{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T10:50:35Z","timestamp":1782989435310,"version":"3.54.5"},"reference-count":0,"publisher":"IOS Press","isbn-type":[{"value":"9781643686684","type":"electronic"}],"license":[{"start":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T00:00:00Z","timestamp":1782691200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,6,29]]},"abstract":"<jats:p>This study aimed to develop and evaluate a culturally grounded community-based long-term care model for preventing depression among older adults in Northeastern Thailand. A sequential mixed-methods design was conducted between January 2023 and December 2025 in three phases: (1) a cross-sectional survey (n=1,522) to identify determinants of depression; (2) participatory action research to develop the intervention; and (3) a quasi-experimental evaluation (intervention n=120; control n=120) over 12 months. Depression was assessed using the Thai Geriatric Depression Scale. Logistic regression, repeated-measures ANOVA, and structural equation modeling (SEM) were applied. Depression prevalence was 18.6%. Key predictors included low social support (AOR=2.85), living alone (AOR=2.47), and low social participation (AOR=3.12). The ISAN-LTC Model\u2013Integrated care, Social participation, Active aging and Networking support, a culturally grounded\u2014significantly reduced depression scores (p&lt;0.001) and improved quality of life (p&lt;0.01). SEM indicated that social participation partially mediated the relationship between social support and depression. The model demonstrates effectiveness, feasibility, and scalability within community health systems.<\/jats:p>","DOI":"10.3233\/shti260868","type":"book-chapter","created":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T10:01:33Z","timestamp":1782986493000},"source":"Crossref","is-referenced-by-count":0,"title":["Development of a Community-Based Long-Term Care Model for Preventing Depression Among the Elderly in the Northeast of Thailand"],"prefix":"10.3233","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6380-0449","authenticated-orcid":false,"given":"Suwairin","family":"Srichai","sequence":"first","affiliation":[{"name":"Faculty of Public Health, Mahasarakham University, Mahasarakham 44150, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9553-7297","authenticated-orcid":false,"given":"Jaruwan","family":"Viroj","sequence":"additional","affiliation":[{"name":"Faculty of Public Health, Mahasarakham University, Mahasarakham 44150, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6927-8420","authenticated-orcid":false,"given":"Phatcha","family":"Hirunwatthanakul","sequence":"additional","affiliation":[{"name":"Faculty of Public Health, Mahasarakham University, Mahasarakham 44150, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-5049-4874","authenticated-orcid":false,"given":"Aphiwat","family":"Deedankho","sequence":"additional","affiliation":[{"name":"Phakhaw Hospital, Loei 42240, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3406-8367","authenticated-orcid":false,"given":"Phattarapon","family":"Ponprison","sequence":"additional","affiliation":[{"name":"Faculty of Science and Technology, Sakon Nakhon Rajabhat University, 47000, Thailand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"7437","container-title":["Studies in Health Technology and Informatics","Health Sciences Informatics Leads and Empowers the Digital Health Transformation"],"original-title":[],"link":[{"URL":"https:\/\/ebooks.iospress.nl\/pdf\/doi\/10.3233\/SHTI260868","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T10:01:34Z","timestamp":1782986494000},"score":1,"resource":{"primary":{"URL":"https:\/\/ebooks.iospress.nl\/doi\/10.3233\/SHTI260868"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,29]]},"ISBN":["9781643686684"],"references-count":0,"URL":"https:\/\/doi.org\/10.3233\/shti260868","relation":{},"ISSN":["0926-9630","1879-8365"],"issn-type":[{"value":"0926-9630","type":"print"},{"value":"1879-8365","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,29]]}}}