
Tharin PhenwanUniversity of Dundee · School of Health Sciences
Tharin Phenwan
MD, PhD
I am open to research collaborations.
About
56
Publications
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Introduction
Tharin is a GP and lecturer at the University of Dundee.
His research interests are: Palliative and End of Life Care; Advance Care Planning (ACP), Gerontology; Dementia; Qualitative research; Quality of Life and Medical Education.
Additional affiliations
Education
September 2018 - October 2023
January 2015 - December 2015
Karunruk Palliative Care Center
Field of study
- Palliative Care
June 2013 - May 2016
Publications
Publications (56)
Background
Discussing Advance Care Planning (ACP) with people living with dementia (PwD) is challenging due to topic sensitivity, fluctuating mental capacity and symptom of forgetfulness. Given communication difficulties, the preferences and expectations expressed in any ACP may reflect family and healthcare professional perspectives rather than th...
People with dementia (PwD) often face symptoms that influence their memories and capabilities to express themselves meaningfully. These symptoms make it particularly challenging for qualitative researchers to capture and demonstrate PwD’s complex experiences with the traditional reliance on textual outputs.
This paper offers a novel approach throug...
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: Th...
Purpose of the review:
To identify and assess factors that affect the decisions to initiate advance care planning (ACP) amongst people living with dementia (PwD).
Methods:
A narrative review was conducted. A keyword search of Medline, CINAHL PsycINFO, and Web of Sciences databases produced 22,234 articles. Four reviewers independently applying inc...
Context: Spirituality is the essence of a human being. Patients who have good spiritual well-being (SWB) will also have better quality of life. However, health-care providers usually under-assess this aspect due to lack of practical guideline. In Thailand, the validated survey came from a different cultural background and was heavily based on Buddh...
Advance Care Planning (ACP) is a continuous process that enables individuals to discuss and document their preferences for future care in the event of terminal illness or incapacitation. In Scotland, the creation of ACPs is encouraged and integrated into current dementia policies as a means of safeguarding the human rights of people living with dem...
Advance Care Planning (ACP) helps individuals express care preferences in case of future incapacitation and has been part of Thailand's national policy since 2014. However, the awareness and uptake of ACP remains low. Peaceful Death, a community-driven organization, aims to improve ACP awareness through innovative death education with the Life Unlo...
Background: Following medical cannabis legalization in Thailand in 2019, more people are seeking medical cannabis–related information, including women living with breast cancer. The extent to which they access cannabis-related information from internet sources and social media platforms and the quality of such content are relatively unknown and nee...
Objective: To synthesise evidence on oral healthcare for older adults with dementia.
Advance Care Planning (ACP) is an ongoing process that facilitates individuals to discuss and document their preferences for their future care in the event of terminal illness or incapacitation. In Scotland, the creation of ACP is encouraged, and integrated in current dementia policies as a means of safeguarding the human rights of people living wi...
Background
Healthcare professional students (HCPs) are encouraged to utilise reflection during and after their study programmes as a part of their life-long learning skill and professional competencies. However, the way in which the concept of reflection is taught and its’ influence students’ capacity to reflect have not been fully explored. This n...
Background
Discussing Advance Care Planning (ACP) with people living with dementia (PwD) is challenging due to topic sensitivity, fluctuating mental capacity and symptom of forgetfulness. Given communication difficulties, the preferences and expectations expressed in any ACP may reflect family and healthcare professional perspectives rather than th...
Background/aims: To evaluate the quality of medical cannabis (MC) content on social media platforms accessed by Thai breast cancer survivors post its legalization in 2019.
Methods: A Mixed-method study was conducted with engagement with a breast cancer survivor support group throughout. They identified MC contents accessed by breast cancer survivo...
Background/aims: Advance Care Planning (ACP) enables individual to conceptualise and express their preferences of care in the case of future incapacitation or towards end-of-life. The ACP uptake and its awareness remain low amongst healthcare professionals and the public in Thailand. Peaceful Death, a community driven organisation, seeks to raise A...
Background/aims: In 2014, palliative care was established as law and national policy in Thailand, augmenting the 2007 law that permits Thais to create legally-binding Advance Directives. Despite these legislative advancements, national awareness about palliative care and Advance Directives uptake has remained notably low. This abstract highlights t...
Introduction
Palliative care is an approach that aims to holistically improve the quality of life, care and death of people living with life-limiting conditions as well as their families. In Thailand, palliative care became one of its national strategies as of 2014. However, the access to as well as the quality of palliative care being delivered st...
Introduction
Conducting research with people living with dementia (PwD) necessitates navigating complex ethical and logistical considerations, primarily influenced by PwD’s gatekeepers. These gatekeepers can either facilitate or hinder PwD’s engagement in research, potentially impacting the quality and inclusivity of the research. The Join Dementia...
Introduction
Advance Care Planning (ACP) is an ongoing process that enables individuals to express, discuss and document their personal values, preferences of care in case of future incapacitation or terminal illnesses. Engaging in ACP discussion is particularly challenging with and for people living with dementia (PwD) due to symptoms of forgetful...
Background
Reflective practice is encouraged amongst healthcare students, including nursing students. However, students do not have a ‘safe space’ to practice reflection before being assessed. Padlet is an interactive platform that can potentially facilitate students’ reflection via its features that enables anonymous participation, asynchronous pa...
Background
Discussing Advance Care Planning (ACP) with people living with dementia (PwD) is challenging due to topic sensitivity, fluctuating mental capacity and symptom of forgetfulness. Given communication difficulties, the preferences and expectations expressed in any ACP may reflect family and healthcare professional perspectives rather than th...
BACKGROUND
It seems unclear why people living with breast cancer choose to receive medical cannabis-related content from social media. Thus, the extent to which patients access cannabis-related information from social media and the quality of the content on the platforms needs evaluation.
OBJECTIVE
We analyzed the factors determining the quality o...
Background:
It seems unclear why people living with breast cancer choose to receive medical cannabis-related content from social media. Thus, the extent to which patients access cannabis-related information from social media and the quality of the content on the platforms needs evaluation.
Objective:
We analyzed the factors determining the quali...
Conducting qualitative research with people with dementia (PwD) is inherently challenging due to their fluctuating mental capacity and symptom of forgetfulness. These challenges were compounded during the early phase of the COVID-19 pandemic when social distancing and lock down were enforced. This article critically discusses the researchers' exper...
Dementia is a neurodegenerative condition that progressively affects a person’s memories and capacity to express their future needs. This can lead to an increasing burden of care, decreasing quality of life and dignity of care of people with dementia (PwD) due to the mismatch of the care they receive and the care they expect. One mechanism to mitig...
Purpose: This study evaluated the quality of cannabis-related content on social media platforms accessed by Thai breast cancer survivors post its legalization in 2019.
Materials and Methods: A cross-sectional study was conducted at a Southern Thailand tertiary hospital from November 2020 to May 2022 A breast cancer survivors support group was invo...
The booklet introduces the concept of palliative care as well as Advance Care Planning and allows individuals who live in Thailand to create their Advance Directives with jargon-free information.
Information documented in the booklet can be transferred to the hospital which is in line with Thai standards for advance care planning 2022.
Supported...
Background: Reflective practice (RP) is encouraged amongst healthcare students, including nursing students. However, students do not have a ‘safe space’ to practice reflection before being assessed. Padlet is an interactive platform that can potentially facilitate students’ reflection via its features that enables anonymous participation, asynchron...
https://www.palliativecarescotland.org.uk/content/publications/20.-Exploring-Advance-Care-Planning-in-Scottish-dementia-policies---a-Critical-Discourse-Analysis.pdf
https://www.palliativecarescotland.org.uk/content/publications/21.-Exploring-the-initiation-and-revision-of-ACP-with-and-for-people-with-dementia---a-narrative-study.pdf
Doing research with People with Dementia (PwD) can be challenging given that disease symptoms of anxiety, forgetfulness, and fluctuating mental capacity can make recruitment and data collection difficult. Once COVID-19 made face-to-face data collection impractical, using internet-based methods became an alternative option to continue with research....
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...
To estimate the prevalence of dementia among Thai elderly in the upper Southern region of Thailand, we performed a cross-sectional screening of all Thai older people from 2 areas of Nakhon Si Thammarat province: Tambon Baan Thungchon, Tha Sala district, and Moo 6 and 7 from Sichon district, from December 2016 to November 2017. Trained health volunt...
Objectives: To study factors associated with Attention Deficit/Hyperactivity Disorders in school aged children of Sichon Hospital
Introduction: Advance Care Planning (ACP) is an agreement of preferred care between patients, family, and the health care team should the patient become incapacitated. However, ACP uptake and awareness is still low in Thailand. The Life Unlocking Card Game is an intervention that was conceived to use gamified element to raise ACP awareness. This st...
Advance Directive (AD) is a medical agreement to ensure that patients' autonomy is respected. In Thailand, there has been Health Act Legislation to promote the use of a living will, a form of AD, since 2007. However, there is no assessment of its practicability yet. The objective of this study was to explore perceptions and attitudes to living will...
Background
Reflective practice (RP) plays a crucial role in encouraging learners to think critically and consciously about their performances. Providing constructive feedback can further enhance RP. But non-Western learners might face different learning barriers compared to learners in the West, where RP originated.
Methods
In this retrospective s...
Objective:
To understand the transition of changed body image after the diagnosis and surgery in women with breast cancer.
Methods:
Semi-structured interview and focus group with narrative approach. Thematic analysis was performed using methodological and investigator triangulation methods.
Results:
Participants’ body image transformation was ca...
Appendix_1 – Supplemental material for Body image transformation after breast cancer diagnosis and treatment in southern Thai women
Advance Care Planning (ACP) is an agreement of preferred care between patients, family, and the health care team that is utilised should the patient become incapacitated. ACP uptake and awareness is still low in Thailand due to the lack of practical tool to initiate ACP and cultural barriers to see death as a taboo and sensitive subject. The Life U...
Background: Mind maps (MM), is a learning method assisting learners in the visualisation of relationships between theoretical concepts. Studies also showed enhancement of data retention, overall comprehension, and creativity in MM users. Thus, MM has been implemented in many medical schools to facilitate medical students’ learning experiences. Neve...
Background: Mind maps (MM), is a learning method assisting learners in the visualisation of relationships between theoretical concepts. Studies showed the enhancement of data retention, overall comprehension, and creativity in MM users. Thus, MM has been implemented in many medical schools to facilitate medical students’ learning experiences. Howev...
การแจ้งข่าวร้ายแก่ผู้ป่วย เป็นกระบวนการทางการแพทย์ที่สำคัญอย่างหนึ่ง หากแพทย์ไม่สามารถแจ้ง
ข่าวได้อย่างเหมาะสม จะส่งผลต่อความสัมพันธ์ระหว่างผู้ป่วยและแพทย์ คุณภาพชีวิตของผู้ป่วย รวมไปถึงความร่วมมือในการรักษาในอนาคตได้ บทความนี้ ได้อธิบายถึงความสำคัญของการแจ้งข่าวร้าย ปัจจัยที่ทำให้การแจ้งข่าวร้ายสำเร็จ ปัจจัยที่ทำให้การแจ้งข่าวร้ายของแพทย์ยังขาดประ...
Introduction: Advance Care Planning (ACP) is a part of comprehensive palliative care but there are challenges for its implementation. In Thailand, undergraduate medical curriculum also has not implemented palliative care and ACP as a core teaching topic for the medical students yet. Life Unlocking Card Game is an end-of-life conversation card game...
Background and Objective: Reflective practice and feedback is one of the methods help improving self-assessment accuracy. So far, there is little evidence in its practicability in Thai medical students. The aims of this study were (1) to investigate the effectiveness of the reflective practice and feedback on improving self-assessment accuracy and...
Background: Problem-based learning (PBL) was used in basic and clinical sciences learning in an integrated approach. Despite its implementation into medical curricula around the world over four decades ago, group dynamic issues in PBL are still abundant. To date, there is no publication addressing the difficulties in PBL for Thai medical students....
Background: Total pain is a concept that approaches pain holistically: physically, psychologically, socially, and spiritually. Any individual may experience pain in each domain at a different level. This is the case report of an adolescent who suffered from total pain and how his healthcare team and peers helped to relieve it.
Case presentation: A...
Introduction: In-house comprehensive examinations for preclinical students from various Thai medical schools were provided. However, their quality has never been evaluated with a score correlation with NLE as the gold standard. This study aimed to assess the correlation of the scores as determined by three different comprehensive examinations and n...
The purposes of this study were (1) to investigate the effectiveness of a self-directed learning model to gain higher scores; (2) to explore
factors affecting their scores.
Methods: sequential mixed methods. In quantitative part, all third-year medical students were included into the study. Mean, standard deviation, percentage and non-parametric te...
Background: Evidence-based medicine (EBM) is the application of current, best-available clinical evidence to health care decisions for individual patients. Many medical schools put EBM courses in their curriculum as they considering it is important. However, to teach the EBM course in pre-clinical year medical students is challenging owning to thei...
Background: To explore factors that influence quality of life (QOL) in patients receiving breast conserving therapy (BCT).
Materials and Methods: In this sequential mixed methods study, 118 women from Songklanagarind Hospital were included. We used participants' characteristics, Body Image Scale (BIS), and Functional Assessment of Cancer Therapy w...
Background: To explore factors that influence quality of life (QOL) in patients receiving breast conserving
therapy (BCT).
Materials and Methods: In this sequential mixed methods study, 118 women from Songklanagarind Hospital were included. We used participants’ characteristics, Body Image Scale (BIS), and Functional Assessment of Cancer Therapy...