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Publication Metadata only Education and grip strength among older Thai adults: A mediation analysis on health-related behaviours(2021-09-01) Wiraporn Pothisiri; Orawan Prasitsiriphon; Nandita Saikia; Wichai Aekplakorn; Ramathibodi Hospital; Jawaharlal Nehru University; Chulalongkorn University; Health Systems Research InstituteAbstract Background: Previous studies have investigated the effect of differential educational attainment at younger ages on health disparities among older adults, but how such an effect can be attenuated remains understudied. This study examines... the mediating effects of four health-related behaviours, namely smoking, alcohol drinking, healthy eating, and physical activity, on the relationship between older adults’ education and grip strength. Methods: The study used data from 7,064 individuals aged 60Item Open Access The relationship between learning style, academic achievement, and critical thinking skills among orthopaedic residents(Mahidol University, 2021) Thos Harnroongroj; Cherdsak Iramaneerat; Surin Thanapipatsiri-language Kolb learning style inventory and critical thinking test questionnaires were allocated. And, the basic science orthopaedic examination scores of Thai board certification and higher graduate diploma program in clinical medical sciences orthopaedicItem Open Access Can transformative learning improve empathy in fourth-year medical students?(Mahidol University, 2021) Chayut Wonglertwisawakorn; Cherdsak Iramaneerat; Yodying Dangprapai; Varuna KolkijkovinEmpathy is an essential skill in a physician; however, empathy levels often decline across the medical curriculum. This research explored the effectiveness of a unique transformative learning workshop to increase empathy levels in fourth-year medical students. The research questions were: 1) Does the empathy level of medical students improve after participating in the transformative learning workshop? 2) Is the empathy level of medical students in the group that participates in the transformative learning workshop significantly higher than those in the group that does not? and 3) Is the improvement in empathy level in the intervention group sustained for at least one month? Voluntary participants consisted of 74 fourth-year medical students from the Faculty of Medicine, Vajira Hospital, with 37 students in each group. The control group received standard workshops, while the intervention group received both standard and transformative learning workshops. The instrument for empathy measurement was the Jefferson Scale of Empathy (JSE) Student Version. Data were collected three times: before the intervention, immediately after the intervention, and one month later. Results showed no significant differences regarding gender or grade point average between the two groups, and pretest JSE scores did not significantly differ. After the transformative workshop, the immediate posttest JSE scores were significantly higher than the pretest scores in the intervention group (t(35) = 2.59, p = 0.014). The mean difference between immediate posttest and pretest JSE scores was significantly higher in the intervention group than in the control group (t(68) = 3.37, p = 0.001). Furthermore, there was no significant difference between the immediate posttest and delayed posttest JSE scores in the intervention group (t(35) = 0.49, p = 0.63). In conclusion, the transformative learning workshop significantly enhanced empathy and appeared to sustain that increase for at least one month in fourth-year medical students. Implication of Thesis: The pattern and sequence of this transformative learning workshop can be applied to increase empathy for medical and other healthcare professional students; additionally, this conceptual framework of transformative learning can be redesigned for improving other non-technical skills necessary for healthcare providers.Publication Metadata only Factors associated with maternal attitudes towards condom education for children aged 12–14 years in Myanmar(2021-01-01) Su Myat Lwin; Dusita Phuengsamran; Marc Völker; Mahidol Universitytransmitted infections. Condom education for adolescents has been a controversial subject among parents, teachers, health professionals and the general public. Mothers are key stakeholders in efforts to implement such programmes. Therefore, this study explored... factors associated with their attitudes towards the condom education for children aged 12–14 years. We used secondary data from the Myanmar Demographic and Health Survey. The sample includes mothers (N = 7011) who had at least one living childItem Open Access Improving surgical skills with feedback : directly-observed versus video-recorded practice(Mahidol University, 2021) Kasaya Tantiphlachiva; Cherdsak Iramneerat; Tripop LertbunnaphongBasic surgical skills are essential for physicians. Medical schools are responsible for teaching and ensuring proficiency of these skills in their undergraduates while students are responsible for self-directed practice. Feedback is an effective strategy in developing psychomotor skills; by providing learners with information of their current performance and how to improve and enhance motivation, which are key factors to deliver these contents successfully. This study aimed to compare 2 methods of feedback: verbal face-to-face feedback after direct-observation (F2F feedback) versus electronic-written feedback after recorded video-observation (VDO-feedback) of students’ performance, in terms of effectiveness in improving students’ suturing skills, effects on motivation, learning strategies, and satisfaction. Fifty-eight medical students in the 3rd and 4th year of curriculum were trained to perform vertical mattress suture using small group teaching. Then, during the next 6 weeks before final examination (OSCE), they practiced on their own using a take-home kit. Students were randomized into group1 VDO-feedback (M:F= 21:8) and group 2 F2F-feedback (M:F=20:9). Two feedbacks were provided once every 2 weeks. Performance checklist (Cronbach’s Alpha 0.72) was used to assess suturing skill at 4 timepoints; pre-learning, post-learning, OSCE, and retention phase (2 week later). Questionnaire was used to assess motivation, learning strategies, and feedback satisfaction (Cronbach’s Alpha 0.83). After in-class learning, further significant improvement of skills was found by both types of feedback (p<0.0001). Both groups could similarly retain skill for at least 2 weeks without additional practice. Self-efficacy, test anxiety, and cognitive strategies scores were significantly increased in both groups (p<0.05). Extrinsic motivation score was increased only in VDO-feedback group. No difference in median number of stitches, mean time of practice, and satisfaction to feedback intervention. VDO-feedback may be alternative to F2F-feedbacks for basic surgical skill training, in the situation when limitation for simultaneous meeting of teacher and students occurs. Implication of Thesis: This study compared effectiveness of VDO-feedback and face-to-face feedback as a method of developing basic surgical skill of medical students. Results showed similar pattern of performance score improvement and retention scores after both interventions. Both groups had similarly increased motivation score and there was no difference in satisfaction responses. Thus, VDO-feedback may be alternative to F2F-feedbacks for basic surgical skill training, in the situation when limitation for simultaneous meeting of teacher and students occur e.g. busy clinical teacher and medical apprentice, limited teaching space and need of social distancing.Item Open Access The effect of problem-based learning on knowledge in electronic medical record for registered nurses(Mahidol University, 2021) Kanpitchanon Sanngoen; Vorawan Vanicharoenchai; Tripop LertbunnaphongElectronic medical records ( EMR) training should be ongoing bysuperusers and staff, where necessary, to ensure that the continuing transition goes assmoothly as possible. Teaching should be conducted by using Problem- BasedLearning ( PBL) for learners to have and understand the analytical process of theproblem, thus having a good level of knowledge. The objective of the research was tostudy the effects of PBL on the knowledge of EMR for registered nurses. This was aquasi- experimental research design with a sample size arranged by the G* Powerprogram that determined the effect size of 0. 50 at the statistically significant level of. 05. The power of the test was 0. 80, and the degree of the freedom of the model (df)was 50. There was a total sample size of 128 subjects comprising 64 subjects in theexperimental group and 64 subjects in the control group. Each assigned session wassix hours. The used instruments consisted of multiple-choice questions (MCQ), case scenarios, and satisfaction questionnaires. The compared average between the mean and standard deviation of the post-test in the experimental group was 38. 91 ± 1. 84, and the control group was 27. 13 ± 2. 50. From the comparative analysis, the average score difference with statistics from the independent samples t- test found that the experimental group had a significantly higher score than that of the control group at the . 05 level. The results showed that PBL improved the learning motivation of the nurses. Moreover, the registrants were involved in learning more than just listening tocontent from the tutoring, which encouraged the learners to use their existingknowledge or experience to solve the problems. It should be noted that researchers may choose an inappropriate randomization method because the distribution of the participants’ characteristics may be a factor affecting the effectiveness of the scores.Therefore, the researchers who are interested in the study of PBL in e- learning or hospital studies should increase the number and type of learning groups and plan the research process such as selecting the sample group, calculating the sample group, and preparing for the exam by using the respective language of each country.Publication Metadata only A model of environmental education for developing healthy urban community: Case study salaya district, nakhon pathom, thailand(2021-12-03) Chaisorn Kumchatpai; Sangtien Youthao; Mahidol Universitythat regarding the environment, what people in a community were concerned about most was health followed by the effect on the scenery.; and (3) Action research approach from 30 samples by first, educating using the monitor and whiteboard. Second, giving...Environmental Education (EE) is a powerful educational tool necessary for a sustainable environment because it can change the attitude and behavior of humans toward supporting ecological integrity of a healthy city. This study was undertaken to findPublication Metadata only Cadmium (Cd) and zinc (Zn) accumulation by Thai rice varieties and health risk assessment in a Cd–Zn co-contaminated paddy field: Effect of soil amendments(2021-09-01) Patompong Saengwilai; Weeradej Meeinkuirt; Mahidol University; Ministry of Higher Education, Science, Research and InnovationZinc mining and smelting activities result in cadmium (Cd) and zinc (Zn) contamination in rice grains, causing deleterious impacts on human health and local economies. Here, we investigated the effects of soil amendments, including mixtures...) and RD3, grown in a Cd–Zn co-contaminated paddy field. Human health risk was assessed using the health risk index (HRI) and Daily Intake of Metal (DIM). Application of the amendments, particularly T1, decreased Cd and Zn bioavailability by 60% and 39Publication Metadata only Determinants of quality of life among patients attending monk healers and primary healthcare centers in Thailand(2021-01-01) Karl Peltzer; Supa Pengpid; Asia University; University of Limpopo; Mahidol UniversityINTRODUCTION The study aimed to assess the levels of Quality of Life (QoL) and to identify the associated factors in users of two different health services (monk healers and health centers) in Thailand. METHODS In a cross-sectional design, 1251... patients were systematically (consecutively) recruited from three monk healers and three health centers and were assessed with questions on sociodemographic and clinical information, and QoL. Qol was measured using the World Health Organization QualityItem Open Access The effectiveness of mind map as a teaching tool for medical students(Mahidol University, 2021) Sidayu Suriya; Cherdsak Iramaneerat; Vorawan Vanicharoenchairetention and student perception of the class for the 3rd year medical students in the Doctor of Medicine Program, Faculty of Medicine, Naresuan University. An experimental randomized controlled trial study was conducted by comparing the academic