Effectiveness of health promoting program for preventing Diabetes Mellitus among risk group in Nongbuohee Sub–district, Phibun Mangsahan District, Ubonratchathani Province
Main Article Content
Abstract
This research aimed to study the effectiveness of a health promotion program to prevent diabetes in high–risk groups living in Nong Bua Hi Subdistrict, Phibun Mangsahan District at Ubon Ratchathani Province. This is a quasi-experimental study. The sample group was a group at risk for diabetes aged 35 years and over in the areas of Nong Bua Hee Subdistrict and Ang Sila Subdistrict. Phibun Mangsahan District Ubon Ratchathani Province in 2020. Then calculate the sample size with the “Sample Size Calculators package” by setting the test power at 0.80, the confidence value at 0.05, and the correlation size of the variables at 0.50, resulting in a sample size of 80 people. By dividing into experimental groups and a control group of
40 people per group purposely to compare the difference in mean scores on knowledge about diabetes, to gain a perception of the risk of diabetes and the perceived severity of diabetes, benefits of treating and preventing diabetes, barriers of diabetes prevention, behavior of diabetes prevention and blood sugar levels before & after the experiment within the experimental group and the control group. With Paired t-test statistics and before & after of the experiment between the experimental group and the control group together with independent t-test statistics at the statistical significance level, Statistics P-value showed < 0.05. The study results found that the experimental group had an average score of knowledge about diabetes, perception of the risk of diabetes, severity of diabetes, benefits of treating and preventing diabetes, barriers to diabetes prevention, and diabetes prevention behavior regarding diet and exercise. Stress relief was higher than before the experiment and higher than in the comparison group. The blood sugar level decreased significantly higher than the control group at the P-value < 0.05 level, resulting from the experimental group receiving a health promotion program to prevent diabetes in high–risk groups. Therefore, public health officials should publicize and educate the public on health promotion by continuously encouraging and following up which leads to health promotion to properly prevent diabetes in high-risk groups and to be tested for effectiveness as appropriate in the local context to increase efficiency in health promotion and prevention of diabetes in high-risk groups in the future.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
World Health Organization. World health statistics 2019: monitoring health for the SDGs, sustainable development goals [Internet]. 2019 [cited 2020 Dec 3]. Available: https://apps.who.int/iris /bitstream/ handle/10665/ 324835/978924
Ekpalakorn W. Public health surveillance. In: Wichai Ekpalakorn, editor. Public health surveillance in Thai people using physical examination 5th 2014–2015 report. Nonthaburi: Health Systems Research Institute; 2017. p. 22–9. (in Thai)
Office of the Permanent Secretary Ministry of Public Health, Strategy and Planning Division. Morbidity and mortality rate 2016–2019 [Internet]. Nonthaburi: Strategy and Planning Division; 2020 [cited 2021 Jan 28]. Available from: http://www.thaincd.com /2016/mission3 (in Thai)
Ministry of Public Health, Division of Disease Control. Non–communicable disease control plan 2017–2021[Internet]. Nonthaburi: Division of Disease Control; 2021 [cited 2021 Jan 23]. Available from: https://www.iccp–portal.org/system/files/plans/Thailand%20National%20NCD%20plan%202017–2021.pdf (in Thai)
Ubon Ratchathani Provincial Health Office. Diabetes Mellitus. Health data center (HDC) [Internet]. Ubon Ratchathani: Ubon Ratchathani Provincial Public Health Office; 2019 [cited 2021 Jan 20]. Available from: https://ubn.hdc.moph.go.th (in Thai)
Phibun Mangsahan District Public Health Office. Diabetes Mellitus. Health data center (HDC) [Internet]. Ubon Ratchathani: Phibun Mangsahan District Public Health Office; 2020 [cited 2020 Dec 20]. Available from:https://ubn.hdc.moph.go.th /hdc/reports/report.phpsource=pformated/format1.php&cat_id=6966b0664b89805a484d7ac96c6edc48&id=150edaa99ecbe538378b8150e0776763 (in Thai)
Phermsin S, Duangsong R. The effects of application by health belief model and social support to control blood sugar among diabetes mellitus type 2 patients , Ubolratana hospital, Ubolratana district, Khon Kaen province [Thesis M.P.H. Health Education and Health Promotion]. Khon Kaen: Khon Kaen University; 2011. (in Thai)
Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods / 2009;41: 1149–60.
Becker MH, Maiman LA. The health belief model and personal health behavior. New York: Harper & Row; 1975.
Cronbach LJ. Essential of psychology testing. New York: Harper; 1984.
Bloom BS. Handbook on formative and summative evaluation of student learning. New York : McGraw–Hill; 1971.
Best JW, Kahn JV. Research in Education. 8th ed. Boston: Allyn & Bacon; 1997.
Ponam S. The effect of health promoting program according to sufficency economy philosophy for diabetes patients, tumbol Fakhua, Aranyaprathet district, Sakaeo province. Phranakhon Rajabhat Research Journal 2015;10(1):108–30. (in Thai)
Hunthayung D, Waengnork W, Kriengkaisakda W. The effects of an applied health belief model program on self–care behaviors of diabetic patients in Meung–pai sub–district health promotion hospital zone. Phranakhon Rajabhat Research Journal (Science and Technology) 2016;11(1):36–51. (in Thai)
Hnuban S, Pranprawit A, Pechmanee S. Effects of group process and health belief model on self – care behavior for preventing diabetes among the group at risk of diabetes in Vibhawadi district Suratthani province. Journal of Graduate Research 2016;7(1):101–14. (in Thai)
Chaichana H. Effect of Health Education Program for modifying health belief and behavior to prevent Diabetes Mellitus in risk group, Pa Sang District, Lamphun province. [Independent Study M.P.H.]. Chiang Mai: Chiang Mai University; 2014. (in Thai)
Boonsong J, Charoenpun C, Worawong C. Effects of the health behavior promotion program for preventing foot complications in patients with Type 2 Diabetes admitted to Dong Khwang Tambon health promotion hospital,Muang Nakhon Phanom, Nakhon Phanom province. Journal of the Office of DPC 7 Khon Kaen 2016;23(2): 46–59. (in Thai)
Sanguanchue A, Grasung P. The effectiveness of holistic health promotion program among type 2 diabetes patients in Suan Prick Thai community Ampurmaung, Patumthani province. VRU Research and Development Journal Science and Technology 2016;11(3):21–30. (in Thai)
Prasongwattana S, Suksuwan A, Umbangthalud D. Effects of Development for Type II Diabetes Care Model in Preventing and Delaying the Progression of Diabetic Kidney Disease Bang pa–in Hospital. Journal of Preventive Medicine Association of Thailand 2017;7(1):65–76. (in Thai)