Effect of the Motivation Enhancing Program on Foot Complication Prevention Behaviors Among Uncontrolled Diabetic Persons in Communities
Keywords:
Motivation Enhancing Program, Foot Complication Prevention Behaviors, Uncontrolled Diabetic Persons in CommunitiesAbstract
This quasi-experimental study aimed to compare the average scores for preventing foot complication behaviors in one group, before and after participation in a new motivation enhancing program, and between that group and a control group that received normal hospital service for a period of four weeks. The sample group of 48 uncontrolled diabetic people from a community was divided into two groups, an experimental group, and a control group, with 24 participants per group. The program was developed from the concept of Roger’s Protection Motivation theory (1986). Data were collected via two instruments: a demographic data questionnaire and a behavior questionnaire on preventing foot complications, with a content validity index of 1.00 and reliability of 0.88, using Cronbach’s alpha coefficient. The data were analyzed using descriptive statistics, paired samples t-tests, and independent t-tests. The study results showed as follows.
1. The group who received the motivation enhancing program had significantly higher average scores for foot complication preventing behaviors (M= 59.50, SD =7.18) than before receiving the program (M = 33.92, SD = 2.02).
2. The group who received the motivation enhancing program had significantly higher average scores than the control group which received normal hospital services (M = 34.63, SD = 2.83) with statistical significance (p-value < .001).
The outcome suggests that this motivation enhancing program can be used to change behaviors related to foot complication prevention in uncontrolled diabetic persons.
References
Bandura, A. (1986). Social Cognitive Learning Theory. New Jersey: Prentice-hall.
Chaipet, N., Kaewklum, U., Sonrat, S., & Wittayapun, Y. (2017). Non communicable diseases (NCD’s) high risk patients: Effectiveness of a health behaviors changing programs on health behavior in Suratthani. The Southern College Network Journal of Nursing and Public Health, 4(2), 45-62. (in Thai)
Chuepan, S. (2016). Impact of an integrative podiatric care programme on foot-care behaviour, foot conditions and the HbA1c level in diabetes patients with high susceptibility to foot wounds. Thai Journal of Nursing Council, 31(1), 111-123. (in Thai)
Cooney, N. (editor). (2014). Literature Review: The Current Situation and Care Model of Non -Communicable Diseases. Institute of Medical Research and Technology Assessment, Department of Medical Services, Ministry of Public Health. Nonthaburi: Art Qualified.
Cronbach, L. J. (1951). Coefficient alpha and the internal structure of tests. Psychometrika, 16, 297–334.
Diabetes Association of Thailand under the Patronage of Her Royal Highness Princess Maha Chakri Sirindhorn, & Endocrine Society of Thailand. (2023). Clinical Practice Guidelines for Diabetes 2023. Retrieved August 29, 2023 from https://www.dmthai.org/new/index.php/activities-and-news/news-pr/naewthang-wech- ptibati-sahrab-rokh-bea-hwan-2566 (in Thai)
Division of Non Communicable Diseases. (2022). 2022 Annual Report on Chronic Non-Communicable Diseases. Nontaburi: Ministry of Public Health. (in Thai)
Faculty of Medicine, Chiang Mai University. (2021). Healthy with Suan Dok Doctor: Understanding Diabetic Foot. [Video]. Retrieved March 3, 2023 from https://www.youtube.com/watch?v=ByPxxdsCJWI (in Thai)
Harutaithaworn, R., Nuysri, M., & Iemsawasdikul, W. (2020). Effects of a foot care program for risk foot ulcer of type 2 diabetes mellitus patients at Samrong Thap district, Surin province. Thai Journal of Nursing, 69(4), 21-30. (in Thai)
Health Data Center. (2022). Report on NCD ClinicPlus Indicators. Retrieved March 3, 2023 from https://hdcservice.moph.go.th/hdc/reports/page_kpi.php?flag_kpi_level=9&flag_kpi_year=2022 (in Thai)
Institute of Medical Research and Technology Assessment. (2013). Clinical Practice Guideline: Prevention and Management of Diabetic Foot complications. Nontaburi: Ministry of Public Health. (in Thai)
International Diabetes Federation. (2022). Diabetes Facts & Figures. Retrieved March 10, 2023 from https://idf.org/about-diabetes/diabetes-facts-figures/.
Janprempree, K. (2021). Prevalence and factors associated to diabetic nephropathy in patients with type diabetes mellitus of Danchang hospital, Suphanburi. Region 3 Medical and Public Health Journal, 18(3), 225-237. (in Thai)
Moungkum, S., Srisopa, P., Kunsongkeit, W., Ponpinij, P., Wiseso, W., Chantamit-O-Pas, C., & et al. (2020). Factors influencing the occurrence of small blood vessel complications in patients with type 2 diabetes. Journal of Faculty of Nursing Burapha University, 28(2), 74–84. (in Thai)
Nonthapha, S., & Navicharern, R. (2017). Factors related to protection motivation theory and breast cancer prevention behavior among teachers in provincial school, central region. Kuakarun Journal of Nursing, 24(2), 23–35. (in Thai)
Nukulkit, S., & Sareerat, T. (2018). Effectiveness of health promotion program with group process on the self–care behaviors modification of type 2 diabetic patients at Sukkasem community health center, Tambon Tatcheungchum, Muang, Sakon Nakhon. Journal of Sakon Nakhon Hospital, 21(1), 77-86. (in Thai)
Phasukdee, P., & Satayavongthip, B. (2023). Factors related with self-care behaviors for prevention complications among type 2 diabetic mellitus patients. Thai Journal of Health Education, 46(1), 131-142. (in Thai)
Rogers, R. W. (1986). Protection motivation theory. Health Education Research Theory and Practice, 1(3), 153-161.
Seelacharoen, N. (2017). Relative factors for diabetic foot ulcers patients in diabetic mellitus type 2 in Doembangnangbuat district, Suphanburi province. Journal of the Department of Medical Services, 42(3), 85-95. (in Thai)
Siriniyomchai, R., Panyoyai, P., & Picharn, S. (2016). Assessment of foot ulcer risk and nursing management in patients with diabetes: The role of nurses. Journal of Public Health Nursing, 30(3), 145-155. (in Thai)
Sriprasert, K., Aungwattana, S., & Tamdee, D. (2023). Effect of Tele-Nursing-Based Self-Management Program on Health Behaviors of Persons with Uncontrolled Diabetes Mellitus in the Community. A Dissertation Submitted in Partial Fulfillment of the Requirement for Master's Degree in Community Nurse Practitioner Faculty of Nursing, Chiang Mai University. (in Thai)
Subpaiboonkit, P., Aungwattana, S., & Tamdee, D. (2021). Effects of the Motivation Program on Dietary Behaviors and Blood Sugar Level Among Uncontrolled Diabetic Persons. A Dissertation Submitted in Partial Fulfillment of the Requirement for Master's Degree in Community Nurse Practitioner Faculty of Nursing, Chiang Mai University. (in Thai)
Suwannakin, A. (2016). Nursing Manual for Foot Care to Prevent Ulcers in Diabetic Patients. Retrieved February 24, 2023 from https://www.si.mahidol.ac.th/th/division/diabetes/admin/knowledges_files/22_44_1.pdf (in Thai)
Thangthum, W., Makkabphalanon, K., Phawo, P, & Poolpol, W. (2023). The effect of the disease prevention enhancement program which applied protection motivation theory on disease prevention behaviors in people at risk of diabetes: Case study. Journal of Roi Kaensarn Academic, 8(7), 211-225. (in Thai)
Thato, R. (2021). Nursing Research: Concepts to Application. (5th ed.). Bangkok: Chulalongkorn University Press. (in Thai)
Wishutanon, S. (2021). A retrospective evaluation of diabetic foot care at diabetic foot clinic, Vachiraphuket hospital. Sanpasitthiprasong Medical Journal, 43(2), 53-60. (in Thai)
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Journal of Nursing and Education
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
