohman D, Kristensson J. The work of case managers as experienced by older persons (75+) with multi-morbidity – a focused ethnography. BMC Geriatrics. 2015;15(168):1–11. https://doi.org/10.1186/s12877-015-0172-3.

32.

Andreassen P, Christensen MK, Møller JE. Focused ethnography as an approach in medical education research. Med Educ. 2019;54(4)296–302. https://doi.org/10.1111/medu.14045.CrossRefPubMed

33.

Higginbottom G, Pillay J, Boadu N. Guidance on performing focused ethnographies with an emphasis on healthcare research. Qual Rep. 2013;18(17):1–16. https://doi.org/10.46743/2160-3715/2013.1550.

Title: Applying the PDSA cycle to a group activity promoting lifestyle change for the active ageing of older Thai adults – a focused ethnography
Authors: Manothai Wongsala
Sirpa Rosendahl
Pornpun Manasatchakun
Els-Marie Anbäcken
Publication date: 01-12-2022
Publisher: BioMed Central
Published in: BMC Geriatrics / Issue 1/2022
Electronic ISSN: 1471-2318
DOI: https://doi.org/10.1186/s12877-022-02775-4

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Abstract

Background

Method

Results

Conclusions

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