Jiraporn Kespichayawattana

Psychological well-being Asian style: The perspective of Thai elders

Psychological well-being is animportant aspect of life quality for olderadults. Asian elders may have a distinctlydifferent perspective from Westernersconcerning the meaning of psychologicalwell-being. Using qualitative researchmethods, this study focused on the views of Thai elders. In-depth interviews and focusgroup discussions were conducted with 67 Thaipeople aged 60 and over. Transcripts werecontent analyzed resulting in theidentification of five dimensions ofwell-being: harmony, interdependence,acceptance, respect and enjoyment. Whencompared to research in the United States, someof the dimensions of psychological well-beingwere distinct while others were overlapping. Implications are discussed in relation to thedevelopment of culturally-relevant measures ofwell-being.

The Role of Parents and Family Members in ART Treatment Adherence: Evidence From Thailand:

High levels of treatment adherence are crucial for the success of expanding antiretroviral therapy (ART) treatment programs everywhere. Augmenting adherence through treatment supporters is one promising strategy. Most discussions focus on peers, especially members of persons with HIV/AIDS (PHA) groups, for this purpose. Far less attention is given to family members and especially older age parents. Yet ART recipients often live with or nearby parents and other family members who are highly motivated to ensure the treatment’s success. This study examines the extent that family members, especially parents, assist adherence in Thailand. Results indicate that most adult ART patients live with family members and more than half live with or in the same locality as a parent. Family members, including parents, commonly remind ART patients to take medications, especially if coresident. Moreover, parents often remind patients to get resupplies and sometimes accompany them to appointments. Clearly close family members, including parents, should be explicitly incorporated into adherence augmentation programs and provided adequate information to facilitate their role as long-term adherence partners, not only in Thailand but wherever ART recipients are closely linked to family members through living and caregiving arrangements.