Effects of Diabetes Prevention Program by Applying Neuman System Model on Health Behaviors and Fasting Plasma Glucose among Prediabetes Persons
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Abstract
This quasi-experimental research employed a two-group pretest-posttest design. This research aimed to investigate the effects of diabetes prevention program utilizing the Neuman system model on health behaviors and fasting plasma glucose among prediabetes persons. The sample group comprised individuals aged 35 to 59 years with prediabetes, characterized by fasting plasma glucose levels ranging from 100 – 125 mg/dl. Samples were allocated to either experimental or comparison group using both simple random sampling and purposive sampling techniques, with 30 participants in each group. The experimental group received a 12-week Neuman System Model-based diabetes prevention program. The comparison group received standard nursing care. Research instruments included 1) general information questionnaires and health behavior questionnaires related to diabetes prevention and 2) Neuman system model-based diabetes prevention program assessed by five experts. The instruments demonstrated high content validity index with validity indices of .95 and .96, respectively, and high reliability by a Cronbach’s alpha coefficient of .82. Data were analyzed using frequency, percentage, mean, standard deviation, paired t-test and independent t-test.
The results found that the experimental group had average score of health behaviors and fasting plasma glucose difference from before participating in the program with statistically significance at .05, and after the intervention. The experimental group had average score of health behaviors and fasting plasma glucose difference from the comparison group with statistically significance at .05.
This study indicated that the diabetes prevention program should be modified health behavior and reduced fasting plasma glucose in prediabetes persons and should encourage nurses and healthcare providers applying the program to provide care for prediabetes persons.
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