Papers by Trakulwong Luecha
Community Nurse practitioner in Thailand and Quality of care Nurse practitioner care Service as perceived by clients in Eastern Region
Thailand's health care system. Thailand's health care system is designed for three levels... more Thailand's health care system. Thailand's health care system is designed for three levels; primary, secondary and tertiary care. Primary care plays an increasingly important role in Thailand. With the initiation of health care reform and a universal health care coverage system implemented in 2002, the need for nurse practitioners (NPs) to work at primary care units was evidenced. The Institute of Research and Community Health Development has set the policy to create three levels of primary care. The first level is the community medical center, which is responsible for 15,000-20,000 people. Health care personnel at this level are composed of one physician, one dentist, one pharmacist, 3 nurses and 6 other health care personnel. The second level is the community health center which is responsible for 5,000-10,000 people. The third level is the health post/district that is responsible for less than 5,000 people. (Hanucharurnkul, 2007) This is consistent with the philosophy of e...
The theory of planned behavior used to explain alcohol drinking among young adolescents in Thailand: a qualitative study
Journal of Substance Use
From abstainer to current drinker: a qualitative investigation of the process of alcohol use initiation among early adolescents in Thailand
Journal of Ethnicity in Substance Abuse, 2021
BACKGROUND Recent evidence shows that young people started their first alcohol initiation when th... more BACKGROUND Recent evidence shows that young people started their first alcohol initiation when they were early adolescents (10-14 years of age), while there is still very little scientific understanding concerning the process of alcohol use of this age group. This study examined how adolescents in Thailand emerge to become drinkers. Method: The semi-structured interview with 10-14-year-olds (n = 61) in Chonburi, province of Thailand. Data were collected, and analysis followed the method of content analysis. Results: Our analyzes revealed three steps of alcohol initiation among early adolescents: (a) the pre-stage; (b) the initiation; and (c) the self-adjustment stage. Parent, peer, and the taste of alcohol were noteworthy as the factors that promote young people to accept alcohol sipping and consumption as part of their life. Nevertheless, law, social norms, culture, parents, and health consequences discouraged young people from emerging alcohol initiation. Conclusion: The preliminary evidence from this study recommends the interventions that address both individual-level and interpersonal circumstances as potentially being effective solutions to the provision of precautionary measures against underage alcohol use.
Journal of Substance Use, 2020
Background: Determining the alcohol drinking behavior of early adolescents will provide important... more Background: Determining the alcohol drinking behavior of early adolescents will provide important information for developing interventions to protect against and delay the start of alcohol use in Thailand. However, this topic has not yet been fully addressed. Objective: This qualitative study is designed to ascertain the alcohol drinking protocol of adolescents in Thailand using the theory of planned behaviour as the theoretical framework. Methods: To obtain opinions on alcohol drinking behaviour, attitudes, subjective norms, and perceived behavioural control, the face-to-face interview technique is applied to 40-50 early adolescents aged between 10 and 14 years. Results: The findings of this qualitative study will provide greater insight into alcohol drinking behaviour among early adolescents to address the need for an effective intervention programme. Conclusions: The results of this study can be used to develop strategies for reducing the prevalence of alcohol drinking or delay its onset in Thailand.
Thalassemia control and prevention process from school to community
Quality of nurse practitioner care services as perceived by clients in the eastern region
The purpose of this research was to explore the quality of nurse practitioner care services as pe... more The purpose of this research was to explore the quality of nurse practitioner care services as perceived by clients in the eastern region. The 400 samples, who was received care services from nurse practitioner at the primary care center, were derived by multistage random sampling. The data was collected using interviews questionnaire including two parts: personal characteristics and three categories of quality of service in structure, process, and output. The questionnaire internal consistency coefficient was high with the Cronbach’ alpha of three domain of . 90, .95 and .93, respectively. Data was analyzed using frequency, mean, standard deviation, Mann-Whitney U test, Spearman’s Rank Correlation Coefficient, and Kruskal-Wallis test. The results showed that clients’ perception of quality of nurse practitioner care services overall level was at the high level (M = 4.42, SD = 0.50). The quality of service for the structure, process, and output average score were also at the high lev...
The Process of Creating the Skills for the Prevention of Communicable Disease in School-age Children in the community
This Participatory action research aims to study and develop “The Process of Creating the Skills ... more This Participatory action research aims to study and develop “The Process of Creating the Skills for the Prevention of Communicable Disease in School-age Children in the community” The participants consisted of sixty-seven students, class two, lower secondary school, from two schools from communities in Chonburi and Rayong provinces that used multistage random sampling method. The process was developed by public hearings in a community focus Group, and involved in –depth public interviews and brainstorms concerning planning for the process of creating the skills for the prevention of communicable disease in school-age children in the community. In order to verify the accuracy of the data the triangulation method was used and reflects that data back to related the people concerned. The Content analysis was carried out. The results are as follow… 1. The situation of student sexual behavior in the community. Sexual behavior with reference to AIDS, pregnancy and general popular concerns...
International Journal of Adolescence and Youth, 2018
This cross-sectional study identified and described the prevalence of alcohol consumption among e... more This cross-sectional study identified and described the prevalence of alcohol consumption among early adolescents (10-14 years). The participants were 9,509 early adolescents from Chonburi province, Thailand. Of all the adolescents, 31.01% had experience with alcohol drinking, while the current drinkers were 10.94%. Girls were more likely to drink and the amount of current drinkers increased with age (p < 0.001). Adolescents living with divorced family, single parents and neither close to both of their parents were more likely to drink in the past year (p < 0.001). The starting age for drinking was 11.31 years ± 1.82; boys were younger (10.97 years) than girls (11.55 years). Alcohol consumption tends to be quite high in Thai's early adolescents, especially girls. This study can inform parents, health care providers, school directors, and local administrative organizations, for addressing alcohol prevention activities, increasing efforts to delay and to reduce early alcohol use.
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Papers by Trakulwong Luecha