Accepted for/Published in: Asian/Pacific Island Nursing Journal
Date Submitted: Jan 23, 2025
Date Accepted: Jul 19, 2025
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
The Effectiveness of a Participatory and Culturally Tailored Learning Program in Coronavirus Prevention for Muslim Older Adults with Comorbidities of Hypertension and Diabetes in Thailand
ABSTRACT
Background:
Background:
Respiratory infections have increased globally over time, with the elderly being the most susceptible demographic. Programs based on cultures and experiences strongly correspond with useful, real-world applications.
Objective:
This study aimed to evaluate the effectiveness of a participatory and culturally based learning program to prevent coronavirus and healthcare among vulnerable Muslim elderly with chronic diseases of hypertension and diabetes in Thailand.
Methods:
The quasi-experimental study used a two-group pretest-posttest design with participants aged 60–80 with hypertension and diabetes. The sample included 35 in the experimental group and 32 in the comparison group. A 6-week interactive learning program on coronavirus prevention and healthcare was created based on Muslim culture and Kolb's approach. The intervention included routine customary treatment for diabetes and hypertension management and coronavirus prophylaxis. The comparison group received only the standard usual care. Data were collected via a questionnaire covering general information, awareness, knowledge, and preventive behaviors related to coronavirus prevention and healthcare. The content validity indices of sections II, III, and IV were 0.98, 0.99, and 0.96, respectively. The Cronbach's alpha coefficients of awareness and behaviors were 0.89 and 0.86, respectively, while the KR-20 for knowledge was 0.86. Data analysis was conducted using the t-test, Mann-Whitney U-test, and Wilcoxon Signed Rank test.
Results:
The results indicated that, after participating in the program, the awareness, knowledge, and preventive behaviors related to coronavirus and healthcare among older adults in the experimental group significantly improved compared to their pre-program levels and to those in the comparative group, with a p-value < .01.
Conclusions:
The program effectively improved coronavirus prevention and healthcare among Muslim older adults. It could be broadly applied in similar contexts and to other severe respiratory diseases. Clinical Trial: Thai Clinical Trials Registry (TCTR20250112007)
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