The Effects of Autonomy Support Program on Self-Management Behaviors and HbA1C Among Older Persons with Diabetes Mellitus in Hang Chat District, Lampang Province
Abstract
A randomized controlled experiment was conducted to assess the effects of the autonomy support program on the self-management behaviors and HbA1C of older persons with diabetes. The sample group of 60 people with diabetes at Hang Chat Hospital was divided into two groups: control and experimental, with 30 people in each. A random block size of six was used to create ten blocks, and block sizes were allowed to fluctuate during the sample selection process. Nursing care was provided to the control group in accordance with hospital protocols. The experimental group was given an autonomy support program. A questionnaire with a Cronbach's alpha coefficient reliability score of 0.85 was used to gather data on the self-management behaviors of older persons with diabetes. Chi-squares and descriptive statistics were used to examine the data. The results revealed that the mean self-management behavior scores of the experimental and comparison groups were significantly different (p< .05). Additionally, after enrolling in the program, the experimental group's HbA1C level was considerably lower than both the control groups and their pre-enrollment level (p <.05). Thus, supporting autonomy can lead to older persons with diabetes exercising good self-management and regulating their HbA1C levels through health education, skill development involving decision-making, eating choices and food intake control according to their needs, and exercise selection based on personal preferences and capabilities. This program should apply to health care services in comparable contexts.
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