Database System Development for Care of the Elders in Community



This participatory action research aimed to develop a database system for care of the elders in community, Pakpoon sub-district, Nakhon Si Thammarat. The key informant were compose of public health officers, community leaders, representative of Local Administrative Organization, elders and their families, lecturers and nursing students of Walailak University. Research instruments included interview questions, elderly health assessment form, developed elderly health database system as an experimental tool and usability evaluation form. Data collection by survey, interview, group discussion, and observation. Quantitative data analysis by frequency distribution and percentage, the validity and reliability of questionnaire were confirmed with the experts Cronbach’s alpha. The qualitative data reveal content analysis. The results have shown that the database system consist of; the elders health assessment comprised general information, prior illness and treatment, functional, mental health risk, risk for fall, and environment, the required features to support of achievement goal for well-being, consistent with their life style, social capital, and local wisdom. In additional, it could be reduced early risk factors to protect of chronic illness, injury, and decline in physical and psychosocial. The reporting requirement comprised of frequency distribution in capital, problems and need. Perception of the system and its effectiveness were evaluated using a questionnaire after participants had had an approximately one month period of experience of using the system. The responses to the questionnaire were positive about the system features and system process. Using the database system, executives and health officers and elders have been improved it based on feedback continuum.


Clinical decision support, older adult, database health system, data visualization, clinical informatics


Population of Thailand in the future, Available at: (in Thai), accessed July 2014.

The world's population and the population of Thailand, BE 2543 to 2568, Available at:, accessed August 2013.

Foundation of Thai gerontology research and development institute (TGRI). Annual report: the elderly, Thailand 2010 (in Thai). Bangkok QPL Limited, Bankok, 2012.

P Pramote. Elderly situation, trends and the impact of the ASEAN engagement of Thailand in year 2015 (in Thai). n.p., Bangkok, 2012.

P Hirdes. Addressing the health needs of frail elderly people: Ontario's experience with an integrated health information system. Age Ageing 2006; 35(4), 329-31.

S Koch and M Hägglund. Health informatics and the delivery of care to older people. Maturitas 2009; 63(3), 195-9.

M Kaye. Health literacy and informatics in the geriatric population: The challenges and opportunities. OJNI 2009; 13(3), 1-19.

S Koch. Healthy ageing supported by technology: a cross-disciplinary research challenge. Inform. Health. Soc. Ca. 2010; 35(3-4), 81-91.

M Marschollek, K Wolf, R Haux, S Mix, B Effertz and E Steinhagen-Thiessen. ICT-based health information services for elderly people: past experiences, current trends, and future strategies. Med. Inform. Internet. 2007; 32(4), 251-61.

L Dumrikarnleard, editors. Circumstances and care needs of the elderly in the community (in Thai). n.p., Bankok, 2012.

SA Zwijsen, AR Niemeijer and CM Hertogh. Ethics of using assistive technology in the care for community-dwelling elderly people: an overview of the literature. Aging. Ment. Health. 2011; 15(4), 419-27.

U Jaraeprapal and S Aekwarangkoon. Geographic Information System development for Community Health Promotion. Thai J. Nurse C. 2008; 23(3), 49-60.

Bureau of Promotion and Protection of the Elderly of Thailand. Law related to the elderly And local government organizations. The Office of Elderly Promotion and Protection, Bangkok, 2011.

R Arellano, FE Balcázar, F Alvara do and S Suárez. A Participatory Action Research Intervention in a Rural Community of Mexico Concerns Report Method. Univ. Psychol. 2015; 15(2), 1197-208.

S Kemmis and RM Taggart. Participatory Action Research. In N.K. Denzin &Y.S. Lincoln (Eds). “The Sage handbook of qualitative research. (3rd ed.pp.559-603). Sage, Thousand Oaks, 2005.

P Diviacco. An open source, web based, simple solution for seismic data dissemination and collaborative research. Comput. Geosci. 2005; 31(5), 599-605.

X Ma, Y Li, M Bourgeois, M Caffee, D Elmore, D Granger, et al. Web CN: A web-based computation tool for in situ-produced cosmogenic nuclides. Nucl. Instrum. Methods. 2007; 259(1), 646-52.

B Delipetrev, A Jonoski and DP Solomatine. Development of a web application for water resources based on open source software. Comput. Geosci. 2014; 62(1), 35-42.

MS Hutton, S Azevedo, R Beeler, R Bettenhausen, E Bond, A Casey, et al. Experiment archive, analysis, and visualisation at the National Ignition Facility. Fusion Eng. Des. 2012; 87(12), 2087-91.

T Lotz, J Nieschulze, J Bendix, M Dobbermann and B König-Ries. Diverse or uniform? Intercomparison of two major German project databases for interdisciplinary collaborative functional biodiversity research. Ecol. Inform. 2012; 8(1), 10-19.

J Soh, X Dong, SM Caffrey, G Voordouw and CW Sensen. Phoenix 2: A locally installable large-scale 16S rRNA gene sequence analysis pipeline with Web interface. J. Biotechnol. 2013; 167(4), 393-403.

P Jinpon, M Jaroensutasinee and K Jaroensutasinee. Integrated information visualization to support decision-making in order to strengthen communities: Design and usability evaluation. Inform. Health Soc. Ca. 2016, DOI: 10.1080/17538157.2016.1255626.

P Rob and C Coronel. Database Systems: Design, Implementation & Management, Seventh Edition 2007, Thomson Course Technology. Available at: FIT1004SG2.pdf, accessed July 2014.

P Srisilapanan and Development of Elder Health Information System: A Case Study of Lumphun Province. 2010.

N Dubuc, ND Colli, L Bonin, C Corbin, I Labrecque, J Guilbault, et al. Development of a Computerized Integrated-Care-Pathway System to Support People-Centred and Integrated Care: Usefulness of the Participatory Design Method. Int. J. Interg. Care 2016; 16(6), 91.

P Opasanant, P Pa-in and S Punyawong. Development of care system for dependent older persons in community. J. Nurs. Sci. Health 2015; 38(2).

T Thammakoon, K Kaewoun, N Raungsakun and N Suchart. Internet Referral Database System Development, Phitsanulok Province. Buddhachinaraj Med. J. 2009; 26(1).

O Freund, I Reychav, R McHaney, E Goland and J Azuri. The ability of older adults to use customized online medical databases to improve their health-related knowledge. Int. J. Med. Inform. 2017; 102, 1-11.

J Piotrowicz, A Soll, U Kielar, A Zwiefka, A Guligowska, M Piglowska, ICT and Environmental Support for Patient with Frailty Syndrome: Carewell Project, Focus Project, and Sunfrail Project. Medical Science Pulse 2017; 11(1), 37-43.

M Tsenga and Hui Wub. A cloud medication safety support system using QR code and Web services for elderly outpatients. Technol. Health Care 2014; 22(1), 99-113.

SJ Crane, EE Tung, GJ Hanson, S Cha, R Chaudhry and PY Takahashi. Use of an electronic administrative database to identify older community dwelling adults at high-risk for hospitalization or emergency department visits: The elders risk assessment index. BMC Health Serv. Res. 2010; 10, 338.


  • There are currently no refbacks.

Online ISSN: 2228-835X

Last updated: 20 June 2019