Abstract
Background: Village Health Volunteers (VHVs) play a vital role in community health; however, their psychological resilience remains underexplored. This study aimed to assess the resilience levels of VHVs in rural Thailand and evaluate the effectiveness of a resilience enhancement program.
Methods: This action research study was conducted between April and October 2022 with 476 VHVs, selected through stratified random sampling across two sub-districts and five villages per sub-district in Phayao Province. Data collection included interviews and self-report questionnaires. A four-week Resilience Quotient (RQ) program was implemented with 40 VHVs, focusing on five structured activities: self-reflection, stress management, problem-solving, emotional stability, and peer support. The program’s effectiveness was assessed at four time points: baseline, Weeks 4, 8, and 12, measuring changes in RQ, emotional stability, encouragement, and problem management. Quantitative data were analyzed using descriptive statistics and the Friedman test, while qualitative data were examined through domain-based content analysis.
Results: The program evaluation, conducted at three time points, demonstrated statistically significant improvements in RQ, emotional stability (p < 0.001), encouragement (p < 0.05), and problem management (p < 0.05). The most significant improvements occurred in Week 8, with effects sustained through Week 12. The p-value < 0.001 confirmed that these changes were meaningful and not due to random variation.
Conclusions: The RQ program enhanced VHVs’ emotional stability, encouragement, and problem management, supporting broader community mental health applications in the post-COVID-19 era.
Keywords: Resilience Quotient Program, Village Health Volunteers, Emotional Stability, Encouragement, Problem Management, Post-COVID-19 Era, Thailand
Recommended Citation
Katkhaw O, Juwa S, Srisookkum T, Takaew T, Tangnitipong S, Chairinkam S.
Developing A Participatory Resilience Quotient Program For Village Health Volunteers In Rural Thailand: An Action Research Study In The Post-Covid-19 Era.
J Health Res.
2025;
39(4):-.
DOI: https://doi.org/10.56808/2586-940X.1155
References
[1] Ren FF, Guo RJ. Public mental health in post-COVID-19 era. Psychiatr Danub 2020;32(2):251-5. https://doi.org/10.24869/psyd.2020.251.
[2] Krassanairawiwong T, Suvannit C, Pongpirul K, Tungsanga K. Roles of subdistrict health office personnel and village health volunteers in Thailand during the COVID19 pandemic. BMJ Case Rep CP 2021;14:244765. https://doi.org/10.1136/bcr-2021-244765.
[3] Labboonruang P. Factors related to stress during the coronavirus disease 2019 outbreak among village health volunteers Ban Haet District, Khon Kaen Province. Community Health Dev Q Khon Kaen Univ 2023;11(2):147-60.
[4] Ministry of Public Health, Thailand. Thailand Public Health Report: strengthening primary healthcare through Village Health Volunteers: a national strategy. Nonthaburi: Ministry of Public Health; 2022.
[5] Ministry of Public Health, Thailand, Department of Health Service Support. Thailand's 3 Doctors Policy and its role in primary healthcare. Nonthburi: Ministry of Public Health; 2021.
[6] Chanpanit P, Wongmanee W, Judabood N. Strengthening the community: role of Village Health Volunteers. J R Thai Army Nurses 2023;24(3):23-30. https://he01.tci-thaijo.org/index.php/JRTAN/article/view/263631.
[7] Tejativaddhana P, Suriyawongpaisal W, Kasemsup V, Suksaroj T. The roles of Village Health Volunteers: COVID-19 prevention and control in Thailand. Asia Pac J Health Manag 2020;15(3):18-22. https://doi.org/10.24083/apjhm.v15i3.477.
[8] Petmaneechote K, Pongpumma L, Arunkeeree A, Taowalanon P. Effectiveness of participatory learning program on knowledge and practice of Village Health Volunteers for taking care of hypertension patients. NJPH 2021; 31(8):28-41. https://he02.tci-thaijo.org/index.php/tnaph/article/view/255636.
[9] Saisanan Na Ayudhaya W, Thanapop C, Wongrith P, Loonlawong S, Laor P, Fajriyah R. Health literacy and preventive behaviors towards COVID-19 among Village Health Volunteers and residents in urban and rural areas of upper Southern Thailand. Soc Sci 2023;12(7):377. https://doi.org/10.3390/socsci12070377.
[10] Saithanu K, Nathason A, Kenbubpha K. The relationship between resilience and depression among older people in a community in Ubonratchathani Province. J Psychiatr Nurs Ment Health 2019;33(3):42-55.
[11] Grotberg EH. A guide for promoting resilience in children: strengthening the human spirit. Netherlands: Bernard van Leer Foundation; 1995. [12] Grotberg EH. Countering depression with the five building blocks of resilience. Reaching Today’s Youth 1999;4(1):65-72.
[13] Grotberg EH. Tapping your inner strength: how to find the resilience to deal with anything. Oakland: New Harbinger; 1999.
[14] Grotberg EH. Resilience for today: gaining strength from adversities. Connecticut: Praeger Publishers; 2003.
[15] Upasen R, Saengpanya W, Awae W. The influence of resilience and social support on mental health of older adults living in community: a cross-sectional study. BMC Psychol 2024 Jul 18; 12(1):397. https://doi.org/10.1186/s40359-024-01892-6.
[16] Ministry of Public Health, Thailand. Department of Mental Health. Turning adversity into strength: RQ Mental Health Power. 4th ed. Bangkok: Beyond Publishing Co, Ltd.; 2020.
[17] Ministry of Public Health, Thailand. Department of Mental Health. Resilience strengthening curriculum: endurance, determination, and perseverance. Nonthaburi: Academic Office of Mental Health; 2021.
[18] Ministry of Public Health, Thailand. Department of Mental Health. Community leaders and Village Health Volunteers' mental health care manual: strong-hearted communities fighting COVID-19. Nonthaburi: Department of Mental Health; 2020.
[19] Rashnuodi P, Nourollahi-Darabad M, Afshari D, Shirali GA, Amiri A, Rotkhali E, Shabgard Z. The effect of resilience indicators on the job stress level among nurses: A predictor study. Asian J Soc Health Behav 2022;5(3):138-45. https://doi.org/10.4103/shb.shb_4_22.
[20] Takaew T, Wongrattanakamon S, Srisookkum T, Katkhaw O, Chairinkam S, Lamluk P. Predictive factors of stress among the population in Pong District, Phayao Province, Thailand, after the COVID-19 outbreak. J Health Res 2024;38(2):170-6. https://doi.org/10.56808/2586-940X.1072.
[21] Stringer ET, Aragon AO. Action research. 5th ed. Washington D.C: SAGE; 2020.
[22] Srisookkum T. Action research in health. Bangkok: OS Printing House; 2023.
[23] Senge P, Scharmer O. Community action research: Learning as community practitioners, consultants, and research. In: Reason P, Bradbury H, editors. Handbook of action research: participatory inquiry and practice. Washington D.C: SAGE; 2001. p. 238-46.
[24] Cohen J. Statistical power analysis for the behavioral sciences. New York: Routledge; 1988.
[25] Ministry of Public Health, Thailand, Mental Health Department. Resilience quotient assessment: 20-item Thai RQ. Nanthaburi: Mental Health Department; 2009.
[26] Katkhaw O, Wongrattanakamon S, Takaew T, Srisookkum T, Chairinkam S, Juwa S. Resilience in community health development. J Publ Health Dent 2024;22(1):308-19. https://doi.org/10.55131/jphd/2024/220123.
[27] Weraarchakul W, Weraarchakul W, Thinsathid N, Chapawang C. Resilience Quotient among Dental Students at Clinical Level, Faculty of Dentistry, Khon Kaen University, Thailand. J Med Assoc Thai 2016 Aug;99(Suppl 5):S148-54.
[28] Collison C, Parcell G. Learning to fly. Oxford: Capstone; 2022. [29] Pett MA. Nonparametric statistics for health care. 2nd ed. Thousand Oaks, California: SAGE; 2016.
[30] Kunzler AM, Helmreich I, Chmitorz A, K€ onig J, Binder H, Wessa M, et al. Psychological interventions to foster resilience in healthcare professionals. Cochrane Database Syst Rev 2020;7:CD012527. https://doi.org/10.1002/14651858.CD012527.pub2.
[31] Liu D, Jiang D, Wang X, Liu Y. Healthcare resilience: a metanarrative systematic review and synthesis. BMJ Open 2023; 13(9):e072136. https://doi.org/10.1136/bmjopen-2023-072136.
[32] Robertson IT, Cooper CL, Sarkar M, Curran T. Resilience training in the workplace from 2003 to 2014: a systematic review. J Occup Organ Psychol 2021;94(3):533-62. https://doi.org/10.1111/joop.12120.
[33] World Health Organization [WHO]. Problem Management Plus (PMþ): individual psychological help for adults impaired by distress in communities exposed to adversity. Geneva: WHO; 2022.
[34] Sucaromana A. Resilience Quotient: RQ. J MCU Peace Stud. 2016;4(1):209-20. https://so03.tci-thaijo.org/index.php/journal-peace/article/view/76600.
[35] Wu T, Jia X, Shi H, Niu J, Yin X, Xie J, et al. Prevalence of mental health problems during the COVID-19 pandemic: a systematic review and meta-analysis. J Affect Disord 2021; 281:91-8. https://doi.org/10.1016/j.jad.2020.11.117.
[36] Phuttharod P, Lakkhanasirorat M. The effectiveness of resilience enhancing program on resilience quotients and depressive symptoms in a schizophrenia patients caregiver. J Psychiatr Nurs Ment Health 2022;36(3):1-13.
[37] Apitikulwong S, Poonwong P, Khansri J, Srinuan P. The effect of a resilience quotient program on stress and depression among nursing college students. J Psychiatr Nurs Ment Health 2024;38(3):87-101.
[38] Akinnusotu O, Rabinowich J, McGinty EE. Supporting mental health and psychological resilience among the health care workforce: gaps in the evidence and urgency for action. Ann Fam Med 2023;21(Suppl 2):S100-2. https://doi.org/10.1370/afm.2933.