Effects of a Health Literacy Promotion Program on Health Behaviors of Patients with Uncontrolled Type 2 Diabetes in Phra Phrom District, Nakhon Si Thammarat Province
Keywords:
Promotion Program, Health Literacy, Health Behavior, Type 2 DiabetesAbstract
This quasi-experimental study, using a two-group post-test design, aimed to compare health behaviors and cumulative blood sugar levels between the experimental and control groups after implementing a health literacy promotion program for patients with uncontrolled type 2 diabetes in Phra Phrom District, Nakhon Si Thammarat Province. Participants consisted of 102 individuals, divided into 51 in the experimental group and 51 in the control group. Participants were selected using simple random sampling, with labels drawn to assign them to either the experimental or control group. The research instruments included a health literacy measurement tool and a program designed to improve health literacy related to diabetes prevention, with an Item Objective Congruence (IOC) value ranging from 0.5 to 1.00. The tool for measuring self-care behaviors in diabetes patients had a reliability coefficient of 0.71. Data analyses included descriptive statistics, Chi-square, Mann-Whitney U test, and Independent t-test.
The research findings revealed that the experimental group had a significantly higher mean self-care behavior score compared to the control group at a 0.05 significance level (p-value = 0.002). However, there was no significant difference in cumulative blood sugar levels between the experimental and control groups (p-value = 0.368).
Therefore, the program should be applied to patients in diabetes clinics at hospitals and community health promotion hospitals within the network. However, the program should be adjusted to consider the monitoring of cumulative blood sugar levels according to academic standards.
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