Effectiveness of health behavior change programs with the process participation of the diabetes risk group in Sri Nakhon Hospital Sukhothai Province.

Abstract

Abstract

          A quasi-experimental research study was conducted to examine the effectiveness of a health behavior change program with participatory process for diabetes risk groups at Sri Nakhon Hospital, Sukhothai Province. The sample consisted of 64 individuals aged 35 years and above with blood glucose levels >100 mg/dl, divided into a control group receiving routine nursing care (n=32) and an experimental group receiving the health behavior change program with participatory process (n=32). The intervention tool was an 8-activity health behavior change program with participatory process implemented over 8 weeks, based on Kemmis and McTaggart's framework. Data collection instruments included a diabetes knowledge assessment questionnaire, a diabetes prevention behavior evaluation form, and a program satisfaction assessment questionnaire. Data were analyzed using descriptive statistics, Independent t-test, and Paired t-test.

          Results showed that after receiving the health behavior change program with participatory process, the experimental group demonstrated significantly improved diabetes knowledge scores from 12.84±2.31 to 17.25±1.68 points, diabetes prevention behavior scores from 62.34±8.72 to 81.56±6.43 points, and reduced blood glucose levels from 115.47±9.23 to 98.84±7.56 mg/dl, all significantly better than pre-intervention and control group outcomes at the 0.001 level. The experimental group expressed high satisfaction with the program (4.40±0.60 points).

          Therefore, the program should be expanded to other public health service units, along with developing long-term follow-up systems for at-risk groups using digital technology to ensure effective and sustainable diabetes prevention care.