Effectiveness of educational and enhancing problem-solving competent program on medication use behavior in Type 2 diabetes mellitus patients


  • Jirawan Inkoom
  • Nakarin Samaimai
  • Chompunooch Kalajuck
  • Sriamsak Kitsukoom
  • Supasri Jaisangad


Type 2 diabetes mellitus, medication use behavior, health education, problem-solving competency


    This research aims to examine the effectiveness of educational and enhanced problem-solving competent program on medication use behavior among Type 2 diabetes mellitus patientsThis research is a quasi-experimental study with two groups with a pre-posttest design. The sample comprised of 60 Type 2 diabetes mellitus patients who received services at a chronic illness clinic of the Banladchang Health Promoting Hospital in Nakorn Nayok province. Simple randomization was used to allocate 30 patients in the experimental group and 30 patients in the control group. The control group received routine health care services, while the experimental group also received routine health care services and was assigned to join the educational and enhancing problem-solving competent program of inappropriate medication use behavior for a period of eight weeks. The program consists of learning basic knowledge and the complications of diabetes mellitus, the actions and side effects of remedy medicine, practicing problem-solving skills on medication use behaviors (either the oral or the injection method) including reading medication labels, medication preparation, asking for medication use counseling, exchanging information and experience regarding medication use, discussing assigned  situations of medicine usage, and a receiving handbook of the educational and enhancing problem-solving on medication use behaviors. Every day they received an encouraging message through the LINE application. A t-test was employed for the data analysis. The results found the following: (1) the experimental group had inappropriate medication use behavior scores after receiving the educational and enhancing problem-solving competent program lower than before the program and with a statistical significance. (p<0.001); (2) the experimental group had inappropriate medication use behavior score lower than the control group and with a statistical significance. (p=0.020) In conclusion, this study indicated that Type 2 diabetes mellitus patients had inappropriate medication use behaviors or medical use problems. Therefore, nurses or health care providers could apply this program for promoting Type 2 diabetes mellitus to get better and develop more appropriate medication use behaviors.


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