The Health-Driven Safety and Security for Older Adults with Partial Activity of Daily Living (ADL-2) who Live Independently

This research and development study
aimed to examine health safety and security situations, establish an advancement
model, and evaluate the outcomes associated with health-driven safety and security for partial
activities of daily living (ADL-2) in older adults who live independently. Participants included 377 older adults in the
two settings using cluster random sampling and 15 experts who worked in various
community settings in Lampang Province, Thailand, between April to August 2023.
The developed model included the Older Adult Safety and Security Questionnaires
(OA-SQs) and the framework of health-driven safety and security. It was evaluated in the pre-post longitudinal
study and, qualitative focus group discussions to gather feedback on the
developed model.

The developed model consisted of 1) analyzing the situation
context, 2) developing a model and framework, 3) utilizing a developed model,
and 4) evaluating model effectiveness. Before and after using the model for
sixth months, the average overall health safety and security of the
participants after the experiment was higher than before was statistically
significant at the level of .05 and 95% confidence intervals. Knowledge of
living security was at an average level. Older adults desire to continually
develop self-care knowledge to be independent and maintain their current health
conditions. Healthcare providers, along
with government agencies, local communities, and private organizations,
prioritize health and safety measures for older adults living independently to
improve their quality of life