Abstract

This qualitative research within the project entitled "Multiprofessional Intervention and training for Ongoing Volunteer-based Community Health Programs in the Northeast of Thailand (MITV-NET) " was aimed at explaining changes of health behavior of community people in the Northeast after the intervention. The participants comprised 15 community volunteers and 27 villagers. Data were collected by indepth interview, focus group discussion, participation and non-participation observation, and note taking. Analyses were conducted in parallel with data collection, through content and comparative analysis. It was found that the health behavior fell into 2 categories: easy-to-change and difficult-to-change. The former involved fun activities joined by community people that improved their health or made them recover from illnesses after a short period without becoming addicted. These activities could be done by themselves, for example, exercising and cooking. The difficult-to- change health behavior is habitual, for example, chewing betel nuts or eating uncooked food. The following factors were found affecting behavioral changes: 1) underlying disease; 2) enjoyment in doing activities; 3) habitual behaviour; 4) improved health in a short period; 5) ability of community leaders and volunteers; and 6) community health-supporting resources. It is suggested that improving people's health requires cooperation of community people through fun activities and some initial external support. People who persist in bad habits should be encouraged to stop by showing them health deteriorating effects.

Highlights

  • It was found that the health behavior fell LQWRFDWHJRULHVHDV\WRFKDQJHDQGGLIÀFXOWWRFKDQJH7KHIRUPHULQYROYHGIXQDFWLYLWLHVMRLQHGE\FRPPXQLW\ people that improved their health or made them recover from illnesses after a short period without becoming DGGLFWHG7KHVHDFWLYLWLHVFRXOGEHGRQHE\WKHPVHOYHVIRUH[DPSOHH[HUFLVLQJDQGFRRNLQJ7KHGLIÀFXOWWR change health behavior is habitual, for example, chewing betel nuts or eating uncooked food

  • The non communicable diseases are an LPSRUWDQWKHDOWKSUREOHPRIWKHZRUOG7KHÀUVWFDXVHRI death in the world is the heart disease, and the second is stroke (WHO, 2011)

  • If we keep an eye on our health, the chance to develop a disease or health problem is little

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Summary

Introduction

The non communicable diseases are an LPSRUWDQWKHDOWKSUREOHPRIWKHZRUOG7KHÀUVWFDXVHRI death in the world is the heart disease, and the second is stroke (WHO, 2011). It has been anticipated that by 2015, non-communicable diseases will be the cause of death of over 50 percent of the world population. Physical deterioration happens at old age and closely relates to non-communicable diseases as well as health behaviors of each person. Health behavior is both intrinsic, e.g., awareness, interest; and extrinsic, e.g., care, prevention, support, maintenance, and management of one’s own health (Taylor, 1991). Friends and family LQSDUWLFXODUDUHLQÁXHQFLDORQRXUKHDOWKDVZHOO$VWXG\ by Saranritchai et al (2007) showed that family’s sexual socialization and adolescent’s sexual health behaviors were simultaneously affected each other. Study showed good school atmosphere reduces alcoholic drinking habit of students and danger from motorcycle riding (Simon et al, 2011)

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