Social acceptance and adjustment of spouses in multicultural families to reduce violent behavioral conflicts in the Mueang district, Yala province.

Currently, there is an increasing number of intercultural marriages in Thailand. Many Thai citizens, especially in various regions, tend to marry foreigners. In the southern region, particularly in the three southern border provinces, intercultural marriages mostly occur between Thai Muslim women and Thai Buddhist men. In these cases, the men usually convert to their wives' religion, Islam, which can lead to significant differences in beliefs and practices between the spouses. These differences often result in conflicts within the family and ultimately contribute to domestic violence issues. This situation has serious repercussions for both adults and children involved. This qualitative research examined the acceptance and adjustment of spouses in multicultural families to reduce violent behavioral conflicts in Muang District, Yala Province, Thailand. This study was the first research conducted in the region. To this end, data were collected through in-depth interviews, focus group discussions, and both participant and non-participant observations. Interview questions and group discussion topics were determined according to research objectives. Further, study samples were collected from multicultural Buddhist-Islamic families using the purposive sampling method. Thematic analysis was employed to analyze data. Results revealed that individuals' intolerance of each other's beliefs and attitudes was the major cause of violence in multicultural families. The values, beliefs, concepts, and attitudes of married couples are shaped by their primary and secondary socialization based on their cultural foundations. Therefore, spouses in multicultural families accept and adjust themselves holistically to reduce violent behavioral conflicts in their family life. Their acceptance includes: (1) physical acceptance and adjustment; (2) mental acceptance and adjustment; (3) social acceptance and adjustment; and (4) spiritual acceptance and adjustment. The findings have implications for intercultural marriages.

Using Zoom and Card Game to Conduct Advance Care Planning Classes: An Innovative Practice.

BACKGROUND: This article demonstrates the innovative practice of using a card game to teach participants about Advance Care Planning (ACP) and palliative care in Thailand via Zoom during the COVID-19 pandemic. AIMS: To assess the feasibility of using online workshops to conduct sensitive topics of palliative care and death and dying. METHODS: The interactive online workshops were conducted after imposition of the COVID-19 restriction and national lockdown in Thailand between March and September 2020. The sessions were conducted via Zoom meetings and Facebook secret group. Trained facilitators plus one IT team member hosted each workshop. Participants were given an anonymous post-course evaluation with open-ended written feedback form. Content analysed was used. RESULTS: Eleven sessions were conducted. 103 participants joined the online classes. Participants gave an overwhelmingly positive of the workshops, emphasising on: (i) convenient; (ii) social connectedness during the lockdown; (iii) bichronous element of the activities.

Factors Influencing Job Retention and Quality of Life amongst Nasopharyngeal Carcinoma Patients.

OBJECTIVE: To evaluate the quality of life (QoL) amongst Thai nasopharyngeal cancer patients (NCP) and identify associated factors with QoL. METHODS: This study was based on secondary data from a cross-sectional study that aimed to develop the Thai version of functional assessment of cancer therapy with nasopharyngeal cancer subscale demographic data, clinical information of participants, and Functional Assessment of Cancer Therapy with Nasopharyngeal cancer subscale (FACT-NP) were utilized. Data were analyzed using Student's t-test, rank-sum test, variance analysis, and the Kruskal-Wallis test. Multiple linear regression with the stepwise model was used to determine multiple variable analysis. Statistical significance was defined at p-value < 0.05. RESULTS: Two hundred and thirty NCP were included in the study with a mean age of 50.3±12.4 years. According to our findings, 68.3% were male, 81.7% were married or living with a partner, and 86.1% were Buddhism had the Eastern Cooperative Oncology Group (ECOG) performance status between 0-2 (95.2 %). The employment status, education level, economic status, ECOG, stage , and disease status significantly influenced patients' QoL. Patients who had active treatment and received prophylactic percutaneous gastrostomy  were also impacted by the FACT-NP score. In the multivariate analysis, employment status, ECOG, and disease status were shown to be significant factors that were associated with their QOL in the final model. CONCLUSION: Employment status was a socioeconomic factor that led to positive QOL amongst NCP.