What Influences Thai Community-Dwelling Older Adults to Undertake Health Protective Behaviors in the Time of COVID-19 Pandemic?  A Structural Equation Modeling Analysis

Onouma Thummapol; Pannawit Sanitnarathorn; Sichon Thongma; Werayuth Srithumsuk; Donlaporn Tunthanongsakkul

doi:10.14456/nujst.2022.18

Authors

Onouma Thummapol Faculty of Nursing Science, Assumption University, Bangkapi, Bangkok, Thailand
Pannawit Sanitnarathorn Faculty of Music, Assumption University, Bangsaothong, Samuthprakarn, Thailand
Sichon Thongma Faculty of Nursing Science and Allied Health, Phetchaburi Rajabhat University, Phetchaburi, Thailand
Werayuth Srithumsuk Faculty of Nursing Science and Allied Health, Phetchaburi Rajabhat University, Phetchaburi, Thailand
Donlaporn Tunthanongsakkul Seagate Technology Company Limited, Samuthprakarn, Thailand

DOI:

https://doi.org/10.14456/nujst.2022.18

Keywords:

Community, Covid-19 pandemic, health protective behaviors, health promoting behaviors, older adults, theory of planned behavior

Abstract

The changes and issues associated with aging in addition to the government’s response to the Covid-19 crisis pose a significant challenge for older people’s compliance with and adherence to the recommended preventive measures. This study examines a proposed extended Theory of Planned Behavior (TPB) model with factors affecting community-dwelling Thai older adults’ intent to undertake health protective behaviors. Ajzen’s (1985) Theory of Planned Behavior (TPB) was applied and extended to account for government trust, as a proposed additional factor. Using a structural equation modeling analysis, the research data were collected from a sample of 360 Thai older adults aged 60 years old and over living in the community in Thailand. Partial Least Square (SmartPLS) software was used to analyze Structural Equation Model (SEM). The results of this study indicate that subjective norms was the highest influencing factors (TE=0.263), followed by attitude (TE=0.257) and perceived behavioral control (TE=0.239), towards the intention that led to the health protective behaviors of the Thai older adults living in the community amid the outbreak of COVID-19. However, contrary to expectation, the government trust (TE=0.060) was not significantly related to intention to perform health protective behaviors. The findings from this study provide timely evidence needed for policy makers, healthcare professionals, and community to develop preventive measures and strategies to better target complex interventions that are responsive to the needs of local circumstances amid and beyond the crisis. This may include community-based programs or interventions that target both family members and older adults, ensuring equal opportunities and respecting older people’s rights.

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