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Effect of a Preparedness Program on Readiness of Village Health Volunteers for Dementia Screening and Risk Reduction
Atthaphon Chokdee1, Wannarat Lawang1, Chanandchidadussadee Toonsiri1
1Faculty of Nursing, Burapha University, Chonburi, Thailand.
Purpose:
The readiness of village health volunteers (VHVs) is vital for executing effective community-based dementia screening and risk reduction. Consequently, this study evaluated a preparedness program designed to enhance VHVs' readiness for dementia screening and risk reduction.
Design:
This study used a quasi-experimental, pretest-posttest design with non-equivalent groups, guided by the Innovative Care for Chronic Conditions (ICCC) framework.
Methods:
A multistage random sampling approach was used to recruit 96 VHVs from diverse lowland and highland communities in northern Thailand, where geographic diversity affects the delivery of community health services. Participants were assigned to either an experimental group (n = 48) or a control group (n = 48). The experimental group participated in a structured preparedness program focused on dementia screening and risk reduction. Data collected via a validated self-perceived readiness questionnaire (reliability = .81) were analyzed using descriptive statistics and independent t-tests.
Findings:
The experimental group showed significantly higher mean difference readiness scores than the control group (t = 17.24, p < .001). The study found significant gains across six dimensions: target registration, joint planning, screening and classification, recording and referral, proactive risk-reduction, and monitoring and reporting (p < .001 for all).
Conclusion:
The findings confirm that the program effectively improved the readiness of VHVs for dementia screening and risk reduction. It provides a practical model for nurses and public health personnel to strengthen community-based dementia care.
Clinical Relevance:
The program enhances essential VHV competencies for dementia screening and risk-reduction. It provides frontline nurses with a practical tool to support accurate screening, timely referral, and continuous follow-up in community-based care.
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