Abstract
The pre-ageing population is on the rise. A model for promoting the participation of village health
volunteers (VHVs) in promoting healthy behaviors among pre-ageing individuals should be developed
for healthier older adults. This was participatory action research using a mixed-methods approach. The
sample included 412 VHVs, 18 partner organizations, and VHVs from two pilot sub-districts. Data was
analyzed using stepwise multiple regression, paired t-test, and content analysis. The research findings
revealed that VHVs had a moderate level of participation (60.0%). Factors influencing and predicting
the level of participation included social support, attitudes, and health literacy (R2 adj = 0.402). The
developed models for promoting participation included: 1) establishing a support agreement through
the Phichit Provincial Health Committee; 2) declaring the policy as a provincial agenda; 3) developing
VHV capacity through refresher training; 4) providing VHVs with appropriate social support and incentives;
5) promoting health literacy among VHVs; 6) improving communication and public relations; 7) coordinating
efforts to promote VHV participation; and 8) promoting activities or forums for knowledge exchange. The
average scores for social support, attitudes, health literacy, and participation after the intervention were
significantly higher than before (p < 0.05). Recommendations: Other districts and sub-districts should
follow this pre-ageing plan through the Phichit Provincial Health Committee.
