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The development on changing health behavior program (CHBP) of Diabetes Mellitus (DM) risk group. The behavioral change program was reviewed research publication from 1988 to 2018. The synthesis of CHBP is appropriate for the area of the office of Disease Prevention and Control Region 10th Ubon Ratchathani ODPC 10th Ubon Ratchathani area researchs review and lessons learned from the DM prevention and control best practice in ODPC 10th. The program was developed by 43 participants from 5 provinces (Ubon Ratchathani, Mukdahan, Srisaket, Yasothon, and Amnat Charoen) who responsible for DM disease from provincial level, district level, and the 5 sub-districts Health Promoting Hospitals.
The development process were; (1) A systematic review of 5,875 researches from PUBMED: 4,211, SCOPUS: 960, Google Scholar: 306, and TCI: 398. Nine researches were selected and synthesis. It was found three components of Behavioral Change Program (BCH) has a duration period of ≥ 12 months; intensive phase for 3 months, practice for 6 months, and evaluation for 3 months. Program users were health personnel and health volunteers who have been trained skills of BCH activities. (2) Key success factors of BCH lessons learned were health personnel performance, strengthening networking and system management to support DM risk group access to health care service. (3) The CHBP: 7 steps of Muk-Sri- Sothon-Charoen-Ratchathani cooperation, learning and fighting DM risk factors to DM prevention. Two phrase of CHBP were: 1st the intensive phase (4 steps); 1) prepare for screening DM risk group, 2) Risk group has to understand the risk of the situation to themselves, 3) provide knowledge to concern risky status, and 4) goal setting for behavioral change. 2nd evaluation phrase every 3 months (3 steps). 5) Determination of change behavior, 6) confidence to goal attainment and 7) prevention DM success. (4) Program training for 5 pilot sub-district health promotion hospitals; how to run activities and follow 7 steps of CHBP and primary evaluation after 3 months of CHBP implementation.
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