The Effects of Promoting an Individual and Family Self-Management Program on the Control of Sugar level Behavior and Accumulated Blood Sugar Levels among Type 2 Diabetic Patients


  • Songkrot Saringkarn Faculty of Nursing, Thammasat University Rangsit Campus, Pathumthani
  • Mayuree Nirattharadorn Faculty of Nursing, Thammasat University Rangsit Campus, Pathumthan
  • Pregamol Rutchanagul Faculty of Nursing, Thammasat University Rangsit Campus, Pathumthani


Individual and family self-management program, type 2 diabetes patients, sugar level control behavior, accumulated blood sugar level



Introduction: Diabetes is a chronic disease that requires ongoing care. If diabetic patients are unable to control their accumulated blood sugar level in a normal  level, it can lead to complications which effect both diabetic patients themselves and their families.

Research objectives: To examine the effects of promoting an individual and family self-management program on the sugar-level-control behavior and accumulated blood sugar levels among type 2 diabetic patients.

Research methodology: This study  employed a two-group pretest and posttest quasi-experimental design.   Sixty adolescents living with type 2 diabetes and their families participated in this study. To be eligible for the study, the participant had to meet the following criteria: (a) have a diagnosis of  type 2 diabetes mellitus (DM); (b) report accumulated blood sugar level of 7 and higher;   (c) 30-59 years of age; (d) receive  healthcare services at the chronic diseases clinic, primary care unit of a private hospital in Bangkok area; and (e) consent to participate. They were randomly assigned to the experimental and control groups, with 30 participants in each group. The experimental group received the individual and family self-management program, while the control group received a conventional care. Data was collected using the following instruments: (1) a general information questionnaire; (2) a questionnaire of  a sugar level control behavior, and 3) HbA1c level tester. Data were analyzed using mean, percentage, standard deviation, dependent t-test, and independent t-test.


Results: the study found that significant improvement by experimental group participants between baseline and follow-up was found for sugar level control behavior (p < .05). At follow-up, between-group significant difference of sugar level control behavior was found (p < .05). Moreover, among the participants in the intervention group, an accumulated blood sugar level at follow-up was found to be significantly lower than baseline (p < .05). At follow-up, between-group significant difference was also found on an accumulated blood sugar level (p < .05). Conclusion:  Individual and family self-management program has an impact on diabetic patients and their families, especially on  the enhancement of self-management behavior to control accumulated blood sugar levels which  resulting in lower accumulated blood sugar levels

Implications for practice: Healthcare providers should promote family management and self-care management  to diabetic patients to control accumulated blood sugar levels.


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Diabetes Association of Thailand, The Royal College Physicians of Thailand, The Endocrine Society of Thailand, Institute of Medical Research & Technology Assessment Department of Medical Services and National Health Security Office. Clinical practice guideline for diabetes 2017. 2nd ed. Pathumthani: Romyen Media Company Limited; 2017. (In Thai)

Office of The Permanent Secretary Ministry of Public Health. Indicators report [internet]. 2019 [cited 2019 August 6]. Available from: (In Thai)

Thuntirasopanakul N, Wacharasin C, Deoisres W. Factors influencing family management in family with type 2 diabetes mellitus. The Journal of Faculty of Nursing Burapha University 2011;19(supplement 1):35-49. (In Thai)

Usai P, Muangsom N, Kowit P. Factors associated with level control blood sugar of type 2 diabetes patients registered in Tambon Khet health promoting hospital responsible for Ban Phai hospital Khon Kaen province. KKU Journal for Public Health Research 2012;5:11-20. (In Thai)

Jiamjarasrangsri W. Type 2Diabetes Epidemiology, Prevention and self-management support. Bangkok: Text and Journal Publication Company; 2017. (In Thai)

Chungsamarn S. Type 2 diabetes / metabolism. Nonthaburi : PTINTER PRINT; 2017. (In Thai)

Sirikutjatuporn K, Wirojratana V, Jitramontree N. Factors predicting self-management behavior of elderly type 2 diabetes patients. Journal Thai Nursing and Midwifery Council 2017;32:81-93. (In Thai)

Brunisholz KD, Briot P, Hamilton S. Diabetes self-management education improves quality of care and clinical outcomes determined by a diabetes bundle measure. Journal of Multidisciplinary Healthcare 2014;7:533–42.

Jones A, Gladstone BP, Lubeck M, Lindekilde N, Upton D, Vach W. Motivational interventions in the management of HbA1c levels: A systematic review and meta-analysis. Prim Care Diabetes 2014;8:91–100.

Siriwattanapornkul T, Oba N, Intarakunhang Na Rachasima S. Factors related to blood glucose level among patients with diabetes mellitus type II. Journal of Nursing Science Naresuan University 2007;1:57-67. (In Thai)

Wacharasin C. Nursing interventions for families experiencing chronic illness. Chonburi: Chonburiprinting; 2017. (in Thai)

Kornchatree Y. Social support in type 2 diabetes patients in the 16th public health center (Lumphini), Bangkok Metropolitan [master’s thesis]. Bangkok: Mahidol University; 2013. (in Thai).

Ryan P, Sawin KJ. The individual and family Self-Management Theory: Background and

perspectives on context, process, and outcomes. Nursing Outlook 2009;57:217-25.

Rungsin R, Tatsanavivat P, Medical research network of the consortium of the Thai medical school working group. Data collection and analysis for care among patients diagnosed with type 2 diabetes and hypertension visiting hospitals in care of ministry of public health and hospital in Bangkok in Thailand, 2018 [Internet]. 2018 [cited 2021 February 2]. Available from: (in Thai)

Buasri Y. Effects of self-and family management program on dietary behavior and blood sugar level among persons with type 2 diabetes [master’s thesis]. Chonburi: Burapha University; 2018. (in Thai).

Grey M, Knafl K. McCorkle R. A framework for the study of self-and family management of chronic conditions. Nursing Outlook 2006; 54:278-86.

Polonsky W, Fisher L, Schikman CH, Hinnen DA, Parkin CG, Jelsovsky Z, et al. Structured self-monitoring of blood glucose significantly reduces a1c levels in poorly controlled noninsulin-treated type 2 diabetes: results from the structured testing program study. Diabetes Care 2011;34:262–67.

Intaboot K, Kalampakorn S, Pichayapinyo P. The Effect of a Self-Management and Social Support Program for on New Cases with Type 2 Diabetes 2017;31:11-26. (in Thai)

Wungrath J, Saengyo S, Ummee K. Barriers to health care practice that impact to glycemic control among elderly with diabetes mellitus. Journal of Community Development and Life Quality 2018;6(2):351-61. (in Thai)

American Diabetes Association. Nutrition therapy for adults with diabetes or prediabetes: a consensus report. Diabetes Care 2019;42(5):731-54.

Tiyawisutsri C, Chaisa P, Wanchai A, Pinsakul C. Exercise to control blood sugar levels of patients with type 2 diabetes in Thailand: a systematic review. Nursing Public Health and Education Journal 2018;19(2):39-46. (in Thai)

American College of Sports Medicine. ACSM’s guidelines for exercise testing and prescription. (9th ed) 2014. Philadelphia: Lippincott Williams & Wilkins.

Hackett RA, Steptor A. Type 2 diabetes mellitus and psychological stress – a modifiable risk factor.Nat Rev Endocrinol 2017;13(9):547-60.

Surawong S, Choowattanapakorn T. The effect of an individual and family self-management program on HbA1c in older persons with type 2 diabetes mellitus. Journal of Nursing Science Chulalongkorn University 2017;29(1):104-16. (in Thai)



How to Cite

Saringkarn S, Nirattharadorn M, Rutchanagul P. The Effects of Promoting an Individual and Family Self-Management Program on the Control of Sugar level Behavior and Accumulated Blood Sugar Levels among Type 2 Diabetic Patients. JHNR [Internet]. 2022 Apr. 1 [cited 2023 Feb. 5];38(1):86-9. Available from:



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