Effect of Food Choice Capability Promoting Program on Food Consumption Behavior and Blood Glucose Level Among Muslim Overweight Persons with Uncontrolled Diabetes

Abstract

This research aimed to development of food choice promoting program among  overweight muslim persons with uncontrolled diabetes. The educative supportive nursing system of Orem’s was used as a conceptual frame for this study. The process of program development was divided in to 2 phases; program development phase and program evaluation phase. The program development phase consisted of 3 stages: problem identification, relevant literature review, and research evaluation, analysis and synthesis. The program evaluation phase consisted 3 stages: content validity validation, reliability testing, and program feasibility testing. Important issues of the program comprised of 6 components for 6 weeks:  1)nutritional status assessment 2) energy balance provision 3) nutrient and energy proportion 4) food exchange 5) food choices for muslim persons with diabetes mellitus and 6)role model on Islamic for food consumption. The research instruments have 3 componant :1)The instruments of the program used as a program guideline for nurses and health-care worker, a food choice promoting plan, a food choice handbook, instructional media such as food exchange model and picture of role model on Islamic for food consumption.2) content validity validation and 3) program feasibility testing

                   Result revealed that the content and design of the program as validated   by 3 experts was appropriate and interesting. The inter-rater reliability examined by 3 nurses was 0.91. In addition, the program was application.

                   In conclusion, nurse can apply the program as a guideline for promoting food choice practice among muslim overweight persons with uncontrolled diabetes. However, the effectiveness and efficiency of the program needs to be evaluated and the program needs to be continuously modified.