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    Item type:Publication,
    The Effects of an Individual and Family Self-Management Program for Slowing Disease Progression via a Mobile Application on Self-Management Behaviors and Clinical Outcomes in Patients with Stage 3 Chronic Kidney Disease in Thailand: A Quasi-Experimental Study
    (2026-01-01)
    Kulsuwan, Suphitsara
    ;
    Chantamit-O-Pas, Chutima
    ;
    Ponpinij, Panicha
    ;
    Chantamit-O-Pas, Pattanapong
    Purpose: Stage 3 chronic kidney disease (CKD) is highly prevalent and often progresses to end-stage renal disease without effective self-management. This study examined the effects of an Individual and Family Self-Management Program delivered via a mobile communication application on self-management behaviors and clinical outcomes among patients with stage 3 CKD. Methods: A 12-week quasi-experimental study with a pretest-posttest control group design was conducted among 50 patients with stage 3 CKD at a tertiary hospital in Thailand, between January and May 2024. The intervention group received a self-management program grounded in Individual and Family Self-Management Theory and delivered via the LINE chatbot. The program included educational content, self-regulation strategies, and structured family support, while the control group received usual care. Outcomes included self-management behaviors, estimated glomerular filtration rate (eGFR), systolic blood pressure (SBP), diastolic blood pressure (DBP), and hemoglobin A1c (HbA1c). Analysis of covariance was used to adjust for baseline differences. Results: After adjustment for baseline values, the intervention group showed significantly greater improvements in self-management behaviors (F=7.92, p<.05) and eGFR (F=52.92, p<.001) compared with the control group. Significant reductions were also observed in SBP (F=26.84, p<.001), DBP (F=12.61, p<.05), and HbA1c levels (F=7.74, p<.05). Conclusion: A mobile-based Individual and Family Self-Management Program effectively improved self-management behaviors and key clinical outcomes among patients with stage 3 CKD, supporting the integration of family engagement and digital technology in chronic disease care.
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    Item type:Publication,
    Knowledge Acquisition, Representation and Transfer in the Metamodel for Software Development Methodologies
    (2019-10-01)
    Chantamit-O-Pas, Pattanapong
    At present, software development life cycle has many standards involved. However, during the process of creating components in an application, there are many problems that originate in the knowledge gap between stakeholders and developers. The problem of developing is issues such as ambiguity, misunderstanding, miscommunications, different domain skills, and conflicting goals. Metamodel are needed because the methodology contents must be purpose-fit and optimally adjusted for the users/stakeholders/organisation. Metamodel, a model of software model includes endeavor domain, method domain, and metamodel domain. It has contents for user's needs, including organization, project, and product aspect. Three interconnected meta-elements are work products, work units, and producers, as well as relationship between them. ISO/IEC 24744 is the standard that includes metamodels.Application software are now applied knowledge management components aiming to reduce the gap between users/stakeholders and software developer team. The knowledge can be shared and transferred to others. This paper, therefore, focuses on applying knowledge management metamodel for software development process. We will extend the metamodel concept in ISO/IEC 24744 for knowledge acquisition, knowledge representation, and knowledge transfer to WorkUnits and WorkProducts, thereby increasing their explicitness in the software development process. Tacit knowledge will be focused and propose knowledge metamodel will be shown.