International Academic Multidisciplinary Research Conference in Rome Paper Title EFFECTIVENESS OF AN INTEGRATED PROGRAM ON SELF-EFFICACY FOR INCREASE QUALITY OF LIFE IN ELDERLY Authors Thitavan Hongkittiyanon, Araya Tipwong, Lakana & Jiraporn Rakkarn Faculty/Collage of Nursing and Health,Suan Sunandha Rajabhat University, THAILAND

ดร.ฐิตวันต์ หงษ์กิตติยานนท์ ภาควิชาการพยาบาลจิตเวช Introduction The fast pace of globalization has a big impact to all factors of the society in terms of financial struggle and technology. It puts more engage ageing society. Thailand are population in changing significantly. The number of older people is rapidly increasing which leads several countries to engage ageing society. From 2010 to 2040 the proportion of the older people population (older than 80 years old). More people have mental illness are Nonthaburi Thailand 2,552 case .From the house visit and survey in koh kret Nonthaburi Thailand , we found out that patients did not know how to look after themselves. The stress level was at moderate rate (58.34%) and high rate (33.33%) ดร.ฐิตวันต์ หงษ์กิตติยานนท์ ภาควิชาการพยาบาลจิตเวช

Introduction Quality of Life in Elderly and mental health among Thai older workers in community enterprises this paper is to explore the influence of The results suggested that the QOL is related to age, income, somatic symptoms, anxiety and insomnia, social dysfunction, severe depression, and mental health problems. [10] Additionally, multiple regression analysis indicated social dysfunction and income were significant predictors for the QOL of older workers with personal 11 .8% the results showing associations between personal factors and work factors relating to QOL

Introduction However, The integrated program was developed by applying activities for promoting five dimensions of quality of life, activities based on positive psychology approach, and activities for the elderly based on : Self-efficacy ,Mindfulness, cognitive behavioral therapy. The integrated program applied the Self-efficacy ; Self-perceived efficiency focused on the concepts of Mastery Experience; self-analysis, The Road Life; Self-Training, the Song for Motivation, games, group, Vicarious Experience Verbal Persuasion, monitoring physiological and affective States and to help the elderly for increase Quality of Life of Elderly .

Objective The research aimed at investigating the self-efficacy of an integrated program on Self- Efficacy ,quality of life.

Methodology Population and sample… Instrument. Part 1: personal factors including age, gender, marital status, highest education level, occupation, income, and. Present Illness and Therapies. Part 2: for 2Q and 9Q Part 3: Self-efficacy The overall scores for Self-efficacy if higher scores had indicate good. Cronbach’s α coefficient for this study was found to be .88. Part 4: QOL over the past two weeks is assessed by the World Health Organization Quality of Life Scale (WHOQOL-BREF-Thai). .

Methodology Data collection Design This study used a quasi-experimental two group pretest posttest design were to compare knowledge before and after received a perceived self-efficacy program. Setting and Sample This study was conducted at a koh kret pak kret Nonthaburi Thailand The sample was selected 60 elders participants .The control and experimental comprised 30 elders Patients’ right protection: Only information in overall will be used in this research. Statistics

The Conceptual framework of the study Figure 1 The Conceptual framework of the study Independent Variable an Integrated Program on Self-Efficacy 6 Activity -Self-perceived efficiency focused on the concepts of Mastery Experience; self-analysis, The Road Life; Self-Training, the Song for Motivation, games, a walk rally, Vicarious Experience Verbal Persuasion, monitoring physiological and affective States, -Knowledge about depression Dependent Variable Quality of Life in elderly (WHOQOL-BREF-Thai).

Result / Conclusion The results revealed that elders were female 84.62%. male 7.69% who have depression, and lack of Self-Efficacy The experimental group who received the Program had a significantly higher score of Self-efficacy ,quality of life at the .05 level.

Result / Conclusion  

Result / Conclusion Additionally, the experimental group had a significantly lower score of depression than that before, at the .05 level. The Integrated Program on Self-efficacy ,Quality of Life, Depression Reduction can be used to improve elders quality of life for increase Quality of Life of Elderly. The program should be applied in the development of health care system among Thai elderly in community and to help the elderly for increase Quality of Life . The results overall level of Self-efficacy are in table 1.  

The overall level of Self-efficacy about Groups are in table 1 (N=60) Result / Conclusion   Table 1 The overall level of Self-efficacy about Groups are in table 1 (N=60) Self-efficacy pre tests Post tests SD (paired-t-test) The experimental group(N=30) The Control group (N=30) 61.14 51.50 10.01 11.50 64.19 55.14 12.15 15.67 3.48* **P<0.01

Discussion This research elders who received the Program had a significantly higher score of Self-efficacy ,quality of life at the .05 level. Additionally, the experimental group had a significantly lower score of depression than that before, at the .05 level. The Integrated Program on Self-efficacy ,Quality of Life, Depression Reduction can be used to improve elders quality of life for increase Quality of Life of Elderly.

Discussion The integrated self-efficacy development program that is base on Bandura self-efficacy development program which aims at enhancing the quality of life in the elderly.

Discussion The program should be developed to enhance the quality of life in the elderly, create happiness and decrease depression as with other patients. Elderly people get to deal with their thinking and behaviors in five aspects which are the belief in their own abilities as the acceptance of truth as to enhance the quality of life the development of interpersonal relationships, the mental development, the emotional adjustment, which enhance the quality of life .

Thank You The International Academic Multidisciplines Research Conference Suan Sunandha Rajabhat University, Thailand