Effects of the 4D4C (Color-based) diabetes patient care paradigm on the initial medical volunteers in Ban Kai Kham Community, Kai Kham Subdistrict, Mueang District, Amnat Charoen Province

Abstract

Objective: The primary objective of this study was to examine the impacts of a diabetic patient care model, employing the 4D4C (color-based) concept and implemented by village health volunteers (VHVs), on diabetes prevention knowledge, behavior, and fasting blood sugar (FBS) levels among diabetic patients residing in the Ban Kai Kham Community of the Kai Kham Sub-district, Mueang District, Amnat Charoen Province.

Materials and Methods: This study employed a quasi-experimental design, specifically a single-group, pre- and post-test methodology, to investigate a cohort comprising 43 individuals diagnosed with diabetes. The study utilized a validated diabetes prevention knowledge and behavior questionnaire, which underwent assessment by three experts and yielded reliability values of 0.91 and 0.84, respectively. The collected data were subjected to analysis through the paired sample t-test.

Results: The findings of the study indicated that a majority of the diabetic patients were female (60.5%), with a mean age of 63.98 years (S.D.=9.5). Following the implementation of the model, there was a statistically significant increase observed in both diabetes prevention knowledge and behavior (p-value < .001). Furthermore, the fasting blood sugar (FBS) levels exhibited statistical significance at a significance level of .05.

Conclusion: Hence, it is imperative to promote the active involvement of village volunteers, families, and network partners in engaging in activities aimed at adapting interventions to better align with the lifestyle and contextual needs of the diabetic patient groups within the community.