Table 1: Research procedures.

Week Intervention Evaluation
1st week The stress management training program divided into 2 parts;
1 part: 2 activities (2 hrs.);
- warm up by relationships
- provide video knowledge by health effects of stress, causes and symptoms of stress, stress level, and stress management
- observing participants
2nd-8th weeks 2 parts: the stress management training program consisted of 2 main activities;
(a) Meditation activity integrated with the concept of alternative medicine (2 hrs.) as follows;
- slowly close your eyes, inhale deeply through your nose, slowly (count 1-5) (30 minutes)
- hold your breath (count 1-3) (2-3 minutes)
- slowly exhale through your mouth
- slowly count 1-5 again, and repeat the step as a full cycle (full cycle 30-40 times), then slowly open your eyes
(b) Stress-management using self-practice massage training applied from Thai traditional massage for 2 sessions (3 hrs.) including;
- relaxing massage for eye care (7 postures)
- relaxing massage for neck and head
- relaxing massage for hand, arm and shoulder (3 postures)
- self-practice massage to prevent pain on hand, arm and shoulders (3 postures)
- self-practice massage to relieve tension on the back, waist and hip (15 postures)
- after practicing self-massage use heat compressing using Thai herbal compress ball (250 g.) (10-15 minutes.)
Note: both activities at home every day for the meditation (twice a day, morning and evening 30-40 minutes each time) and self-practice massage (once a day, 16.00-17.00 pm or when available, 30-45 minutes each time)
- self-practice by observing participants
- self-regulation by record activity in the notebook every day
9th -12th weeks Home visit care to remind participants to follow the program and stimulate the motivation to practice (twice a week, 60 minutes each time);
- short discussion about knowledge, stress management, set or assess self-regulation, and the elders about their problems
- mobile phone follow up on the encouragement (1 time per week)
- observing participants
- self-practice