The Effects of Health Behavior Modification Program of Type 2 Diabetes Mellitus with Hyperglycemia Patients Using Telemedicine in Kham Muang District, Kalasin Province

Abstract

The two group, pre-posttest quasi experiment research aimed at studying the effects of a health behavior modification program of type 2 diabetes mellitus with hyperglycemia patients using telemedicine technology via LINE OA. The subjects were 148 type 2 diabetic mellitus patients (HbA1C > 11% or FBS > 300 mg/dl) divided into 2 groups: a control group (n=71) received behavior modification program through chronic care service system in Kham Muang hospital and an experimental group (n=77) participated in the health behavior modification program via LINE OA in 13 weeks period. The research instruments were personal information questionnaire, knowledge of self-care test, blood sugar control behavior questionnaire, HbA1C and FBS tests. Data were collected before and after the experiment, data were analyzed using descriptive statistics, dependent and independent t-test and Z-test for proportion at the level of p < 0.05.

The results indicated that the health behavior modification programs affecting the mean scores of knowledges and behavior of type 2 diabetic patients better than before using the programs in both groups. The average score of knowledges and behavior in the experimental group was higher than the control group for 1.51 and 0.70 point (p-value 0.012 and 0.043). The proportion of mean blood sugar level was also significantly different, the patients in experimental group could maintain normal blood-sugar levels (HbA1C < 7%, FBS < 130 mg/dl) better than control group statistically significant. Therefore, the health behavior modification program using technology via telemedicine had better effects on enhancing knowledge and behavior among diabetes patients comparing with chronic care service system. However, it should be further study on longitudinal research to monitor health behavior continuously.