Development of a Community-Based Spiritual Life Review Program for Promoting Resilience of Elders Residing in Disaster-Prone Areas

Background: Nowadays disasters are a common occurrence in the world. The elderly are in a vulnerable condition in terms of disasters and need help to recover from the hardship caused if they are caught in such a disaster. Two significant contributors to elderly people having sufficient resilience to be able to deal with such disasters are spiritual support and social support. Purpose: To develop a program specifically for Muslim elderly in Indonesia for promoting resilience. Method: The processes of developing the program were conducted in 2011, and included a critical review of the literature, constructing the elements of the actual program, validating the contents of the program by three experts, revising the program according to the experts‟ suggestions, and finally pilot-tested the final version of the program on a group 12 elders in Banda Aceh, Indonesia. Result: The program protocol established in this program includes five stages: (1) reviewing individual spiritual life experiences using memorable photos; (2) appreciating feelings among group members (3) re-evaluating the participant‟s life by looking to the group‟s album, (4) reconstructing the participants‟ life, and (5) affirming the six spiritual dimensions of the Islamic religion by the religious leader

Physical Activity Among Muslim Adolescents in Indonesia

Purpose: To describe the physical activity among Muslim adolescents in Aceh province, Indonesia and to identify the correlates of demographic characteristics to physical activity.Methods: This study was a cross sectional study. One hundred and fifty adolescents in senior high school who met the inclusion criteria were recruited from Banda Aceh municipality and Aceh Besar district in Aceh province, Indonesia. Physical activity was analyzed using descriptive statistics.Result: The level of physical activity in Indonesian Muslim adolescents were at a moderate level. Additional analysis of several demographic characteristics revealed that gender had a significant influence on physical activity while the other variables had no statistical influence on physical activity.Conclusion: The findings of this study have provided evidence regarding the level of physical activity in Indonesian Muslim adolescents. This study can be used as baseline data for further knowledge development and studies related to this area still can be conducted for better understanding. Keyword: Adolescent, Physical Activity, Health Promotio

Exercise Motivation among Fitness Center Members: A Combined Qualitative and Q-Sorting Approach

This study aimed to explore the components of Exercise Maintenance Motivation (EMM) and identify its consensus and distinguishing aspects among members of fitness centers (FCs) in Vietnam. The study incorporated both qualitative and Q-sorting methodologies across two stages. The first stage involved conducting ten in-depth and four focus-group interviews with 39 members of six different FCs in Vietnam, resulting in the generation of 40 EMM statements. In the second stage, these statements were subjected to Q-sorting by 39 participants. The KADE application for the Q method was used for data analysis, and Principal Component Analysis was employed to determine the optimal number of factors. The analysis yielded four factors, encompassing 34 statements and accounting for 86% of the variance in EMM components among participants. These components, labeled “F1. Exercise achievements”, “F2. Exercise environments”, “F3. Exercise enjoyment”, and “F4. Workout-aholic”, achieved consensus among 17 (37%), 14 (30%), 5 (12%), and 3 (7%) participants, respectively. The leading motivational expressions were “get to be healthier”, “a better-looking appearance”, and “get a fit body appearance”. These were followed by FC-based supportive exercise conditions, positive feelings, and exercise addiction. There were five consensus statements that spanned all four factors. The numbers of distinguishing statements varied across factors, with F1, F3, and F4 each contributing 11 (28.2%) and F2 contributing 15 (38.5%). This study contributed to the four central drivers of EMM. To facilitate the development of a comprehensive EMM scale, future research should incorporate larger samples, allowing for a dissection of motivational paradigms.   Doi: 10.28991/HEF-2023-04-03-07 Full Text: PD

Long‐term care facilities' response to the COVID ‐19 pandemic: An international, cross‐sectional survey

Aims To (i) assess the adherence of long‐term care (LTC) facilities to the COVID‐19 prevention and control recommendations, (ii) identify predictors of this adherence and (iii) examine the association between the adherence level and the impact of the pandemic on selected unfavourable conditions. Design Cross‐sectional survey. Methods Managers (n = 212) and staff (n = 2143) of LTC facilities (n = 223) in 13 countries/regions (Brazil, Egypt, England, Hong Kong, Indonesia, Japan, Norway, Portugal, Saudi Arabia, South Korea, Spain, Thailand and Turkey) evaluated the adherence of LTC facilities to COVID‐19 prevention and control recommendations and the impact of the pandemic on unfavourable conditions related to staff, residents and residents' families. The characteristics of participants and LTC facilities were also gathered. Data were collected from April to October 2021. The study was reported following the STROBE guidelines. Results The adherence was significantly higher among facilities with more pre‐pandemic in‐service education on infection control and easier access to information early in the pandemic. Residents' feelings of loneliness and feeling down were the most affected conditions by the pandemic. More psychological support to residents was associated with fewer residents' aggressive behaviours, and more psychological support to staff was associated with less work–life imbalance. Conclusions Pre‐pandemic preparedness significantly shaped LTC facilities' response to the pandemic. Adequate psychological support to residents and staff might help mitigate the negative impacts of infection outbreaks. Impact This is the first study to comprehensively examine the adherence of LTC facilities to COVID‐19 prevention and control recommendations. The results demonstrated that the adherence level was significantly related to pre‐pandemic preparedness and that adequate psychological support to staff and residents was significantly associated with less negative impacts of the pandemic on LTC facilities' staff and residents. The results would help LTC facilities prepare for and respond to future infection outbreaks. Patient or public contribution No Patient or Public Contribution

The Development of a Rapid Health Impact Assessment Model for Songkhla Special Economic Zone (SEZ) Policy in Southern Thailand

Background: Rapid Health Impact Assessment (Rapid HIA) for Special Economic Zone (SEZ) has not been undertaken in Thailand. We aimed to develop a Rapid HIA model for policymaking by using Songkhla SEZ as a study model. Methods: Four-stage of the research and development based on HIA process were used: 1) drafting the model using literature reviews and focus group discussions, 2) collecting additional information from 24 stakeholders, and conducting an in-depth interview with six informants, 3) verifying the model by drawing agreements on the model from 17 related agencies and experts, and 4) confirming the validity of the final model using seven experts. The study were conducted from Jan 2018 to Feb 2019. Content analysis and constant comparison were used to analyze the data. Results: A four-step assessment model was obtained. They included public screening, scoping, assessing, and reviewing and influencing. Public screening is deduced from a meeting with organizations and related personnel. Public scoping is an outcome of literature reviewing and meeting with stakeholders and academics. The assessment step focuses on secondary data from related agencies and a participatory workshop with stakeholders and academics. Finally, a meeting with stakeholders and academics, including internet broadcasting, is the reviewing and influencing process. Conclusion: This Rapid HIA model was specifically developed for SEZ policy. Reviewing and influencing steps were combined, whereas the monitoring and evaluation step was removed for further operations. This model depends on the official appointment of the steering committee HIA practitioners should be experienced academics from higher educational institutions

Correlates of Physical Activity in Asian Adolescents: A Literature Review

Background: Physical activity is important to prevent several chronic diseases in adulthood. Nowadays, young people do not regularly perform physical activity. Several factors may influence their decision. Most of studies were conducted in western countries. However the findings might not be generalized regarding the differences in culture and social condition. Therefore, reviewing the correlates of physical activity among adolescents in Asian countries is essential. Purpose: To update the state of knowledge on factors associated with adolescents’ physical activity in Asian countries. Methods: Literature review on existing articles retrieved from electronic databases was conducted. The review on factors of physical activity was set based on the setting of study, adolescents as participants of the study and the year of publication ranged from 2002-2011. Result: The findings compiled the evidence of relationships between physical activity and several influencing factors. Intrapersonal factors age, gender, socioeconomic status, parental education, and perceptions related to physical activity- perceived self efficacy, perceived benefits, and perceived barriers), interpersonal factors (family and peer influences) and extra-personal factors (school policy and living arrangement) were identified. Self efficacy was manifested as the strongest influencing factor in most studies. This review highlighted the cultural issues on physical activities of adolescents in Asian countries. Conclusion: This paper provided comprehensive knowledge related to factors influencing physical activity in Asian adolescents. The issue of cultural sensitivity should be considered in the future intervention program designed to improve physical activity of adolescents. Keyword: adolescent, physical activity, health Promotion, Asian countrie

Development of a Community-Based Spiritual Life Review Program for Promoting Resilience of Elders Residing in Disaster-Prone Areas

Background: Nowadays disasters are a common occurrence in the world. The elderly are in a vulnerable condition in terms of disasters and need help to recover from the hardship caused if they are caught in such a disaster. Two significant contributors to elderly people having sufficient resilience to be able to deal with such disasters are spiritual support and social support. Purpose: To develop a program specifically for Muslim elderly in Indonesia for promoting resilience. Method: The processes of developing the program were conducted in 2011, and included a critical review of the literature, constructing the elements of the actual program, validating the contents of the program by three experts, revising the program according to the experts‟ suggestions, and finally pilot-tested the final version of the program on a group 12 elders in Banda Aceh, Indonesia. Result: The program protocol established in this program includes five stages: (1) reviewing individual spiritual life experiences using memorable photos; (2) appreciating feelings among group members (3) re-evaluating the participant‟s life by looking to the group‟s album, (4) reconstructing the participants‟ life, and (5) affirming the six spiritual dimensions of the Islamic religion by the religious leader. Keywords: Community-based, spiritual, life review, resilience, elderly, adversity

Development of the Thai Elderly Resilience Scale: TERS

This study aimed to develop and evaluate the psychometric properties of the Thai Elderly Resilience Scale (TERS). Its conceptual structure consists of three identified domains, I AM, I HAVE, and I CAN, within the 18 components that were initially used for developing the item pool. The first draft of the scale consisted of 50 items. A psychometric evaluation of content validity reliability and construct validity was conducted. The results yielded the current version of the TERS based on Exploratory Factor Analysis (EFA) consisting of 24 items categorized into 5 factors: 1) being able to join other people, 2) being confident in life 3) have social support 4) living with spiritual security and 5) being able to de-stress and manage problems. The scale had a high internal consistency (α=.94). A strong positive correlation between resilience and mental health scores were found (r=.84, p<.01, n=30). The newly developed TERS would be a useful tool to assess resilience in Thai elderly and can be applied to develop further studies regarding elderly Thai people