The Effects of a Health Literacy Enhancement Program on Health Literacy and Preventive Health Behavior of Prediabetes Type 2 in a Community in Samut Sakhon Province


  • Akjchara Jitjaiyen College of Nursing Science, Christian University of Thailand
  • Sasitorn Roojanavech College of Nursing Sciences, Christian University of Thailand
  • Nongpimol Nimit-arnun College of Nursing Sciences, Christian University of Thailand


Health Literacy Enhancement Program, Preventive Health Behavior, Prediabetes group


This quasi-experimental research two group pretest-posttest designed aimed to study the effects of a health literacy enhancement program on health literacy and preventive health behavior among adult person with prediabetes Type II. Using purposive sampling, 52 respondents were divided in to an experimental group and a comparison group for 26 respondents in each group. The experimental group received a 8-week health literacy respondents in each group. The experimental group received a 8-week health literacy enhancement program consisted of 1) analysis the skill of reading, knowledge, beliefs, and prior experiences, 2) learning skills development and, 3) knowledge sharing and reflection. The data collecting instruments composed of a set of questionnaire about health literacy and health preventive behavior related to diabetes mellitus Type II. Their reliability were presented KR-20 at 0.96 and Cronbach’s alpha at 0.80. Data were analyzed using descriptive statistics, and independent t-test.

The research results revealed that after the experiment, experimental group had health literacy mean score higher than before the experiment and also higher than comparison group significantly. They also had food consumption preventive behavior mean score higher than before the experiment at significance level of 0.05.// The recommendation is nurse practitioners should apply this program to be nursing instrument for behavioral modification among adult workers to decrease new cases incidence of diabetes mellitus.


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How to Cite

Jitjaiyen อ, Roojanavech ศ, Nimit-arnun น. The Effects of a Health Literacy Enhancement Program on Health Literacy and Preventive Health Behavior of Prediabetes Type 2 in a Community in Samut Sakhon Province. J Royal Thai Army Nurses [Internet]. 2021 Apr. 26 [cited 2022 May 25];22(1):321-30. Available from:



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