Main Article Content
A cross-sectional survey was initiated to study the factors affecting adoption of preventive behaviors regarding knee osteoarthritis among the elderly in Nong Yang Suea Subdistrict, Muak Lek District, Saraburi Province. The PRECEDE-PROCEDE Framework model was adopted as the basis for the investigation. The population chosen consisted of elderly people aged 60 years and over who had never been diagnosed with osteoarthritis. Data were collected, via a specially generated questionnaire, from 285 respondents selected using proportional quota sampling. The questionnaire possessed acceptable internal consistency (Cronbach's Alpha Coefficient of .82). Data were analyzed by utilizing descriptive statistics, t-test, Pearson's correlation coefficient, and stepwise multiple regression analysis. The results showed that the overall adoption of osteoarthritis preventive behaviors by the elderly was at a moderate level (78.6%). The predisposing, enabling, and reinforcing factors were associated with the adoption of preventive behaviors for osteoarthritis in the elderly. The predisposing factors, which include perceived self-efficacy and attitude to prevent osteoarthritis, the enabling factors, which involve the arrangement of the home environment, and reinforcing factors, which involve the social support, were able to predict (31.9%) the osteoarthritis preventive behaviors adopted by the elderly (p < .05).
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Bandura, A. (1997). Self-efficacy: the exercise of control. W. H. Freeman/Times Books/Henry Holt & Co.
Boukeaw, P., & Teungfung, R. (2016). Health care and health status of Thai aging. Journal of the Association of Researchers, 21(2), 94–109.
Bureau of Policy and Strategy, Ministry of Public Health. (2009). Thailand Public Health Statistics 2009. https://ghdx.healthdata.org/record/thailand-public-health-statistics-2009
Callahan, L. F., Shreffler, J., Siaton, B. C., Helmick, C. G., Schoster, B., Schwartz, T. A., Chen, J., Renner, J. B., & Jordan, J. M. (2010). Limited educational attainment and radiographic and symptomatic knee osteoarthritis: A cross-sectional analysis using data from the Johnston County (North Carolina) Osteoarthritis Project. Arthritis Research Therapy, 12(2), R46. https://doi.org/10.1186/ar2956
Chanwan, B., Sirichotiratana, N., Prutipinyo, C., Tadadej, C., & Khajornchaikul, P. (2015). Kānraprū khwāmsāmāt khō̜ng tonʻēng tō̜ kānmī sūanrūam kān songsœ̄m sukkhaphāp phūsūngʻāyu tām suk banyat khō̜ng ʻāsāsamak sāthāranasuk nai khēt thētsabān mư̄ang čhangwat Pathum Thānī [Village health volunteers’ self-efficacy on the participation in elderly health promotion programs according to Health Regulation in Municipality of Pathumphani Province]. Vajira Nursing Journal, 17, 86–99. https://phad.ph.mahidol.ac.th/research/2558/ 169-Benjamas%20Chanwan.pdf
Charoenchonwanich, K. (2016). Sanlayasāt būrana saphāp khō̜ khao sư̄am [Reconstructive surgery of the osteoarthritic knee]. Siriraj.
Dahaghin. S., Tehrani-Banihashemi, S., Faezi, S., Jamshidi, A, & Davatchi. F., (2009). Squatting, sitting on the floor, or cycling: Are life-long daily activities risk factors for clinical knee osteoarthritis? Stage III results of a community-based study. Arthritis & Rheumatology 61(10), 1337–1342. https://pubmed.ncbi.nlm.nih.gov/ 19790110/research
Dana K., & Chinsuwan, A. (2011). Kānphatthanā botbāt khrō̜pkhrūa nai kāndūlǣ phūpūai sūngʻāyu rōk khwām dan lōhit sūng: Na sūn sukkhaphāp chumchon nai narang dambon bānphū ʻamphœ̄ yāng sīsurāt čhangwat Mahā Sārakhām [A development of family roles in caring for elderly person with hypertension: At Noonrung primary care unit Banku Subdistrict, Yangsisurat District, Mahasarakham Province]. Journal of Nursing Division, 38(3), 22–37. http://126.96.36.199/ULIB//dublin.linkout.php?url=http%3A%2F%2F188.8.131.52% 2FULIB%2F%2F_ fulltext%2Fserialcontent%2F13399108671%2F20120105103829_974.pdf
Duangthipsirikul, S., Sirisamud, T., & Teerawatananon, Y. (2013). Preliminary study report 2013. Technology assessment project and health policy. www.hitap.net/research
Green, L. W., & Kreuter, M. W. (2005). Health program planning: An educational and ecological approach (4th ed.). McGraw-Hill Higher Education.
Ham, R. J., & Sloane, P. D. (1992). Primary care geriatrics: A case-based approach (2nd ed.). Mosby–Year Book.
Hochberg, M. C., Altman, R. D., April, K. T., Benkhalti, M., Guyatt, G., McGowan, J., Towheed, T., Welch, V., Wells, G., & Tugwell, P. (2012). American College of Rheumatology (ACR) 2012: Recommendations for the use of non-pharmacologic and pharmacologic therapies in osteoarthritis of the hand, hip, and knee. Arthritis Care & Research, 64(4), 465–474.
Kanyayant, C., Charoennukul, A., & Wayo, W. (2020). Kān chalō̜ kān kœ̄t khō̜ khao sư̄am kō̜n khao sū wai sūngʻāyu [Delaying knee osteoarthritis prior to advancing age]. Ramathibodi Nursing Journal, 26(1), 5–17. https://he02.tci-thaijo.org/index.php/RNJ/article/view/140457
Kulwai, I. (2009). The relationship between hardiness and social support and the ability to take care of the elderly's self. [Master’s Thesis, Thammasat University]. https://www.google.com/search?q=Kulwai%2C+I.+%282009 %29.+The+relationship+between+hardinessstamina+and+social+support+and+the+ability+to+take+care+of+the+elderly%27s+self.+%5BMaster%E2%80%99s+Thesis%2C+Graduate+School+Thammasat+University%5D.&sxsrf=ALiCzsaKMeixnKJ2xPW80DFoJf2XDkL_Ag%3A1659318996140&source=hp&ei=1DLnYs2WBoaYseMP4JitgAM&iflsig=AJiK0e8AAAAAYudA5JUwR6O6OMT338ZPxmB35dQ6K4LL&ved=0ahUKEwjN0NP6xKT5AhUGTGwGHWBMCzAQ4dUDCAg&uact=5&oq=Kulwai%2C+I.+%282009%29.+The+relationship+between+hardinessstamina+and+social+support+and+the+ability+to+take+care+of+the+elderly%27s+self.+%5BMaster%E2%80%99s+Thesis%2C+Graduate+School+Thammasat+University%5D.&gs_lcp=Cgdnd3Mtd2l6EANQAFgAYNkFaABwAHgAgAEAiAEAkgEAmAEAoAECoAEB&sclient=gws-wiz
Kuptnirattisaikul, V., Leurcharusmee, A., & Nakasuwan, V. (2000). Kānsưksā thatsanakhati læ phrưttikam sukkhaphāp nai phūsūngʻāyu rōk khō̜ sư̄am [The study of attitude and health behavior in osteoarthritic elderly]. Journal of Rehabilitation Medicine, 9(3), 90–.96. http://rehabmed.or.th/main/wp-content/ uploads/2015/01/L-128.pdf
Muraki, S., Oka, H., Akune, T., Mabuchi, A., En-yo, Y., Yoshida, M., Saika, A., Suzuki, T., Yoshida, H., Ishibashi, H., Yamamoto, S., Nakamura, K., Kawaguchi, H., & Yoshimura, N. (2009). Prevalence of radiographic knee osteoarthritis and its association with knee pain in the elderly of Japanese population-based cohorts: The ROAD study. Osteoarthritis Cartilages, 17(9), 1137–1143.
Nilkanuwong, S., & Prechanon, S. (Eds.). (2005). Tamrā rōk khō̜ [Rheumatology textbook]. Thai Rheumatism Association.
Orthopedic Decade Foundation. (2006). Osteoarthritis. http://www.boneandjointdecade.or.th/brochure.shtml
Palank, C. L. (1991). Determinants of health-promotive behavior: A review of current research. The Nursing Clinics of North America, 26(4), 815–832.
Pereira, D., Peleteiro, B., Araujo, J., Santos, R.A., & Ramos, E. (2011). The effect of osteoarthritis definition on prevalence and incidence estimates: A systematic review. Osteoarthritis Cartilage, 19(11), 1270–1285.
Piyakhachornrot, N., Aree-Ue, S., Putwatana, P., & Kawinwonggowit, V. (2011). Impact of an integrated health education and exercise program in middle-aged Thai adults with osteoarthritis of the knee. Orthopedic Nursing, 30(2), 134–142. https://doi.org/10.1097/NOR.0b013e31821130bf
Ratnai, S. (2012). Khūmư̄ kāndūlǣ phūsūngʻāyu [Elder care manual]. Seang Dao.
Ritjaroon, P. (2014). Lakkān wat læ pramœ̄nphon kānsưksā [Educational measurement and evaluation] (7th edition.). House of Kermyst.
Royal College of Orthopedic Surgeons of Thailand. (2011). Nǣo patibat bō̜rikān sāthāranasuk rōk khō̜ khao sư̄am Phō̜.Sō̜. sō̜ngphanhārō̜ihāsipsī [Guidelines for the treatment of osteoarthritis of the knee]. https://www.chiangmaihealth.go.th/cmpho_web/document/160610146554495425.pdf
Senchum, W., Surit, P., Noosorn, N., & Kanokthet, T. (2011). Factor predicting role of family’s member in providing care and health promotion for the elderly in Thumbon Phawor Maesot District, Tak Province. Journal of Nursing and Health Sciences, 5(2), 23–33. http://www.nurse.nu.ac.th/Journal/data/Vol.5%20 No.2/004.pdf
Singha, S., Durongritichai, D., & Kasipul, T. (2015). Factors relating to self-care behavior of the elderly with knee osteoarthritis in Praksa Municipality Area, Muang District, Samutprakarn Province. HCU Journal of Health Science, 18(1), 115–130. http://journal.hcu.ac.th/pdffile/jn1836/%E0%B8%A5%E0%B8%87%E0%B9%80% E0% B8%A7%E0%B8%9B/%E0%B8%9A%E0%B8%97%E0%B8%97%E0%B8%B5%E0%B9%88%208.pdf
Sun, B. H., Wu, C., & Kalunian, K. C. (2007). New development of osteoarthritis. Rheumatic Disease Clinics of North America, 33(1), 135–148. https://doi.org/10.1016/j.rdc.2006.12.003
Taweechai, V. (2000). ). Phrưttikam kāndūlǣ tonʻēng læ khwāmrunrǣng khō̜ng rōk khō̜ khao sư̄am nai phūsūngʻāyu [Self-case behaviors and severity of knee osteoarthritis among the elderly]. [Master of Nursing Thesis, Chiangmai University]. http://cmuir.cmu.ac.th/handle/6653943832/29918
Teichtahl, A. J., Wang, Y., Wluka A. E., & Cicuttini, F. M. (2008).Obesity and knee osteoarthritis: New insights provided by body composition studies. Obesity, 16(2), 232–240. https://doi.org/10.1037/oby.2007.30
Worathanarat, P., Worathanarat, T., Angsanansuk, C., Kitkunasathien, C., Kanchanathepsak, T., & Leelapattana, P. (2014). Withī chīwit kap rōk kradūk læ khō̜ [Lifestyles and musculoskeletal disorders]. Charansanitwong Printing.