Effects of Self-Management Program to Eating behavior in Thalassemia Adolescents with Transfusion-Dependent
Main Article Content
Abstract
This study is quasi-experimental research with a two-group pretest-posttest design aimed at studying effects of a self-management program on eating behaviors in adolescents with thalassemia. The sample was 40 transfusion-dependent adolescents with thalassemia aged 13-18 years at the Pediatrics Ward, Phrae Hospital, of whom 20 each were assigned to the control group and the experimental group. Research instruments consisted of: 1) the self-management program and self-management program instruments; and 2) the questionnaire on eating behaviors of transfusion-dependent adolescents with thalassemia. Content validity were tested by three experts and found to be a content validity index of .90. Instrument reliability of the questionnaire on eating behaviors was determined with a Cronbach’s alpha coefficient of .86. Data were analyzed with descriptive, independent t-test, and paired t-test statistics.
According to the findings, transfusion-dependent adolescents with thalassemia in the experimental group had a higher overall posttest eating behavior score than the pretest score with statistical significance .05 and higher than transfusion-dependent adolescents with thalassemia who received routine care at the .05 significant level.
The findings from this study revealed use of the self-management program in transfusion-dependent adolescents with thalassemia helped patients to have appropriate eating behavior adjustments for the disease.
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Journal of Nursing and Health Science Research attribution-non-commercial 4.0 international (CC BY-NC 4.0). For more detail please visit https://creativecommons.org/licenses/by-nc/4.0/ . The ideas and opinions expressed in the Journal of Nursing and Health Science Research are those of the authors and not necessarily those of the editor .
References
Buakhao, J. (2017). Guidelines for the care of thalassemia patients in general practice (1st ed.). Nonthaburi: Veterans Relief Organization under the Royal Patronage. (in Thai).
Catarino, M., Charepe, Z. & Festas, C. (2021). Promotion of self-management of chronic disease in children and teenagers: Scoping review. Healthcare, 9(1642), 1-22.
Chaimay, B. (2015). Public health research methods (3rd ed.). Songkhla: Thaksin University Book Center. (in Thai).
Creer, L. T. (2000). Self-management of chronic illness. In M. Boekaerts, P. R. Printrich & M. Zeidner (Eds.), Handbook of self-regulation (pp. 601-629). Academic Press.
Faul, F., Erdfelder, E., Buchner, A. & Lang, A. G. (2009). Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behavior Research Methods, 41(4), 1149-1160.
Goldberg, E. K., Lal, A. & Fung, E. B. (2022). Nutrition in thalassemia: A systematic review of deficiency, relations to morbidity, and supplementation recommendations. Journal of Pediatric Hematology Oncology, 44(1), 1-11.
Jaradrattanapaiboon, Y., Wongchum, R. & Kaewmamueng, K. (2020). The correlation between eating behavior and nutritional status of thalassemic children with transfusion-dependence at provincial hospitals in the northern part of Thailand. Thai Red Cross Nursing Journal, 15(2), 190-204. (in Thai).
Jirawatkul, A. (2013). Health science statistics for research. Bangkok: Wittayapat. (in Thai).
Kitchareanrungroj, P., Chaiyaratana, C. & Sawasdipanich, N. (2024). The effect of self-management program on preventive relapse behaviors in adolescents with SLE. Journal of Thailand Nursing and Midwifery Council, 39(1), 16-32. (in Thai).
Ngamsouy, A. & Songkongdaeng, W. (2020). Nursing children with health problems. Chiang Mai: Smart Coating & Service. (in Thai).
Piaget, J. (1986). The construction of reality in the child. N.Y.: Ballantine Books.
Pinto, V. M. & Forni, G. L. (2020). Management of iron overload in beta-thalassemia patients: Clinical practice update based on case series. International Journal of Molecular Sciences, 21(22), 8771.
Rattanasakornchai, S. (2015). Factors affecting the food consumption behavior of secondary school students grade 3 in Chumphon district, Chumphon province. Journal of Nutrition and Medicine, 22(1), 61-72. (in Thai).
Rojsanga, P. (2015). How to eat thalassemia properly. Retrieved (2024, August 14). from https://pharmacy.mahidol.ac.th/th/knowledge/article/258/Thalassemia-How-to-Eat-Appropriately. (in Thai).
Sanaruangsak, S., Theerarangsikul, N., Sarapat, P. & Pinyo, M. (2020). Self-management patterns of children with thalassemia. Journal of the Faculty of Nursing, Burapha University, 28(2), 27-39. (in Thai).
Prabmeechai, S. & Ruangwaraboon, S. (2017). Effect of animation media on knowledge and self-care behavior of school-age children with thalassemia. Journal of Nursing, Ministry of Public Health, 27(2), 96-109. (in Thai).
Sunsala, N. & Eukit, N. (2016). Effect of self-efficacy promotion program on self-care behavior of school-age children with thalassemia. Journal of Nursing, Chulalongkorn University, 28(1), 103-111. (in Thai).
The Department of Cultural Promotion. (2024). Khanomsent namsai muang Phrae. Retrieved (2024, September 19). from https://culture.go.th (in Thai).
Theerarangsikul, N. & Sanaruangsak, S. (2015). Self-care management experience of children with thalassemia. Journal of the Faculty of Nursing, Burapha University, 23(4), 48-60. (in Thai).
Tohjarat, K. & Cherngkhwan, P. (2002). Guidelines for the treatment of anemia and thalassemia (1st ed.). Bangkok: Hematological Society of Thailand. (in Thai).
Wongbutr, T., Sanchaiyasuriya, P. & Prachantasen, N. (2015). Nutrition and food intake of patients with thalassemia who receive services at the Thalassemia clinic, Khon Kaen hospital. Journal of Public Health Research, Khon Kaen University, 8(4), 22-32. (in Thai).