THE EFFECTIVENESS OF A SELF-REGULATION SKILL ENHANCEMENT PROGRAM BY TELE-HOME-VISITING FOR UNCONTROLLED TYPE 2 DIABETES PATIENTS IN KAENG KHRO DISITRICT, CHAIYAPHUM PROVINCE
Keywords:
self-regulation, disease-controlling behavior, tele-home-visiting, diabetesAbstract
The purpose of this two-group pretest-posttest quasi-experimental research was to study the effects of a self-regulation skill enhancement program via tele-home-visiting on the perception of self-efficacy in diabetes control, diabetes control behavior, and blood glucose level among uncontrolled type 2 diabetes patients. The samples were uncontrolled type 2 diabetes patients with blood glucose at 126 -180 mg/dl living in Kaeng Khro District, Chaiyaphum Province. The sample was selected by simple random sampling and separated into an experimental group and a comparison group of 32 people each. The samples in the two groups were matched by age, duration of diabetes, blood sugar levels, and weight. Research instruments were 1) a self-regulation skill enhancement program by tele-home-visiting for uncontrolled type 2 diabetes patients, applying the theory of Bandura's self-regulation theory for developing self-observation, judgment, and self-reaction skills. The duration of data collecting was 10 weeks including workshops and tele-home-visiting via video calls; 2) A handbook on enhancing self-regulatory skills for diabetes control; 3) Questionnaires on diabetes control self-efficacy and behavior. The content validity indices of both questionnaires were .99, and Cronbach’s alpha coefficients were .90 and .91, respectively. Data were analyzed by descriptive statistics and a t-test.
The result revealed as follows: after enrolling in the program, the experimental group had better self-efficacy and diabetes control behavior than before enrolling in the program, and better than the comparative group (t = 4.634, p = .000 and t = 5.298, p = .000, respectively). The blood sugar of the experimental group was lower than before enrolling in the program, and also lower than the comparative group (t = -7.199, p = .000). According to the research results, nurses should implement this program for uncontrolled type 2 diabetes patients to prevent potential complications.
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