Abstract
The objectives of this research were to develop a model, and to study the effectiveness of a good health promotion integrated with Buddhist ways model for prevention and control of non-communicable diseases. It was designed as two group pretest-posttest design. The samples were 99 patients with uncontrolled diabetes and or hypertension, divided into two groups: 50-person group; the study group who were managed by the model, and 49-person group: the control group managed by routine care. Data were collected using mixed method, both quantitative and qualitative approach. The research tools were: 1) the good health promotion program integrated with Buddhist ways was named in Thai as 3 Sor, 3 Orr, 1 Nor from which comprised: pray, meditation, Buddhist dialogue, nutrition, exercise, emotion, biological clockwise daily activities with Buddhist integration. 2) health assessment form 3) self-report manual 4) the knowledge test 5) the happiness test 6) the satisfaction questionnaire 7) group discussion and in-depth interview guidelines. The KR 20 of the data collecting tools no. 4 was 0.8. The Cronbach's alpha coefficients of the data collecting tools no. 5, 6 were 0.85, 0.84 respectively. The quantitative data were analyzed using descriptive statistics, paired t-test and independent t-test. The qualitative data were analyzed using content analysis. The results of the model development found 3 components: 1) the good health promotion program integrated with Buddhist ways 2) self-reporting towards the program and 3) monitoring, supporting, and empowering by the health team. The findings on the effectiveness of the model found that 1) After try-out the model, the study group had lower average in health status namely weight, waist circumference, BMI, blood pressure and blood sugar levels were significantly decreased. 2) Before try-out the model, the study group had average in health status not different with those of the control group while after try-out the model, the average of health status in study group were significantly lower than those of the control group. 3) After try-out the model, the study group had significantly higher average in the knowledge scores and higher average in happiness score towards the activities of the program. And they were satisfied with the activities of the program at a high level.
