The influence of perceived value and motivation on health tourism intention among Middle Eastern tourists in Thailand

Main Article Content

Piranut Boonmalert, Sarawut Laesun and Surapan Arminsen

Abstract

The purpose of this research is to investigate the influence of perceived value and motivation on Middle Eastern visitors' intentions to engage in wellness tourism in Thailand, with attitude serving as a mediating variable. This study utilizes a quantitative technique, gathering data from 400 visitors using a questionnaire designed and tested by statistical standards. Data was analyzed using Structural Equation Modeling (SEM).


          The results reveal that perceived value variable had an average score of 3.11. The tourists' motivation variable had an average score of 3.65. The attitude of tourist’s variable had an average score of 3.78, and the travel intention of Middle Eastern tourists had an average score of 3.57 and reveal that perceived value and motivation have an immediate and significant effect on attitudes and intentions to engage in wellness tourism in Thailand. Furthermore, attitude has a direct influence on travel intention. The developed model explains 46% of the variance in tourism intention. This study emphasizes the significance of psychological elements in encouraging travel decisions for wellness tourism among Middle Eastern visitors. In the fast-rising wellness tourism sector, improving perceived value, generating motivation, and building good attitudes about the destination are critical for increasing Thailand's competitiveness in the global wellness tourism market. 

Article Details

How to Cite
Piranut Boonmalert, Sarawut Laesun and Surapan Arminsen. (2025). The influence of perceived value and motivation on health tourism intention among Middle Eastern tourists in Thailand . Ramkhamhaeng University Journal Humanities Edition, 44(1), 17–32. retrieved from https://so05.tci-thaijo.org/index.php/huru/article/view/281845
Section
Research Article

References

กรมสนับสนุนบริการสุขภาพ กระทรวงสาธารณสุข (2559) ยุทธศาสตร์การพัฒนาประเทศไทยให้เป็นศูนย์กลางสุขภาพนานาชาติ (Medical Hub) ฉบับ พ.ศ.2560 ถึง พ.ศ.2569 สืบค้นออนไลน์จากhttps://hss.moph.go.th/fileupload/2560-102.pdf

Abdallah, A., & Al-Hashmi, B. (2023). Are Medical and Wellness the Future of Tourism in Qatar? Études caribéennes, (9).

Aji, H. M., Muslichah, I., & Seftyono, C. (2021). The determinants of Muslim travellers’ intention to visit non-Islamic countries: a halal tourism implication. Journal of Islamic Marketing, 12(8), 1553–1576.

Alimamy, S., & Al-Imamy, S. (2022). Customer perceived value through quality augmented reality experiences in retail: The mediating effect of customer attitudes. Journal of Marketing Communications, 28(4), 428–447.

Andruliene, R. (2024, September). Travel Motivation, Attitude and Intention to Visit Wellness Resorts. In Global Business Conference 2024 Proceedings (p. 21).

Azam, N. R. A. N., Patwary, A. K., & Rashid, B. (2022). Measuring revisit intentions of green resorts in Malaysia: The role of perceived value and environmental concern. Geo Journal of Tourism and Geosites, 40(1), 157–166.

Ajzen, I. (1991). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179–211.

Clerici, A. P., Murphy, C., & Almeida, N. M. C. (2023). The future of wellness tourism after COVID-19. European Spatial Research and Policy, 30(1), 103–122.

Damanik, J., & Yusuf, M. (2022). Effects of perceived value, expectation, visitor management, and visitor satisfaction on revisit intention to Borobudur Temple, Indonesia. Journal of Heritage Tourism, 17(2), 174–189.

Ervina, E., & Octaviany, V. (2022). The role of tourist attitude toward destination awareness, destination personality and future visit intention. APMBA (Asia Pacific Management and Business Application), 11(1), 1–18.

Fornell, C., & Larcker, D. F. (1981). Structural Equation Models with Unobservable Variables and Measurement Error: Algebra and Statistics. Journal of Marketing Research, 18, 382-388. http://dx.doi.org/10.2307/3150980

Global Wellness Institute (2023). สืบค้นออนไลน์จาก https://globalwellnessinstitute.org/industry-research/2023-global-wellness-economy-monitor/

Happ, E., Hofmann, V., & Schnitzer, M. (2021). A look at the present and future: The power of emotions in the interplay between motivation, expectation and attitude in long-distance hikers. Journal of Destination Marketing & Management, 19, 100527.

Hasan, M. K., Ray, R., & Neela, N. M. (2023). Tourists’ behavioural intention in coastal tourism settings: Examining the mediating role of attitude to behaviour. Tourism Planning & Development, 20(6), 955–972.

Islamy, M. R., Trisnawati, J. D., & Rahayu, S. (2022). The effect of perceived service quality, perceived value, destination image, attitude to visiting behavior, tourist satisfaction on tourist loyalty. Journal of Entrepreneurship & Business, 3(1), 35–48.

Juliana, J., Putri, F. F., Wulandari, N. S., Saripudin, U., & Marlina, R. (2022). Muslim tourist perceived value on revisit intention to Bandung city with customer satisfaction as intervening variables. Journal of Islamic Marketing, 13(1), 161–176.

Kessler, D., Lee, J. H., & Whittingham, N. (2020). The wellness tourist motivation scale: A new statistical tool for measuring wellness tourist motivation. International Journal of Spa and Wellness, 3(1), 24–39.

Kim, H. L., & Hyun, S. S. (2022). The future of medical tourism for individuals’ health and well-being: a case study of the relationship improvement between the UAE (United Arab Emirates) and South Korea. International Journal of Environmental Research and Public Health, 19(9), 5735.

Kim, S. S., & Kim, S. S. (2021). Perceived values of TV drama, audience involvement, and behavioral intention in film tourism. In Visual media and tourism (pp. 51–64). Routledge.

Koskinen, V., & Wilska, T. A. (2019). Identifying and understanding spa tourists’ wellness attitudes. Scandinavian Journal of Hospitality and Tourism, 19(3), 259–277.

Kusumawidjaya, E., Djati, S. P., Hera Oktadiana, T. S., & Kaihatu, R. M. (2023, June). Wellness

Tourism: Exploring Urban Wellness Tourist Motivation, Attitude, and Acceptability. In ICEMBA 2022: Proceedings of the International Conference on Economic, Management, Business and Accounting, ICEMBA 2022, 17 December 2022,

Tanjungpinang, Riau Islands, Indonesia (p. 194). European Alliance for Innovation.

Lee, J., & Kim, J. J. (2023). A study on market segmentation according to wellness tourism motivation and differences in behavior between the groups—focusing on satisfaction, behavioral intention, and flow. International Journal of Environmental Research and Public Health, 20(2), 1063.

Molwus, J. J., Erdogan, B., & Ogunlana, S. O. (2013). Sample size and model fit indices for Structural Equation Modelling (SEM): The case of construction management research.

Noree, T., Hanefeld, J., & Smith, R. (2016). Medical tourism in Thailand: a cross-sectional study. Bulletin of the World Health Organization, 94(1), 30–36.

Orgaz-Agüera, F., & Moral-Cuadra, S. (2022). The relevance of the souvenirs, food, experiences and facilities of a bordered destination on the key relationship of perceived value, attitudes and satisfaction. Journal of Borderlands Studies, 37(3), 513–532.

Ouerghemmi, C., Ertz, M., Bouslama, N., & Tandon, U. (2023). The impact of virtual reality (VR) tour experience on tourists’ intention to visit. Information, 14(10), 546.

Patwary, A. K., Omar, H., & Tahir, S. (2021). The impact of perceived environmental responsibility on TOURISTS' INTENTION to visit green hotel: the mediating role of attitude. Geo Journal of Tourism and Geosites, 34(1), 9–13.

Phuthong, T., Anuntavoranich, P., Chandrachai, A., & Piromsopa, K. (2022). Developing and Validating an Assessment Scale to Measure the Competitiveness of Wellness Destinations. Sustainability, 14(7), 4152.

Subawa, N. S., Mimaki, E. A., Mimaki, C. A., Baykal, E., & Utami, M. S. M. (2023). Exploring the hidden potential of Bali’s wellness tourism: Which factors encourage tourists to visit? Cogent Social Sciences, 9(2), 2269722.

Thojampa, K., Klankhajhon, W., Kumpeera, N., et al. (2023). The development of a wellness tourism program in Thailand. Journal of Nursing Education and Research, 20(3), 294–304.

Um, J., & Yoon, S. (2021). Evaluating the relationship between perceived value regarding tourism gentrification experience, attitude, and responsible tourism intention. Journal of Tourism and Cultural Change, 19(3), 345–361.

Wendri, I. G. M., Bakta, I. M., Suprapti, N. W. S., & Ardika, I. W. (2019). Various factors contributive toward tourist intention in enjoying wellness tourism. International Journal of Linguistics, Literature and Culture, 5(3), 61–70.