The Effect of the Resilience Quotient Program with Social Support among the Elderly with Chronic Non-Communicable Diseases

Authors

  • Thitchaya Piyaphattanuschai Mental Health and Psychiatric Nursing Group, School of Nursing, Rangsit University, Pathum Thani 12000, Thailand
  • Sunisa Chuaktong Mental Health and Psychiatric Nursing Group, School of Nursing, Rangsit University, Pathum Thani 12000, Thailand

DOI:

https://doi.org/10.59796/jcst.V15N4.2025.130

Keywords:

Chronic Non-Communicable Disease, elderly, resilience quotient, social support

Abstract

Elderly people naturally experience physiological changes, leading to an increased susceptibility to chronic health conditions. Providing social support and enhancing the resilience quotient level can facilitate adaptation and enable them to maintain a fulfilling lifestyle even in challenging circumstances. This study aimed to investigate the effect of the Resilience Quotient (RQ) program with social support on the RQ level among the elderly with chronic non-communicable diseases.
A quasi-experimental research design with a pretest and post-test approach was employed in this study. The sample consisted of 60 elderly people who resided in Pathum Thani Province, Thailand, randomly divided into 30 each in the experimental and control groups. The experimental group underwent the Resilience Quotient program with social support, which was developed by the researchers, while the control group received standard care. The 30-question resilience variable questionnaire was used to measure the Resilience Quotient level. The data were analyzed using descriptive statistics and t-test statistics. The findings demonstrated a statistically significant increase in the average resilience quotient score of the elderly in the experimental group after participating in the program. This improvement was observed compared to their scores before the program (t = 16.73,
p < .001). Furthermore, the average resilience quotient score of the experimental group was statistically superior to that of the control group, which received standard care (t = 16.21, p < .001). The program facilitates a significantly higher resilience quotient level in the experimental group. The results were limited in generalizability to describe the elderly residing in urban areas due to family structure and social service diversity. To comply with Thailand’s Elderly Care Strategic Plan, community health nurses should consider arranging activities that enhance RQ levels into routine primary care for the elderly with NCDs in the community to promote their health, prevent disease, and manage chronic conditions.

References

Al Asfoor, D., Tabche, C., Al-Zadjali, M., Mataria, A., Saikat, S., & Rawaf, S. (2024). Concept analysis of health system resilience. Health Research Policy and Systems, 22(1), Article 43. https://doi.org/10.1186/s12961-024-01114-w

Babygeetha, A., & Devineni, D. (2024). Social support and adherence to self-care behavior among patients with coronary heart disease and heart failure: A systematic review. Europe's Journal of Psychology, 20(1), Article 63. https://doi.org/10.5964/ejop.12131

Boontong, T., Thosingha, O., Yuttatri, P., Thongcharoen, V., Potaya, S., Chaichan, M., ... & Nabnean, T. (2024). Situations of Non-Communicable Diseases among adults and older adults living in urban community, Bangkok, Thailand. The Journal of Thailand Nursing and Midwifery Council, 39(02), 163-177. https://doi.org/10.60099/jtnmc.v39i02.259284

Bulamba, R. M., Nalugoda, F., Nkale, J., Kigozi, G., Ochieng, A. M., Kyasanku, E., ... & Miller, A. P. (2024). Examining associations between mental health and Chronic Non-Communicable Diseases (C-NCDs) among older adults in Wakiso, Uganda. Plos One, 19(6), Article e0293993. https://doi.org/10.1371/journal.pone.0293993

Chavapattanakul, P., Wongkumsin, T., & Kongkasuwan, R. (2020). The relationship between resilience quotient, social support and spiritual well-being of caregivers of patients with hemiplegia. Siriraj Medical Journal, 72(3), 245-252. https://doi.org/10.33192/Smj.2020.33

Chueakjoho, S., & Udchumpisai, M. (2023). Relationships between knowledge, resilience quotient, and family support with self-management behaviors among older adults with Chronic Kidney Disease undergoing hemodialysis. Journal of Research in Nursing-Midwifery and Health Sciences, 43(1), 133–145.

Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Lawrence Erlbaum Associates.

Foundation of Thai Gerontology Research and Development Institute. (2022). The situation of the Thai older persons 2021. Nakhon Pathom: Institute for Population and Social Research, Mahidol University.

Grotberg, E. (1995). A guide to promoting resilience in children: Strengthening the human spirit. Bernard Van Leer Foundation. Retrieved from https://bibalex.org/baifa/attachment/documents/115519.pdf

House, J. S. (1981). Work stress and social support. Addison-Wesley.

In, J., Kang, H., Kim, J. H., Kim, T. K., Ahn, E. J., Lee, D. K., ... & Park, J. H. (2020). Tips for troublesome sample-size calculation. Korean Journal of Anesthesiology, 73(2), 114-120. https://doi.org/10.4097/kja.19497

Jansook, C., Jansook, N., & Dumkhum, U. (2023). Effects of a resilience enhancement program on the resilience of older persons. BCNNON Health Science Research Journal, 17(3), 1 – 13. Retrieved from https://he01.tci-thaijo.org/index.php/JHR/article/view/264750

Lima, G. S., Figueira, A. L. G., Carvalho, E. C. D., Kusumota, L., & Caldeira, S. (2023). Resilience in older people: a concept analysis. Healthcare, 11(18), Article 2491. https://doi.org/10.3390/healthcare11182491

Maneerat, S., Isaramalai, S.- arun, & Boonyasopun, U. (2011). A conceptual structure of resilience among Thai elderly. The Journal of Behavioral Science, 6(1), 24–40. https://doi.org/10.14456/ijbs.2011.3

Michie, S., Atkins, L., & West, R. (2014). The Behaviour Change Wheel: A Guide to Designing Interventions. Silverback Publishing. Retrieved from www.behaviourchangewheel.com.

Moore, T. L. (2023). The lived experience of resilience in the setting of chronic illness and low-resource communities of African Americans that reside in Tallahatchie County, Mississippi. SAGE Open Nursing, 9, Article 23779608231186758. https://doi.org/10.1177/23779608231186758

Niitsu, K., Houfek, J. F., Barron, C. R., Stoltenberg, S. F., Kupzyk, K. A., & Rice, M. J. (2017). A concept analysis of resilience integrating genetics. Issues in Mental Health Nursing, 38(11), 896-906. https://doi.org/10.1080/01612840.2017.1350225

Ogaz-González, R., Corpeleijn, E., García-Chanes, R. E., Gutierréz-Robledo, L. M., Escamilla-Santiago, R. A., & López-Cervantes, M. (2024). Assessing the relationship between multimorbidity, NCD configurations, frailty phenotypes, and mortality risk in older adults. BMC Geriatrics, 24(1), Article 355. https://doi.org/10.1186/s12877-024-04948-9

Ounlam, T., & Panpoklang, S. (2022). Predictive factors of resilience among elderly with non-communicable disease in Bang Phun 2 of tambon health promoting hospital, Muang Pathum Thani district, Pathum Thani Province. Journal of Health and Nursing Research, 38(2), 111 – 122.

Palmes, M. S., Trajera, S. M., & Ching, G. S. (2021). Relationship of coping strategies and quality of life: parallel and serial mediating role of resilience and social participation among older adults in Western Philippines. International Journal of Environmental Research and Public Health, 18(19), Article 10006. https://doi.org/10.3390/ijerph181910006

Photipim, M., Bonyaphagorn, S., Bunyaphagorn, J., Ketbumroong, V., Norkaew, J., Sungwalee, W., & Chavengkun, W. (2021a). Factors related to the resilience quotient of the older adults living in a community, Nakhon Ratchasima Province. Journal of Vongchavalitkul University, 34(1), 22-33.

Photipim, M., Pholsripradit, P., Bunyaphagorn, S., Bonyaphagorn, J., Ketbumroong, V., Norkaew, J., Sungwalee, W., & Chavengkun, W. (2021b). Effect of resilience-enhancing program on resilience quotient among older adults, Nakhon Ratchasima Province. Journal of Vongchavalitkul University, 34(2), 30 – 43.

Piyaphattanuschai, T., Phibunnithikasem, & Chuaktong, S. (2024a). The nurse’s role in promoting resilience quotient among elderly people with Non-Communicable Diseases. Mahasarakham Hospital Journal, 21(3), 13-21.

Piyaphattanuschai, T., Phibunnithikasem, P., Panpoklang, S., & Chuaktong, S. (2024b). Resilience quotient in nursing students to stress management. Mahasarakham Hospital Journal, 21(2), 27 – 26.

Polit, D. F., & Beck, C. T. (2021). Nursing research: Generating and assessing evidence for nursing practice (11th ed.). Wolters Kluwer.

Qiu, Y., Cong, Z., Wang, X., & Li, S. (2023). Potential factors associated with resilience among older adults in rural China: a multilevel analysis. BMC Geriatrics, 23(1), Article 844. https://doi.org/10.1186/s12877-023-04575-w

Ratanasiripong, P., Ratanasiripong, N., Khamwong, M., Jingmark, S., Thaniwattananon, P., Pisaipan, P., ... & Bunyapakorn, S. (2022). The impact of resiliency on mental health and quality of life among older adults in Thailand. Journal of Health Research, 36(5), 908-918. https://doi.org/10.1108/JHR-02-2021-0099

Ray, S., & Pareek, A. (2023). A systematic review on using virtual assistance‐based education and lifestyle interventions to prevent non-communicable diseases. Journal of Current Science and Technology, 13(1), 118-135. https://doi.org/10.14456/jcst.2023.11

Richer, M. J., Grenier, S., Lupien, S., & Plusquellec, P. (2025). Increasing stress resilience in older adults through a 6-week prevention program: effects on coping strategies, anxiety symptoms, and cortisol levels. Frontiers in Psychology, 15, Article 1499609. https://doi.org/10.3389/fpsyg.2024.1499609

Sanphiboon, T., Buathong, N., & Chootong, R. (2024). Mental health and resilience quotient of patients in primary care units during the widespread COVID-19 pandemic in Thailand: a cross-sectional study. BioPsychoSocial Medicine, 18(1), Article 7. https://doi.org/10.1186/s13030-023-00298-x

Siriwan, L. (2024). A Guideline for Local Elderly Policy Development in Thailand. Asia Social Issues, 17(6), e264840-e264840. https://doi.org/10.48048/asi.2024.264840

The National Committee on the Elderly, The ministry of Social Development and Human Security Thailand. (2009). The 2nd National plan on the elderly 2002-2021, 1st revision 2009. Retrieved from https://www.dop.go.th/download/laws/law_th_20161107091458_1.pdf

Thongkhum, K., Peungposop, N., & Sakunpong, N. (2022). Resilience promotion model of elderly with chronic diseases and depression by integrating the goal attainment theory. Journal of Health Science, 31(5), 838 – 850.

Timalsina, R., & Songwathana, P. (2020). Factors enhancing resilience among older adults experiencing disaster: A systematic review. Australasian Emergency Care, 23(1), 11-22. https://doi.org/10.1016/j.auec.2019.12.007

Upasen, R., Saengpanya, W., Awae, W., & Prasitvej, P. (2024). The influence of resilience and social support on mental health of older adults living in community: a cross-sectional study. BMC Psychology, 12(1), Article 397. https://doi.org/10.1186/s40359-024-01892-6

Wang, X., Jie, W., Huang, X., Yang, F., Qian, Y., Yang, T., & Dai, M. (2024). Association of psychological resilience with all-cause and cause-specific mortality in older adults: a cohort study. BMC Public Health, 24(1), Article 1989. https://doi.org/10.1186/s12889-024-19558-8

WHO. (2024). Aging and health. Retrieved from https://www.who.int/news-room/fact-sheets/detail/ageing-and-health

Wu, Y. C., Shen, S. F., Chen, L. K., & Tung, H. H. (2024). A web-based resilience-enhancing program to improve resilience, physical activity, and well-being in geriatric population: Randomized controlled trial. Journal of Medical Internet Research, 26, Article e53450. https://doi.org/10.2196/53450

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Published

2025-09-20

How to Cite

Piyaphattanuschai, T. ., & Chuaktong, S. (2025). The Effect of the Resilience Quotient Program with Social Support among the Elderly with Chronic Non-Communicable Diseases. Journal of Current Science and Technology, 15(4), 130. https://doi.org/10.59796/jcst.V15N4.2025.130

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