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Participatory Evaluation of Older Adults’ Self-neglect: A Case Study in Crowded Community, Bangkok

Kingkaew Udomchaikul RN, NP, PhD (Candidate) 1 , Uthaithip Jiawiwatkul PhD (Demography) 2 , Supavan Phlainoi Ed.D 2 , Sakda Arj-Ong Vallibhakara MD, PhD (Clinical Epidemiology) 4 , Noppawan Piaseu, RN,PhD (Nursing), Dip. ACNP 3

Affiliation : 1 Doctor of Philosophy Program on Population Education, Faculty of Social Science and Humanities, Mahidol University, Nakhon Pathom, Thailand & Ramathibodi School of Nursing, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand 2 Department of Education, Faculty of Social Science and Humanities, Mahidol University, Nakhon Pathom, Thailand 3 Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand 4 Section for Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand


Objective : To define risks or basic factors associated with older adults’ self-neglect, clarify to appropriate meaning, and develop participatory self-neglect’s management methods in crowded community.
Materials and Methods : Thirty-eight older adults including stakeholders were participated in focus group discussion to determine meaning older adults’ self-neglect and developing self-neglect evaluation questionnaire. Older adults were assessed by this self- neglect questionnaire and presented overall information in community forum to develop self-neglect’s management methods.
Results : Self-neglect in older adults’ perspectives was defined as lack of physical and mental care in activity daily live. Twenty- one indicators were emerged and categorized into three key result areas: self-neglect risk factors, behaviors, and effects. Three first self-neglect risk factors were lack of self-care knowledge, older adults’ physical and mental health problems. Similarly, self- neglect behaviors were deficit interaction with other people, lack of exercises and healthy diets affecting older adults’ physical and psychological health, family’s finance and psychological health. After reporting self-neglect information in community forum, two management methods were suggested including volunteer groups for taking care older adults and illegal loan change into legal loans with lower interest rates.
Conclusion : Older adults’ self-neglect is essential to evaluate and develop a management plan to solve impact of older adults’ self- neglect using community participation resulting in improving quality of life in older adults and their families.

Keywords : Self neglect, Elder abuse, Participatory evaluation, Self-neglect, Crowded community


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