The Effectiveness of a Lifestyle Modification Program Leading to Diabetes Remission for Patients with Type 2 Diabetes in Samutsakhon Province
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Abstract
The quasi-experimental study with a two-group pretest-posttest design involved a sample of type 2 diabetes patients with a BMI of 25 kg/m2 or more, residing in Samut Sakhon Province. The samples were randomly assigned to an experimental group and a comparison group, each consisting of 30 individuals. The research instruments included: 1) a lifestyle modification program leading to diabetes remission for type 2 diabetes patients, which applied Pender's Health Promotion Model sessions over a period of 12 weeks; 2) a diabetes management lifestyle modification manual; 3) a questionnaire of self-efficacy and lifestyle in diabetes management with Cronbach's alpha coefficients were .95 and .93, respectively; and 4) blood sugar levels and BMI record form. Data were analyzed using descriptive statistics and t-test.
The research findings indicated that after participating in the program, the experimental group had significantly better self-efficacy in managing diabetes compared to before joining the program (t = 24.09, 30.68; p < .05) and the comparison group (t = 11.34, 14.11; p < .05), at a statistical significance level of .05. Their blood sugar levels and BMI were lower than before joining the program (t = 7.61, 2.78; p < .05) and the comparison group (t = 2.89, 2.16; p < .05), at a statistical significance level of .05.
Therefore, nurses and related healthcare teams can apply this program to support patients with type 2 diabetes in achieving remission and adapt it to suit the local context.
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