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A Training Program Using an Agility Ladder for Community-Dwelling Older Adults
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Self-Efficacy-Based Leader Development Program to Address Loneliness in Older Adults
Thanida Nilamphachat1, Farkjit Rattanapanyakorn1, Wachira Suriyawong2
1Faculty of Nursing, Suan Dusit University, Bangkok.
Journal of Gerontological Nursing
|March 25, 2026
Summary
A 7-week leader development program significantly improved Thai health volunteers' knowledge and self-efficacy in alleviating loneliness among older adults. This training strengthens community interventions for better psychosocial well-being.
Area of Science:
- Gerontology
- Public Health
- Community Psychology
Background:
- Loneliness is a significant issue impacting older adults' psychosocial well-being.
- Health volunteers play a crucial role in community-based support systems.
- Existing interventions may require enhancement to effectively address loneliness.
Purpose of the Study:
- To co-design and evaluate an intervention targeting knowledge, self-efficacy, group facilitation skills, and core competencies.
- To assess the intervention's effectiveness in alleviating loneliness among Thai older adults.
- To strengthen the capacity of health volunteers in community-based elder care.
Main Methods:
- A quasi-experimental design with pre-/posttest measures was employed.
- Sixty-one health volunteers were assigned to an educational session or a 7-week self-efficacy-based leader development program.
- Validated scales measured loneliness knowledge, self-efficacy, facilitation skills, and core competencies.
Main Results:
- The experimental group showed significantly greater improvements in knowledge and perceived self-efficacy (p < .05).
- Participants in the experimental group achieved ≥75% proficiency in loneliness alleviation skills during community practice.
- The intervention demonstrated effectiveness in enhancing key competencies for addressing loneliness.
Conclusions:
- The self-efficacy-based leader development program effectively enhanced health volunteers' capabilities in addressing loneliness.
- Competency-based training can bolster community interventions led by health volunteers.
- This approach contributes to improved psychosocial well-being for older adults.
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