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Experiences of lifestyle changes among Thai older adults six months after applying the Plan-Do-Study-Act (PDSA) cycle
Boromarajonani College of Nursing Nakhonratchasima, Nakhon Ratchasima, Thailand ; School of Health, Care and Social Welfare, Mälardalen University, Västerås, Sweden.
University of Skövde, School of Health Sciences. University of Skövde, Digital Health Research (DHEAR). (Family-Centred Health (FamCeH))ORCID iD: 0000-0002-3519-113X
School of Health, Care and Social Welfare, Linköping University, Sweden ; Mälardalen University, Västerås, Sweden.
Boromarajonani College of Nursing Chiang Mai, Chiang Mai, Thailand.
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2024 (English)In: BMC Geriatrics, E-ISSN 1471-2318, Vol. 24, no 1, article id 902Article in journal (Refereed) Published
Abstract [en]

Background: Thai older adults are valuable resources in their society. The Thai health service system is challenged when it comes to ensuring that older Thai adults can continue to live healthy and independent lives in society. It is of great value to support independence and improve older people’s active ageing. Promoting lifestyle changes by applying the Plan-Do-Study-Act cycle (PDSA cycle), at group meetings in a municipality context, is a way of focusing on active ageing. This study aims to describe older adults´ experiences of lifestyle change six months after finishing group meetings applying the PDSA cycle.

Methods: A qualitative approach with individual interviews and a qualitative content analysis were used with 12 Thai older adults who participated in the meetings applying the PDSA cycle.

Results: Six months after finishing applying the PDSA cycle, some older adults kept their individual goals and were influenced by their family surroundings. They also formulated additional goals. Three categories and six sub-categories emerged: Keeping individual goals, influenced by the surroundings, and formulation of additional goals were the overall categories.

Conclusions: These Thai older adults showed that they had the ability to make lifestyle changes with the support of the PDSA cycle, but not all maintained their planned activities after six months. The question is how healthcare professionals and the surroundings, may further support and motivate these people to maintain these changes based on their own preferences in a sustainable way. 

Place, publisher, year, edition, pages
BioMed Central (BMC), 2024. Vol. 24, no 1, article id 902
Keywords [en]
Active ageing, Lifestyle change, PDSA cycle, Qualitative method, Thai older adult, Aged, Aged, 80 and over, Female, Health Promotion, Humans, Life Style, Male, Middle Aged, Qualitative Research, Southeast Asian People, Thailand, Time Factors, adult, article, clinical article, content analysis, diagnosis, health care personnel, healthy aging, human, interview, lifestyle modification, motivation, Thai (people), lifestyle, procedures, Southeast Asian, time factor, very elderly
National Category
Other Health Sciences Gerontology, specialising in Medical and Health Sciences
Research subject
Family-Centred Health
Identifiers
URN: urn:nbn:se:his:diva-24696DOI: 10.1186/s12877-024-05481-5ISI: 001346303800005PubMedID: 39482667Scopus ID: 2-s2.0-85208290257OAI: oai:DiVA.org:his-24696DiVA, id: diva2:1913136
Funder
Mälardalen University
Note

CC BY 4.0

© The Author(s) 2024

Correspondence Address: M. Wongsala; Boromarajonani College of Nursing Nakhonratchasima, Nakhon Ratchasima, Thailand; email: manothai.wongsala@mdu.se

The publication fee of this study will be funded by the library at Mälardalen university. Open access funding provided by Mälardalen University.

Available from: 2024-11-14 Created: 2024-11-14 Last updated: 2025-09-29Bibliographically approved

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Rosendahl, Sirpa

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