A Community-Led Diabetes Management Model in an Urban Setting: A Case Study of Sumpun Community, Bangkok Yai District
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Abstract
This qualitative study aims to develop an urban community led diabetes management model using the CIPP Model framework. The sample group consisted of 31 stakeholders involved in this model. The sample can be classified into 4 groups included participants, community, healthcare providers, and educators. This study employed a qualitative research design. The research instruments included a demographic data questionnaire, focus group discussions guide which validated from 3 experts, field notes, and audio recording devices. Data analysis was conducted using descriptive statistics and thematic method. Based on the analysis results, a diabetes management model was developed according to the CIPP Model framework across three phases: preparation, implementation, and evaluation.
The findings revealed that urban community led diabetes management model, a case study of Sumpun Community, Bangkok Yai District resulted in the creation of the “BKY DM Remission Model,” which aligns with the CIPP Model. The steps are preparation phase included the community assessment, DM Remission Model field trip, strategic planning & finding grants, resources & financial planning, public relations & recruiting participants, establishing DM school & LINE group. Operational phase included registration & health assessment, ice breaking activities, education/skills training, focus group & peer support & sharing from role models, and monitoring and adjusting individual plans. Evaluation phase included evaluating health outcomes, summarizing of resources and budget usages, and project evaluating and reporting.
Results showed that participants improved blood sugar control and health behaviors, resources were used efficiently, and findings were summarized for policy development to ensure sustainability. This model serves as a feasible prototype for urban community-based diabetes management, and has the potential for expanding to similar contexts in the future which align with the Sustainable Development Goals: SDGs.
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