Development of Village Health Volunteers for Taking Care of the Elderly with Hypertension Using the 3As Model

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Somrudee Arunjit
Ratthayanaphit Ratchatawan
Wanlapa Dissara


Caring for older adults with hypertension is very important to prevent possible complications. Care givers and village health volunteers (VHVs) are people who take care of older adults but these home visits are unable to sufficiently cover all dimensions. It is on the basis of this reason that this research project aims at comparing the effectiveness of development of VHVs for taking care of the older adults with hypertension by 3As Model before and after and comparing blood pressure level of older adults before and after receiving care. Participants of the study include 20 elderly people and 20 VHVs. Three types of research instruments were used namely: a questionnaire on personal data, a test on the effectiveness of development of VHVs for taking care of the older adults with hypertension by 3As model, and a follow-up form to the effectiveness of development of VHVs. The data were analyzed using descriptive statistics: percentage, median, interquartile and non-parametric inferential statistic, Wilcoxon-Signed-Rank Test. It was found that the development of VHVs for taking care of the elderly with hypertension by 3As Model, was more effective and had higher ability to do home visits than before using 3As Model. This results in lower blood pressure level of the elderly after receiving care at .05 of statistical significance.



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Arunjit ส., Ratchatawan ร. ., & Dissara ว. (2021). Development of Village Health Volunteers for Taking Care of the Elderly with Hypertension Using the 3As Model. JOURNAL OF SOUTHERN TECHNOLOGY, 14(2), 39–48. Retrieved from
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Aekplakorn, W. (2014). Report of the Thai Public Health Survey from Physical Examination (5th ed.). Bangkok: Aksorn Graphic and Design. [in Thai]

Anunta, P., & Tonganake, J. (2013). The effectiveness of home visit and training program in village health volunteers in Khwao, Selaphum, Roi Et. 2012. Department of Public Health Selaphum, Roi-Et, 20(1), 1-8. [in Thai]

Arunsangsod, K., Maneesriwongul, W., & Panpakdee, O. (2014). Effects of brief motivational interviewing on knowledge, motivation and medication adherence among patients with hypertension. Journal of Public Health Nursing, 28(3), 129-144. [in Thai]

Department of Older Persons. (2019). Elderly Statistics, 28 February 2019, Divided by Sub-district. Retrieved October 3, 2019, from 1/238 [in Thai]

Jewjinda, C. (2018). The development model village health volunteers (VHV) with Participation. Journal of Administrative and Management, 6(2), 1-9. [in Thai]

Jukchai, P., Khuneepong, A., & Changkaew, W. (2017). Factors affecting the performance of village health volunteers (VHVs) of family care teams, Pathum Thani Province. Journal of Public Health Nursing, 31(1), 16-28. [in Thai]

Kannasoot, P. (1999). Statistics for Behavioral Science Research. Bangkok: Chulalongkorn University. [in Thai]

Nation Health Security Office. (2014). Handbook of Nation Health Fund Management, Fiscal Year 2015. Nonthaburi: Sahamit Printing and Publishing. [in Thai]

Phinyo, P., Phinyo, K., Janhauna, S., Apiphatkan, W., Sayawat, T., & Akkarsetsakull, A. (2017). The effectiveness of self-efficacy enhancement program on knowledge, attitudes and behaviors of the village health volunteers providing the long term care for the elders, Khon Kaen province. Songklanagarind Journal of Nursing, 37(3), 109-120. [in Thai]

Prochaska, J.O., & DiClemente, C.C. (1983). Stages and processes of self-change of smoking: Toward an integrative model of change. Journal of Counseling and Clinical Psychology, 51, 390-395.

Ratchatawan, R., Thanomchayathawatch, B., Tongmangtunyatap, K., & Wonglamthong, S. (2019). A care model for older adults with chronic disease among village health volunteers. The Southern College Network Journal of Nursing and Pubic Health, 6(3), 107-120. [in Thai]

Ratsameejam, P., Akarathanapon, P., & Durongritthichai, V. (2013). Factors predicting prehypertension and nonessential hypertension in Thai Adult at Naklier Community, Pra Samut Jadee, Samut Prakarn Province. Journal of Public Health Nursing, 27(1), 102-114. [in Thai]

Samranbua, A., & Thamchareontakul, B. (2017). Optional healthy lifestyle for high blood pressure reduction. The Journal of Baromarajonani College of Nursing Nakhonratchasima, 23(2), 121-132. [in Thai]

Thipsungwan, K., Sribenchamas, N., & Lamluk, P. (2018). Effects of the development competency program of volunteer for taking care of the elderly in community. Humanities and Social Sciences Journal of Graduate School, Pibulsongkram Rajabhat University, 12(1), 275-291. [in Thai]

Weinstein, N.D., Rothman, A.J., & Sutton, S.R. (1998). Stage theories of health behavior: conceptual and methodological issues. Health Psychology, 17, 290-299.