Thailand Journal of Health Promotion and Environmental Health

Health Promotion Program for Enhancing Muscle Mass among the Elderly at the Health Promotion Hospital, Regional Health Promotion Center 3, Nakhon Sawan

Noppawan Srichomphu, Manop Srichomphu, Jitnipa Khumphet — Thu, 25 Dec 2025 00:00:00 +0700

This action research aimed to develop and evaluate a health promotion program designed to increase muscle mass among older adults. The study involved 60 older adults, aged 60-69, categorized with pre-sarcopenia at the Health Promoting Hospital, Regional Health Promotion Center 3 Nakhon Sawan. The research followed a four-stage action research process from March to June 2024: initial health assessment and literature review; program design informed by Pender’s Health Promotion Model, incorporating educational camps, practical exercises, daily behavior tracking, social support, and knowledge sharing; a 14-week implementation phase; and outcome evaluation. Data collected using a body composition analyzer, handgrip dynamometer, and a validated health behavior questionnaire were analyzed with descriptive statistics and dependent t-tests. Results indicated a statistically significant improvement in health behaviors promoting muscle mass and a significant increase in muscle mass. The program proved effective and feasible, suggesting its suitability for broader implementation to address low muscle mass in similar populations.

The Factor Relation of Candidates for Participation in The Global Standards for Health Promoting School (GSHPS) Process of Schools under The Bangkok Primary Educational Service Area Office.

Thitima Wonthong, Thissanamadee Phetkarn, Chalanda Chuangsuvanich, Warinya Pirom — Thu, 25 Dec 2025 00:00:00 +0700

This survey research aimed to study the factor relation of candidates for participation in The Global Standards for Health Promoting School (GSHPS) Process of Schools under The Bangkok Primary Educational Service Area Office. Purposive selection was used. The population was 111 teachers consisted of directors, deputy directors, and teacher who responsible for the Global Standards for Health Promoting School (GSHPS) from 37 schools under the Bangkok Primary Educational Service Area Office. Data were collected by using structured questionnaires and analyzed using descriptive statistics. The research findings revealed that management aspect had the highest mean value, next is practitioner aspect and network partner aspect (mean 4.141, 3.860 and 3.656 respectively). When considering each issue, the school has announced a written school health vision policy and the administrators provide support and facilitate in all aspects that are beneficial to the promotion of health and hygiene work in schools. Most of them had the highest level of opinion, 72.1%. The second is administrators support school personnel to develop their potential in health operations at 71.2 %. Therefore, the policies of school administrators are important for the operation of The Global Standards for Health Promoting School (GSHPS). If the executives provide support in terms of personnel, budget and resources. It will help drive the work of The Global Standards for Health Promoting School (GSHPS) more efficiently. It results in positive health outcomes for students, school personnel and stakeholders. The suggestions from this research are Department of Health should promote the promotion of student health in educational institutions by driving the promotion of health-promoting schools at international standards as a national policy that all educational institutions must implement and next study should be conducted on the factors affecting the administration of health-promoting schools at international standards.

The Efficacy of Ginger Alone Versus Ginger Combined with Acupressure for Treating Nausea and Vomiting in first trimester of pregnancy

Keerachai Chaimeesrisuk — Thu, 25 Dec 2025 00:00:00 +0700

This study aimed to compare the effectiveness of ginger alone and ginger combined with acupressure in treating nausea and vomiting in first trimester pregnant women. This was a randomized controlled trial conducted at Metropolitan Health and Wellness Institute. The study participants were 64 pregnant women in the first trimester with mild to moderate nausea and vomiting. They were randomly divided into 2 groups: 32 women who received 400 mg of ginger alone, 3 times daily, and 32 women who received 400 mg of ginger, 3 times daily, combined with acupressure at the P6 area, 3 times daily for 10 minutes each for 3 days. The outcome was assessed using the PUQE scores for nausea and vomiting severity before and after taking ginger alone or ginger combined with acupressure daily for 3 days. PUQE scores were compared using a mixed-effects model for repeated measures. The study results found that baseline characteristics and pregnancy characteristics between the two groups showed no statistically significant differences (P>0.05). Both groups had a statistically significant decrease in PUQE scores in both groups after the experiment (P<0.001). The group that received ginger along with acupressure had a decrease of 4.47 points (from 9.22±1.38 to 4.75±0.88 points), which was significantly more effective than the group that received ginger alone, which decreased 3.78 points (from 9.19±1.51 to 5.41±0.84 points) (P=0.040). However, 5 cases of gastric irritation were found as a side effect.

Development of a Health Literacy Promotion Service Model for Colorectal Cancer Prevention in At-Risk Groups in the Surgical Outpatient Department, Sam Phran Hospital, Nakhon Pathom Province

Vajirapol Montrivade — Thu, 25 Dec 2025 00:00:00 +0700

This study is an action research project aimed at developing a service model to enhance health literacy for the prevention of colorectal cancer among at-risk groups. The implementation was divided into three phases. Phase 1 involved studying the current situation and identifying problems from both at-risk service recipients and healthcare personnel to determine their needs representing the planning stage. Phase 2 focused on developing a service model based on the principles of health literacy promotion. Phase 3 consisted of implementing the developed model with at-risk individuals, following the steps of action, observation, and reflection. Quantitative data were analyzed using descriptive statistics and the Paired Sample t-test to compare mean scores, while qualitative data were analyzed using content analysis. The research findings revealed that Phase 1 showed existing service models were inadequate, lacking coverage and health literacy components for disease prevention. Phase 2 developed a new service model consisting of three main steps: (1) situation study and problem analysis (2) service model development and (3) health behavior enhancement for colorectal cancer prevention. The newly developed model comprised four steps: 1. General health assessment 2. History taking and screening of self-care behaviors for colorectal cancer prevention and health literacy assessment 3. Consultation with a surgeon involving (a) assessment of colorectal cancer risk (b) providing preventive self-care information using easy-to-understand media and (c) teaching access to reliable information sources while encouraging questions through health literacy promoting techniques such as repetition, creating a safe atmosphere for asking questions, and using visual aids 4. Appointment scheduling, incorporating health literacy–promotion strategies including repetition, use of three key questions, organizing educational and skill-building activities, positive communication, using comprehension-enhancing media, and encouraging participation in self-care among at-risk group In Phase 3 after implementation, participants showed significantly higher mean scores of health literacy and self-care behaviors for colorectal cancer prevention compared to pre-intervention (p < 0.001). Recommendations: Sam Phran Hospital and other healthcare units with similar contexts should organize activities that promote preventive behaviors against colorectal cancer among at-risk service users, emphasizing health literacy development processes to enhance their capacity and effectiveness in self-care for colorectal cancer prevention.

Effects of participating in the Long Life Thai Fit (LLTF) physical exercise program on office syndrome among employees of a company in Bangkok

Gandanu Saket, Phataraporn Aimyanyao , Rujitra Thanyacharoen — Thu, 25 Dec 2025 00:00:00 +0700

This quasi-experimental research aimed to evaluate the effects of the Long Life Thai Fit (LLTF) physical exercise program on office syndrome symptoms (neck, shoulder, and back pain) before and after participating in the program. A single sample group was used to measure the results before and after the experiment. The sample consisted of 40 employees of a company in Bangkok, aged 30-49 years, with office syndrome symptoms. The selection method was purposive sampling. The research instrument was the LLTF physical exercise program, which lasted for 8 weeks. The results were measured by a physical fitness test on flexibility and a Numeric Rating Scale (NRS) for neck, shoulder, and back pain. Results: After participating in the LLTF program, the neck, shoulder, and back pain scores on the NRS scale were significantly reduced (p < 0.05) from a moderate pain level before the experiment to mild to moderate pain after the program. The reduction in NRS scores indicated a palpable pain relief, which may significantly improve the employees' quality of life and work performance. In addition, the results of the flexibility test of the sample group improved significantly (p < 0.05) in all tests, including the back-reaching test and the forward-bending test. This demonstrates the effectiveness of the LLTF program in not only reducing pain but also improving flexibility. Conclusion: The LLTF exercise program was effective in reducing office syndrome symptoms and also improved physical fitness in terms of flexibility in office workers who work in the same posture repeatedly. Future research should consider an experimental design with a control group and long-term follow-up to confirm the causal relationship and evaluate the sustainability of the program.

Development of the SAN Plus Food Sanitation Standards for Food Vendors For food vendors with multiple branches

Suchart Sukcharoen, Ekkachai Chaidet, Araya Wongpom — Thu, 25 Dec 2025 00:00:00 +0700

This research is an action research to develop a management model for food vender with chain restaurant to raise the standard of food sanitation to SAN Plus. The objectives are (1) to study the management situation food vender with chain restaurant according to the SAN Plus standard criteria; (2) to create a development model for food outlets with multiple branches in order to develop to the SAN Plus standard; and (3) to study the effectiveness of the development model for food vender with Chain restaurant in order to be certified to the SAN Plus standard. A specific sample group was selected, namely, a food outlet with 30 branches. Data were collected using the SAN Plus Food Outlet Standards Inspection Form, satisfaction questionnaires for staff and consumers provide services executive Interview and organize group discussion activities by using the POLC theory according to the 4-issue framework in analyzing the situation and finding guidelines for creating a development model for food outlets with multiple branches to raise them to the SAN Plus standard and take the obtained model to test with a sample group, including evaluating the effectiveness after using the model by analyzing the data using descriptive statistics, inferential statistics and content analysis. The research period is May - August 2024. The study results found that after using the multi-branch food establishment development model to upgrade to the SAN Plus standard, the developed model was effective, resulting in a 93.3 percent increase in food establishments passing the SAN Plus standard and has an effect on the satisfaction of the staff and food service users at a significantly higher level at the statistical level of In conclusion, the development model for food service establishments with multiple branches to reach SAN Plus standards has four components: (1) setting success goals by planning development and action plans leading to the goals, prioritizing activities before and after; (2) Establishing policies or internal management rules (SOPs) within the organization, defining roles and responsibilities, and allocating resources that facilitate work to the same standards. (3) Developing the potential of all levels of staff to have knowledge of SAN Plus standards and create progress according to their roles. (4) Controlling and following up on the operational plan (SOP) and reporting the results in order. Summarizing the results and making suggestions to the management for continuous development.

Oral Microbiome and Oral biofilm: Current concepts and caries associated bacteria

Thu, 25 Dec 2025 00:00:00 +0700

Maintaining a diverse and interdependent microbial ecosystem in the oral cavity is crucial for preventing dental caries. When the oral ecosystem is disrupted by external factors, it leads to a state of microbial imbalance (dysbiosis), causing a shift in the oral microbial community towards disease. Advancements in modern technology have revealed that dental caries is not caused by a single bacterium, but rather by a complex interplay of multiple microbial species and contributing factors. This has led to a paradigm shift, reclassifying dental caries from an infectious disease to a non-communicable chronic disease. Consequently, dental caries prevention now focuses on restoring the imbalanced oral ecosystem back to its original state of equilibrium through various methods. In this brief review, we discussed our previous research on the association between novel bacteria and their potential roles and early childhood caries including anticipatory guidance and appropriate treatment.