Effects of Program to Promote Behaviors and self-management on Knowledge, Glycemic Control Behaviors and HbA1C in elderly people with diabetes without co-morbidities Chiang Kwan District, Roi Et Province

Abstract

Purposes : To develop a program to promote behavior and self-management in controlling blood sugar levels among elderly people with diabetes without co-morbidities. and to compare HbA1C, knowledge and behavior for controlling blood sugar levels before and after program development Chiang Khwan District Roi Et Province.

Study design : Quasi-experimental research.

Materials and methods: The sample consisted of 40 elderly people with diabetes and no co-morbidities who met the inclusion criteria from October 2023 to April 2024 duration 25 weeks. Data were collected using a knowledge test with a reliability value for the entire version (KR20) equal to 0.69. Difficulty values for each item ranging from 0.68 to  0.85. Discriminant power values for individual items ranging from 0.2 to 0.8. The Behavior Questionnaire has a confidence value for the entire version equal to 0.75 and HbA1C recording form. Data were analyzed using descriptive statistics. Compare the means before and after the activity using a paired t test.

Main findings : The sample group had a significantly higher average knowledge score about diabetes than before joining the program (p<.001), with an average knowledge score higher than 2.27 points (95%CI;1.78,2.63); the sample group had a significantly higher average blood sugar control behavior score than before participating in the program (p<.001). The behavior of controlling blood sugar levels was more than 10.55 points (95%CI; 9.31,11.78) and the sample had a mean HbA1C that was significantly lower than before activity the program (p<.001) with het average HbA1C was lower than before 0.67% (95%CI; 0.42,0.92).

Conclusion and recommendations : The results of this research resulted in patients having HbA1C values within the normal range. Therefore, doctors should study and listen to patients about the reasons why patients do not have high blood sugar levels. and should strengthen empowerment every times the doctor saw the patient.