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Background <p>Health security is an important aspects affecting quality of life, particularly older people who live independently. This research and development aimed to: 1) assess the current health security situation, 2) develop a health-driven security model, and 3) evaluate the effectiveness of the developed model.</p> Methodology <p>The study consisted of four phases: 1) assessing the health safety and security of 377 older adults and conducting a focus group discussion with 15 stakeholders in Mueang District, Lampang Province; 2) developing a health-driven security model based on the human security concept; 3) implementing the developed model with 40 older adults selected through purposive sampling, calculated by G* Power statistics; and 4) evaluating the model’s effectiveness. Research tools included the developed model and data collection instruments with an IOC greater than 0.80.</p> Results <p>The overall health safety and security situation in older adults aged 60–69&#xa0;years old in Lampang Province was found to be at an average level (X = 76.50, SD = 4.90). The developed model comprises the Older Adults’ Safety and Security Questionnaire (OA-SQs) and a framework for health-driven security, covering seven aspects: environment, health, personal, knowledge for living, political, community, and economic security. Evaluation of the model’s effectiveness revealed significant improvements, particularly in environmental, health, and personal security domains, with statistical significance before and after participating in learning model (<i>p</i> &lt; .05).</p> Conclusion <p>The developed model is suitable for promoting the security of older adults and can be applied to both healthy and frail elderly populations.</p>

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The health-driven security for older adults with partial dependency in activities of daily living who experience loneliness: a research and development

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年11月28日

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  • Phatchanun Vivarakanon,
  • Puangpet Meesiri,
  • Wanida Intharacha,
  • Jitaree Chatmontree,
  • Sriprapi Inchithep

摘要

Background

Health security is an important aspects affecting quality of life, particularly older people who live independently. This research and development aimed to: 1) assess the current health security situation, 2) develop a health-driven security model, and 3) evaluate the effectiveness of the developed model.

Methodology

The study consisted of four phases: 1) assessing the health safety and security of 377 older adults and conducting a focus group discussion with 15 stakeholders in Mueang District, Lampang Province; 2) developing a health-driven security model based on the human security concept; 3) implementing the developed model with 40 older adults selected through purposive sampling, calculated by G* Power statistics; and 4) evaluating the model’s effectiveness. Research tools included the developed model and data collection instruments with an IOC greater than 0.80.

Results

The overall health safety and security situation in older adults aged 60–69 years old in Lampang Province was found to be at an average level (X = 76.50, SD = 4.90). The developed model comprises the Older Adults’ Safety and Security Questionnaire (OA-SQs) and a framework for health-driven security, covering seven aspects: environment, health, personal, knowledge for living, political, community, and economic security. Evaluation of the model’s effectiveness revealed significant improvements, particularly in environmental, health, and personal security domains, with statistical significance before and after participating in learning model (p < .05).

Conclusion

The developed model is suitable for promoting the security of older adults and can be applied to both healthy and frail elderly populations.