Development of caregiver resilience scale (CRS) for Thai caregivers of older persons with dementia

Abstract: This research aim to develop the Caregiver Resilience Scale (CRS) and examine the validity and reliability. The process began with a review of the concept of resilience based on a synthesis of existing research together with an exploration of qualitative data derived from an interview of ten caregivers of older persons with dementia. The CRS was examined by a panel of three experts to confirm its content validity, with the content validity index equal to 0.84. It was also tried out with 30 caregivers to test its internal consistency, and the result showed that the internal consistency was at a high level (Cronbach's alpha 0.87). Furthermore, the Exploratory Factor Analysis was conducted with 150 caregivers to test construct validity of the scale, and it was found that all six domains of the CRS had construct validity. The final version of the CRS was composed of 30 items within six domains: physical competence; relationship competence; emotional competence; cognitive competence; moral competence; and spiritual competence. The 30-item CRS was considered appropriate as a newly developed instrument

Obstructive Sleep Apnea and Multiple Anthropometric Indices of General Obesity and Abdominal Obesity among Young Adults

Objective: To examine the associations between obstructive sleep apnea (OSA) and obesity among young adults. Design and Methods: A total of 2911 college students in Thailand participated in the study. Anthropometric measurements and blood pressure were taken by trained research staff. Results: Overall, 6.3% of college students had OSA determined by the Berlin Questionnaire, 9.6% were overweight (BMI: 25-29 kg/m2), 4.5% were obese (BMI≥30 kg/m2); 12.4% had abdominal obesity (men: waist circumference≥90 cm; women: waist circumference≥80 cm). There were significant associations between OSA and overweight (odds ratio (OR)=1.72; 95% confidence interval (CI)=1.04-1.85) and obesity (OR=24.23; 95% CI=15.20-38.61), independent of demographic and lifestyle factors, blood pressure, and psychological distress. Students with OSA were more likely to have abdominal obesity than those without OSA (OR=2.09; 95% CI=1.19-3.67). OSA was significantly related to joint effects of general and abdominal obesity. The OSA-obesity associations were robust and evident for both genders, individuals with normal and elevated blood pressure, and those with and without psychological distress. Conclusions: This study shows independent associations of OSA with general and abdominal obesity among young adults. OSA could be a risk factor for obesity and consequent cardiovascular morbidities; OSA screening and treatment might be important for young adults

Development of caregiver resilience scale (CRS) for Thai caregivers of older persons with dementia

This research aim to develop the Caregiver Resilience Scale (CRS) and examine the validity and reliability. The process began with a review of the concept of resilience based on a synthesis of existing research together with an exploration of qualitative data derived from an interview of ten caregivers of older persons with dementia. The CRS was examined by a panel of three experts to confirm its content validity, with the content validity index equal to 0.84. It was also tried out with 30 caregivers to test its internal consistency, and the result showed that the internal consistency was at a high level (Cronbach’s alpha 0.87). Furthermore, the Exploratory Factor Analysis was conducted with 150 caregivers to test construct validity of the scale, and it was found that all six domains of the CRS had construct validity. The final version of the CRS was composed of 30 items within six domains: physical competence; relationship competence; emotional competence; cognitive competence; moral competence; and spiritual competence. The 30-item CRS was considered appropriate as a newly developed instrument

Qigong programme among community-dwelling older adults at risk of depression: A randomised controlled study

The objective of this study was to evaluate the effects of Qigong programme on depression of older adults with mild-moderate depression. The experimental study was conducted at the Public Health Service Centre (PHS) in two randomised districts of Bangkok, Thailand from October to December 2017. This parallel, randomised controlled trial compared the Qigong programme with the usual singing and praying activities among older adults at mild-to-moderate risk of depression. The Qigong programme was based on mind-body exercises incorporate mindful breathing. The intervention group underwent a 3 sessions/week 12-week course of Qigong exercises while the control group participated in singing and praying with the same duration and frequency. The outcome measure was the change in the TGDS from baseline to 12 weeks. Data analysis was conducted using STATA. The outcome data are available for all randomized subjects, all analyses were conducted as intention-to-treat. The Qigong programme was highly significant (−9.88 score points; 95% CI −11.62 to −8.13; p < 0.001) than the control group in reducing depression scores at 12 weeks. Depression score decreased (10.39 score points; 95% CI −11.77 to −9.02; p < 0.001) only in the Qigong group. These findings support the Qigong programme was effective in reducing depression score both in mild and moderate depression community-dwelling older adults. The Qigong programme appears to confer greater improvements than the usual program

03-2500

Abstract. This is a documentary study to determine factors influencing malaria incidence in Myanmar. The period of study covered was from 1989 to 1998 using time series data. Multiple regression analysis was performed on the dependent variable, yearly incidence of malaria in Myanmar, with hypothesized independent variables including variables related to epidemiology, demography, service and socioeconomic status. Malaria incidence was inversely associated with the government budget for malaria control at the 5% level and with the case fatality rate of malaria at the 10% level. Other variables: yearly gross domestic product, yearly proportion of Plasmodium falciparum cases and yearly DDT use of spraying displayed expected signs but were not statistically significant

21-2459

Abstract. Willingness to pay (WTP) for the ICT Malaria Pf/Pv test kit was assessed by the contingent valuation method using a bidding game approach in two villages in Myanmar. Kankone (KK) village has a rural health center (RHC) and Yae-Aye-Sann (YAS) is serviced by community health worker (CHW). The objectives were to assess WTP for the ICT Malaria Pf/Pv test kit and to determine factors affecting the WTP. In both villages WTP was assessed in two different conditions, ex post and ex ante. The ex post WTP was assessed at an RHC in the KK village and at the residence of a CHW in the YAS village on patients immediately following diagnosis of malaria. The ex ante WTP was assessed by household interviews in both villages on people with a prior history of malaria. Ordinary least squares (OLS) multiple regression analysis was used to analyze factors affecting WTP. The WTP was higher in ex post conditions than ex ante in both villages. WTP was significantly positively associated with the average monthly income of the respondents and severity of illness in both ex post and ex ante conditions (p &lt; 0.001). Distance between the residence of the respondents and the health center was significantly positively associated (p &lt; 0.05) in the ex ante condition in a household survey of YAS village. Traveling time to RHC had a negative relationship with WTP (p &lt; 0.05) in the ex post condition in the RHC survey in KK village

Obstructive Sleep Apnea and Multiple Anthropometric Indices of General Obesity and Abdominal Obesity among Young Adults

Objective: To examine the associations between obstructive sleep apnea (OSA) and obesity among young adults. Design and Methods: A total of 2911 college students in Thailand participated in the study. Anthropometric measurements and blood pressure were taken by trained research staff. Results: Overall, 6.3% of college students had OSA determined by the Berlin Questionnaire, 9.6% were overweight (BMI: 25-29 kg/m2), 4.5% were obese (BMI≥30 kg/m2); 12.4% had abdominal obesity (men: waist circumference≥90 cm; women: waist circumference≥80 cm). There were significant associations between OSA and overweight (odds ratio (OR)=1.72; 95% confidence interval (CI)=1.04-1.85) and obesity (OR=24.23; 95% CI=15.20-38.61), independent of demographic and lifestyle factors, blood pressure, and psychological distress. Students with OSA were more likely to have abdominal obesity than those without OSA (OR=2.09; 95% CI=1.19-3.67). OSA was significantly related to joint effects of general and abdominal obesity. The OSA-obesity associations were robust and evident for both genders, individuals with normal and elevated blood pressure, and those with and without psychological distress. Conclusions: This study shows independent associations of OSA with general and abdominal obesity among young adults. OSA could be a risk factor for obesity and consequent cardiovascular morbidities; OSA screening and treatment might be important for young adults

Effects of Music Intervention on Patients Undergoing Hemodialysis in the Bangkok Metropolitan Administration Hospitals

This research focused on the use of music interventions in 54 patients receiving hemodialysis treatments at the Bangkok Metropolitan Administration hospitals. The purpose of this study was to compare the effects of live music or music listening interventions on pre- and postmeasures of patients\u27 blood pressure, pulse rate, pain, and anxiety. The results showed significant improvements in blood pressure and pulse rate and statistically significant reductions in pain and anxiety for patients in both music interventions (P \u3c .05). There were no significant differences in these effects between live music intervention and music listening. Both kinds of music interventions were found to significantly reduce the rate of perceived pain and anxiety. It can be summarized that both types of music interventions can be used according to patients\u27 need and necessity, and concern of budget, personnel, and facility within each hospital are taken into consideration. [PUBLICATION ABSTRACT