The Development of a Care Model for Sarcopenic Obesity in Older Adults: Participatory Action Research.

Background/Problem: Sarcopenic obesity (SO) is characterized by significant muscle loss combined with obesity, and it is mostly prevalent among older adults. Consequences include a heightened incidence of falls and a greater susceptibility to non-communicable diseases. Thailand currently lacks a car...

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Published in:Nursing Reports Vol. 15; no. 10; pp. 357 - 371
Main Authors: Samaisong, Nuchthida, Somprasert, Chomchuen, Pawloski, Lisa
Format: research tables/charts Journal Article
Published: MDPI Oct2025
Online Access:View this record in EBSCOhost
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      dt: Oct2025
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      pub: MDPI
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        atl: The Development of a Care Model for Sarcopenic Obesity in Older Adults: Participatory Action Research.
      aug:
        au:
          Samaisong, Nuchthida
          Somprasert, Chomchuen
          Pawloski, Lisa
        affil: Faculty of Nursing, Thammasat University, Pathum Thani 12120, Thailand
      sug:
        subj:
          Sarcopenia Therapy
          Obesity Therapy
          Health Behavior
          Behavior Modification
          Models, Theoretical
          Gerontologic Care
          Human
          Funding Source
          Thailand
          Male
          Female
          Aged
          Aged, 80 and Over
          Qualitative Studies
          Descriptive Research
          Action Research
          Focus Groups
          Health Literacy
          Purposive Sample
          Snowball Sample
          Grip Strength
          Activities of Daily Living
          Mental Status
          Content Analysis
          Interviews
          Trust
          Documentation
          Descriptive Statistics
          Data Analysis Software
          Psychometrics
          Body Mass Index
          Comorbidity
          Hyperlipidemia
          Neuropsychological Tests
          Scales
          Community Health Nursing
          Therapeutic Exercise
          Body Composition
          Dynamometry
          Cognition
          Neuromuscular Diseases
          Communicative Disorders
          Rural Population Psychosocial Factors
          Muslims Psychosocial Factors
          Health Knowledge
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Background/Problem: Sarcopenic obesity (SO) is characterized by significant muscle loss combined with obesity, and it is mostly prevalent among older adults. Consequences include a heightened incidence of falls and a greater susceptibility to non-communicable diseases. Thailand currently lacks a care model for SO in older adults. Objective/Purpose: This study utilizes participatory-action research (PAR) to develop a care model for sarcopenic obesity in Thailand. Design and Methodology: In-depth interviews with 25 older adults with SO and focus group discussions with 12 stakeholders were conducted to develop a preliminary care model. An action research spiral process was utilized with 15 older adults with SO over 16 weeks. Findings: We developed a culturally sensitive care model for SO in older adults. This study demonstrates that a participatory-action research (PAR) method for behavior transformation, highlighting health awareness and SO literacy, is crucial for behavior change. Conclusions and Implications: The behavior change process using transformative behaviors facilitated internal changes. This approach helps individuals to understand interconnected factors through personal experiences, leading to profound understanding and readiness for deep, continuous, and meaningful behavioral changes.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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