Napakkawat Buathong

Objective: Post-disaster recovery is increasingly guided by Post-Disaster Needs Assessment (PDNA) and Build Back Better (BBB) frameworks, yet recovery in many middle-income urban settings remains focused on restoration rather than future risk reduction. This study examined how governance mechanisms from international flood recovery cases could inform context-sensitive reforms in Hat Yai, Thailand.Material and Methods: We used a qualitative comparative policy-learning design combining a structured synthesis of peer-reviewed literature on flood recovery governance in Japan and the Netherlands, a review of Hat Yai-specific literature, and in-depth interviews with eight residents affected by the November 2025 flood. Data were analyzed using an integrated framework combining PDNA, BBB, and policy learning across five governance dimensions.Results: Recovery in Japan and the Netherlands was supported by institutionalised governance mechanisms linking recovery with long-term flood risk management. In Hat Yai, recovery remained centred on emergency coordination and short-term restoration despite strengthened preparedness and community resilience. Across five dimensions, mechanisms with the potential for contextual adaptation were identified and synthesised into three domains: (i) institutionalised recovery governance and policy learning, (ii) risk-aligned recovery financing and spatial planning, and (iii) institutionalised participation and protection of vulnerable groups. Unlike the reference cases, Hat Yai remained more dependent on emergency structures, household adaptation, and informal community networks.Conclusion: Governance transferability should be understood as contextual adaptation rather than direct policy replication. Strengthening recovery governance, risk-aligned financing and spatial planning, and inclusive participation could advance long-term flood risk reduction in Hat Yai and similar middle-income urban settings.

Background: Juvenile delinquency with a history of alcohol use is a growing concern with a significant impact on their holistic well-being. Life purpose (LP) has been recognized as essential for enhancing adolescent wellness. LP should therefore be useful in addressing juvenile delinquency. Objective: This quasi-experimental study investigated the effect of the life purpose program on the wellness of juvenile delinquents with a history of alcohol use in Southern Thailand. Methods: Sixty-seven delinquents, aged 15 to 19, from the Juvenile Detention Center were randomly assigned to either the intervention group (n = 35) or the control group (n = 32). The intervention group engaged in an eight-week purpose program, whereas the control group continued with routine care. Wellness outcomes were measured using the Wellness Scale (WS) and analyzed through multilevel mixed-effects modeling. Results: At baseline, there were no significant differences in wellness scores between the control and intervention groups. Following the intervention, wellness scores at weeks 16 and 24 were significantly higher in the intervention group compared to the control group (t = -6.101, p<0.001; t = -2.856, p = 0.008, respectively). The multilevel mixed effects model confirmed a significant improvement in wellness scores over time in the intervention group (β = 3.746; 95% CI = 0.22–7.27; p = 0.037). Conclusion: The program was successful in improving wellness among juvenile delinquents with a history of alcohol use and shows promise for broader application. It should be implemented by nurses and other professionals as part of efforts to promote a sense of life purpose in similar populations. However, further research is needed to evaluate its long-term impact and sustainability. Integrating the life purpose program into existing rehabilitation processes may enhance the overall well-being of juvenile detainees. Trial Registry Number: Thai Clinical Trials Registry (TCTR20241217002)

Background/Objectives: Misinformation significantly impacts self-care behaviors and treatment outcomes in patients with type 2 diabetes mellitus (T2DM). We investigated the prevalence and content of diabetes-related misinformation among Thai patients with T2DM, examining the influence on cognitive attitudes and intentions to share such information. Methods: We employed a mixed-methods approach, conducting initial qualitative interviews with healthcare professionals and patients with T2DM to identify key misinformation themes. These themes guided the development of a validated questionnaire that was distributed to 107 patients with T2DM. Spearman’s correlation and multiple linear regression analyses were used to assess the relationships between misinformation exposure, attitudes, and sharing intentions. Results: Misinformation was categorized into four domains: medication side effects, alternative treatments, imbalanced lifestyle, and symptom perception. Exposure to misinformation ranged from 19.6% to 94.4%, with word of mouth identified as the primary source (81.18%). Misconceptions regarding symptom perception and alternative treatments were most prevalent. Information source, especially healthcare providers (β = 0.4); personal attitudes towards misinformation (β = 0.24); and exposure level (β = 0.46) significantly influenced the intention to share misinformation. Conclusions: This study highlights the need for targeted educational interventions to address widespread misconceptions in the management of T2DM, particularly those related to symptom perception and alternative treatments. Addressing these misinformation sources may be associated with improved self-management practices and could inform strategies aimed at enhancing patient outcomes.

Introduction: Secondhand smoke (SHS) exposure is a significant cause of illness. This study aimed to explore the awareness of SHS-attributed illnesses and the legal control of the Tobacco Product Control (TPC) Act 2017 among the local people living in Meung district, a municipality of Songkhla...

Objectives This study aimed to explore the prevalence of medication non-adherence and influence of symptom perception and various barriers on medication adherence among Thai Muslim patients in a rural subdistrict of southern Thailand. Design Explanatory sequential mixed-methods approach. Setting A rural community in southern Thailand. Methods Data collection spanned from March to December 2023. In the quantitative phase, 138 Muslim patients diagnosed with non-communicable diseases were enrolled, and their medication adherence and associated factors were assessed. In the qualitative phase, 22 participants were selected for in-depth interviews, and their symptom perceptions and the obstacles they faced in adhering to medication were explored. A focus group discussion involving 10 healthcare workers from a subdistrict health-promoting hospital was conducted to gain insights into healthcare providers’ perspectives on patients’ perceptions of symptoms and barriers to medication adherence. Outcome measures Medication non-adherence was assessed, and the influence of symptom perception and various barriers on medication adherence was evaluated Results The prevalence of medication non-adherence in the study sample was 75.36%. The following factors were significantly associated with medication non-adherence: occupation (farmer) (adjusted OR=3.93; 95% CI 1.04 to 12.64), lack of recommendations on adjusting medication schedules/dosages during Ramadan (adjusted OR=2.65; 95% CI 1.06 to 6.61) and patients’ perception of no symptoms (adjusted OR=3.72; 95% CI 1.23 to 11.25). The qualitative analysis highlighted patient-related issues, such as lack of symptom perception, limited health literacy regarding disease information and treatment and personal reasons for non-adherence (eg, forgetfulness, occupational constraints and transportation challenges for medical appointments). Additionally, healthcare system-related factors, patient–doctor relationships and communication gaps in medication management during Ramadan were identified as factors influencing medication non-adherence. Conclusions To improve adherence, healthcare providers should prioritise fostering positive patient–provider relationships and promoting patient care through enhanced health literacy initiatives.

Background: Impostor phenomenon is an internal experience in successful individuals who realize that their achievements are unintended, although their successes can be proven by objective evidence. The study of impostor phenomenon among medical students remains largely unexplored in Thailand, especially during the transitional period from traditional medical training to online training due to the COVID-19 pandemic. Objectives: To determine the prevalence of impostor phenomenon, mental health and the coping strategies as well as to examine the factors related to impostor phenomenon among Thai medical students. Methods: Two hundred and seventy-two subjects completed online questionnaires enquiring about sociodemographic characteristics and perception of social expectations in the role of a medical student as well as the Impostor Phenomenon Scale, Self-Esteem Scale, Anxiety and Depression Scale, and Coping Scale. Results: The prevalence of impostor phenomenon among the surveyed medical students was 46.0%, while the prevalence of anxiety and depression was 14.1% and 5.2%, respectively. The subjects primarily employed confrontive coping strategies. The statistically significant predictors for impostor phenomenon were palliative coping strategy ( = 4.478, P < 0.001), self-esteem ( = - 1.038, P < 0.001), anxiety ( = 0.278, P = 0.004) and perception of social expectations in the role of a medical student ( = 0.032, P = 0.006). Conclusion: This information regarding the association between the impostor phenomenon, anxiety, self-esteem, coping strategies, and perception of social expectations in the role of a medical student may be beneficial for promoting better coping strategies and self-esteem as well as solving the impostor phenomenon problem among medical students.

Background: The coronavirus disease 2019 pandemic impacted both the physical and mental health of individuals. The resilience quotient (RQ) is an important factor that decreases mental health problems. This study aimed to explore mental health problems and RQ in patients who visit Primary Care Units (PCU). Methods: A cross-sectional study was conducted on participants aged 18 to 60 years who visited the PCU of Songklanagarind Hospital from May 1, 2022, to June 31, 2022. Participants completed a self-administered questionnaire on baseline characteristics and the Primary Care Assessment, Personal Resource Questionnaire, satisfaction with life scale, Thai RQ, PHQ-9, and GAD-7, and the results were analyzed by descriptive, logistic regression, and Spearman’s rank correlation. Results: Among the 216 participants, 72.2% were female, and the median age was 39 (24,51) years old. Most of them had normal RQ levels (61.1%). Of these, 4.2% and 12.1% exhibited moderate to high levels of depression and anxiety, respectively. This study found that sex (OOR 1.93; 95% CI 1.01–3.74), age (OOR 1.03; 95% CI 1.01–1.06), moderate and high social support levels (OOR 9.51; 95% CI 3.36–28.85), and a high life satisfaction level (OOR 4.67; 95%CI 1.75–13.25) were associated with RQ. Moreover, the results showed that ≥ 3 times visiting PCU (β 1.73; 95% CI 0.39–3.08), BMI (β 0.13; 95% CI 0.04–0.23) and experiencing stressful events (β 2.34; 95% CI 1.32–3.36) were positively associated with depression. Finally, experiencing stressful events (OR 4.1; 95% CI 1.09–15.47) significantly affected anxiety, however, moderate and high life satisfaction levels acted as a protective factor against anxiety (OR 0.19; 95% CI 0.07–0.54 and OR 0.03; 95% CI 0.01–0.16, respectively). Conclusion: Although there were a few patients with moderate to severe levels of depression and anxiety, most of them had normal RQ levels. However, there were some patients with low RQ levels which correlated to a high risk of psychiatric diseases such as depression and anxiety. Healthcare providers should focus on interventions that enhance resilience in both proactive and defensive strategies to reduce negative mental problems during these formidable times.

Aim: There is a strong comorbidity between methamphetamine (MA) and alcohol use whereby MA use may contribute to increased alcohol consumption. This study aims to determine the associations betwe

The Mini Nutritional Assessment (MNA) is a validated questionnaire that estimates nutritional status. Given that this questionnaire uses stature measurement, which are unreliable in older adults, Mindex and Demiquet are alternatives to BMI for assessing malnutrition risk. However, the correlation of Mindex and Demiquet values with MNA scores has not been investigated. This cross-sectional study examined the correlation of Mindex and Demiquet with nutritional status and blood parameters in older adults in Thailand. The correlation of Mindex and Demiquet with MNA scores and body mass index (BMI), as well as blood parameters, was evaluated. Sociodemographic characteristics, anthropometric measurements, and blood test results were collected from 347 participants aged 60 years and older (mean ± SD, 66.4 ± 5.3 years). Spearman’s rank correlation coefficient and multiple logistic regression analyses were used in statistical analyses. MNA scores were significantly correlated with Mindex (P < 0.001) and Demiquet (P = 0.001), and BMI was related to Mindex and Demiquet (P < 0.001). Low-density lipoprotein cholesterol (LDL-C) predicted MNA scores (P = 0.048) in males but not females. Mindex and Demiquet values were positively correlated with MNA scores and BMI. In addition, LDL-C predicted MNA scores in male older adults.

Objective: A study of job-seeking anxiety, resilience quotient and family influence on career decision-making is apparently lacking; especially in regards to the impact of the financial crisis during the COVID-19 pandemic, and other factors, such as the political climate currently in Thailand. This study aimed to determine job-seeking anxiety, resilience quotient and family influence on career decision-making and related factors among senior, undergraduate university students.Materials and Methods: A cross-sectional descriptive study was conducted in a university in Southern Thailand; from May to October, 2020. Two hundred and seventy-one participants completed questionnaires regarding personal and parental demographic characteristics, resilience, family influence scale, job-seeking self-perception and job-seeking anxiety. Results: The prevalence of job-seeking anxiety among participants was low (40%), moderate (50%) and high (10%). In univariate analysis, factors significantly associated with job-seeking anxiety were: female gender (p=0.03), effects of the COVID-19 pandemic, economics and the current, political situation Thailand (p=0.03), resilience quotient (p<0.001) and job-seeking self-perception (p<0.001). The predictors of job-seeking anxiety, from multivariate analysis, were: resilience quotient (β = -1.169, P<0.001) and job-seeking self-perception (β = 2.232, P<0.001). Conclusion: Our study provided evidences that a significant proportion of senior, undergraduate students had experienced job-seeking anxiety, with the protective factor of job-seeking anxiety being individual resilience quotient. This information could be used as an effective management strategy for providing mental health promotion, and prevention for senior, undergraduate university students.