Background: The coronavirus disease 2019 (COVID-19) pandemic has affected the health-related behaviors of patients with non-communicable diseases (NCDs). Thus, the factors predicting the health-promoting behaviors (HPBs) of hospitalized patients with NCDs during the second wave of COVID-19 should be examined. Objective: The aims of this study were to determine the relationships among the patients’ characteristics, perceived self-efficacy, social support, perception of the benefits of and barriers, and HPBs, and to determine the predictive factors of HPBs among hospitalized patients with NCDs during the second wave of COVID-19. Patients and Methods: The study had a cross-sectional predictive correlational design and included 250 patients with NCDs 18 years of age or older hospitalized in a tertiary hospital in Thailand. Descriptive statistics, the chi-square test, the Pearson’s correlation coefficient, and stepwise multiple linear regression were used for data analysis. Results: Most of the participants had a cardiovascular disease (34.0%). Followed by diabetes (28.8%), cancer (11.2%), hypertension (10.0%), heart disease (9.6%), or chronic obstructive pulmonary disease (6.4%) and had a moderate level of overall HPBs (M = 106.09; SD = 4.66). Among the six components of the HPBs, the participants achieved the moderate levels in nutrition, interpersonal relations, spiritual growth, and stress management, and low levels in physical-activity and health responsibility. The patients’ perception of the benefits and barriers to the adoption of HPBs and perceived self-efficacy and social support were able to predict their HPBs, accounting for approximately 38.0% of the variance of such behaviors. Conclusion: On the basis of our study’s results, we suggest that researchers, multidisciplinary teams, the government, and policymakers establish effective interventions, guidelines, and policies for the development of HPBs to prevent and control the spread of COVID-19 particularly among patients with NCDs, and to improve their capacity for high-quality and continuing self-care.

Background: Food consumption behavior plays a critical role in health outcomes and the prevention of chronic diseases, particularly during adolescence. Understanding the determinants of these behaviors is essential for designing effective interventions. Objectives: This study aimed to investigate: (A) The levels of predisposing factors (knowledge and attitudes), enabling factors (accessibility and readiness), and reinforcing factors (media and peer influence); (B) the food consumption behaviors of senior high school students; and (C) the relationships between these factors and food consumption behaviors. Methods: A cross-sectional design was employed, involving 326 senior high school students in Thailand selected through quota sampling. Five self-administered questionnaires were used to collect data: Knowledge of consumption, attitudes toward consumption, accessibility and readiness of food consumption, influence from peers and media, and food consumption behavior. Descriptive statistics and multiple regression analysis were utilized, with a significance level set at P < 0.05 for all analyses. Results: The findings revealed that a majority of the participants were female students, comprising 68.71% of the sample, with an average age of 17 years. Overall, knowledge regarding food consumption was notably high, at 44.11%. Attitudes towards food consumption were significantly more favorable, reaching 87.12%. However, factors such as accessibility and media influences were categorized as moderate. The food consumption behaviors of participants were similarly rated as moderate, with a mean score of 2.44 and a standard deviation of 0.50. Multiple regression analysis determined that factors such as accessibility and readiness of food (β = 0.129, P < 0.020), peer influence (β = 0.161, P = 0.004), and media influence (β = 0.149, P = 0.007) were significant predictors of food consumption behavior among students. Conclusions: Food consumption behaviors among senior high school students are influenced by accessibility and social reinforcements such as media and peers. Despite high levels of knowledge, moderate attitudes and environmental barriers limit the adoption of healthy eating behaviors. Targeted interventions should focus on improving food accessibility, promoting media literacy, and leveraging peer influence to encourage healthier food choices. Future research should explore regional nutritional disparities to inform policy and practice more effectively.

Background: Mental health plays a vital role in the well-being of university students, particularly first-year students who face academic and social transitions. Understanding mental health status and related knowledge is essential for supporting this population. Objectives: The present study aimed to evaluate the mental health status and mental health knowledge, and to identify the factors that influence mental health among first-year students at a Thai university. Methods: A cross-sectional study design was employed between October 2023 and March 2024, involving all 165 first-year students from seven disciplines within the College of Allied Health Sciences at Suan Sunandha Rajabhat University. A census sampling method was used, as all eligible students who met the inclusion criteria and provided informed consent were included. Data collection was conducted through self-administered questionnaires, which included scales for mental health assessment, knowledge of mental health, and factors affecting mental health. Data were analyzed utilizing both descriptive statistics and multiple regression analysis. Results: Among the participants, 81.2% were female, 59.4% had mental health scores above the standard, while 81.2% demonstrated high levels of mental health knowledge. Key predictors of mental health among first-time university students included factors such as gender, field of study, birth order, and levels of family, educational, and social support, which together accounted for a total variance of 31.5% (P < 0.05). Conclusions: The study highlights the need for targeted mental health support, particularly for female students and those in high-stress academic fields. Strengthening family and institutional support may improve students’ mental health outcomes.

Burnout among nurses is an important occupational and public health concern because it is associated with nurses’ well-being, workforce retention, and the quality and safety of patient care. This explanatory sequential mixed-methods study examined levels of work stress, quality of work life, and burnout among registered nurses in public hospitals in Samut Songkhram Province, Thailand, and explored nurses’ experiences regarding workplace factors related to burnout. The target quantitative sample was 217 registered nurses, and 186 completed questionnaires were included in the final analysis. Structured questionnaires assessed work stress, quality of work life, and burnout. Multiple regression analysis was used to identify factors associated with burnout. Qualitative data were collected through in-depth interviews with 10 registered nurses and analyzed using content analysis. Most nurses were classified as having high work stress and being at risk of burnout. Work stress and quality of work life jointly explained 35.0% of the variance in burnout. Work–life balance, fair and adequate compensation, professional development, workplace safety, organizational justice, and social integration in the workplace were associated with lower burnout scores. Organizational structure, policy, and climate showed a positive coefficient in relation to burnout and should be interpreted cautiously because the p-value was close to the conventional threshold for statistical significance. Qualitative findings supported the quantitative results and highlighted workload, staffing shortages, limited resources, insufficient recovery time, and workplace support as important workplace concerns.

Background: Village health volunteers (VHVs) play an essential role in Thailand’s primary healthcare system by promoting health, preventing diseases, and ensuring community well-being. However, their operational effectiveness is influenced by several key factors, including transformational leadership, employee commitment, and job satisfaction. This study investigates these relationships and their implications for sustainable community health systems. Methods: A mixed-methods approach was utilized, combining quantitative data from 280 VHVs across Thailand’s lower central region with qualitative insights gained from focus group discussions (FGDs). Structural Equation Modeling was employed to evaluate the relationships among transformational leadership, employee commitment, job satisfaction, and operational effectiveness. Results: The findings reveal that transformational leadership significantly predicted employee commitment (β=0.80, P<0.001) and job satisfaction (β=0.65, P<0.001). Operational effectiveness was significantly predicted by employee commitment (β=0.49, P<0.001), transformational leadership (β=0.26, P<0.001), and job satisfaction (β=0.13, P=0.04). Together, these variables explained 68.0% of the variance in operational effectiveness. A new model termed T-E-J Performance (where T=Transformational Leadership, E=Employee Commitment, and J=Job Satisfaction) has been developed to guide strategic improvements. Conclusion: To sustain effective community health programs, it is vital to enhance leadership capabilities, improve job satisfaction, and foster commitment among VHVs. These findings offer actionable insights for policymakers to create leadership training programs, enhance incentives, and implement strategies for workforce retention. Strengthening VHV systems can significantly contribute to sustainable healthcare delivery and health equity in Thailand.

Background: As Thailand transitions into a super-aged society, promoting health care behaviors among older adults is essential to reduce the chronic disease burden and healthcare costs. Understanding the determinants of these behaviors is crucial for developing targeted interventions. Objectives: This study aimed to examine health care behaviors among older adults in Samut Songkhram Province, Thailand, and identify associated factors using the PRECEDE-PROCEED model. Methods: A cross-sectional study was conducted between February and April 2025 among 420 community-dwelling adults aged ≥ 60 years, selected through multi-stage random sampling. Potential sources of bias were minimized through randomization, standardized questionnaires, and researcher training. Descriptive statistics summarized the data, while chi-square tests, Pearson’s, and Spearman’s correlations examined associations at P < 0.05. Results: Overall, 71.7% of participants reported high health care behavior (Mean = 2.61 ± 0.27). High predisposing (75.5%), enabling (71.0%), and reinforcing (63.1%) factors were observed. Significant associations were found with education (P = 0.024), marital status (P = 0.039), and income sufficiency (P = 0.026). Access to health information, literacy, and community participation were the key associated factors. Conclusions: Older adults’ health care behaviors are shaped by personal, social, and environmental factors. Enhancing health literacy, improving resource access, and strengthening community engagement—particularly via senior clubs—are essential for promoting healthy aging in Thailand’s aging population.