The Program Development of Training for Family Caregivers Caring for Homebound Older Adults in a Rural Community in Thailand: A Mixed-Methods Study.

Introduction: Family caregivers play a key role in supporting homebound older adults. This study explored the community context, developed, and evaluated a training program for family caregivers of homebound older adults in Selaphum District, Roi Et province, Thailand. Methods: We used a mixed method approach with three phases. In phase I, we conducted semi-structured interviews with eight family caregivers. In phase II, we developed a training program based on the interview findings. In phase III, we implemented and evaluated the program using a pretest-posttest nonequivalent control group design with 57 participants in each group. We collected data through in-depth interviews, and questionnaires on knowledge, attitude, and practice. We analyzed quantitative data using descriptive and inferential statistics, and qualitative data using content analysis. Results: Two themes were explored in Phase I: Low quality of care, and Caregivers burden. A program involves six activities: 1) providing family caregivers' knowledge, 2) demonstrating and practicing caregiving, 3) providing homebound older adults' hygiene care 4) promoting leisure and recreation activities to homebound older adults 5) modifying the safe environment and 6) creating a sense of self-worth and self-efficacy among the family caregivers. The quantitative results showed that the experimental group had significantly higher mean score in knowledge, attitude, and practice compared to the control group. Conclusion: This study enhanced knowledge, attitude, and practice among family caregivers for caring homebound older adults, resulting in better caregiving outcomes and improved quality of life for both caregivers and care recipients.