Behavior change among the high-risk group of diabetes using the 4 principles: A case study of the high-risk group of diabetes in Ban Klang sub-district, Wang Thong district, Phitsanulok province

Abstract

The objective of this research was to develop the process of behavior change for health  improvement among the high-risk group of diabetes using the 4 principles. The research was conducted in Ban Klang sub-district, Wang Thong district, Phitsanulok province, from May to July 2565. The target group consisted of 50 individuals at risk of diabetes who had been screened for diabetes at the 60^th Anniversary Commemorating of Princess Mother Health Center, Ban Klang sub-district, Wang Thong district, Phitsanulok province. The operational network included community health leaders, shop owners, and residents in the area. Data analysis was performed using descriptive statistics, including percentages, means, standard deviations, and qualitative data analysis.

Results showed that the operational phase had developed supporting media for health education and established key messages for communication, such as "Ban Klang joins hands, keeping diabetes away for 4 principles." The study focused on assessing problems, modifying perceptions, changing behaviors, and coordinating efforts for participation. It also aimed to enhance leadership potential, provide knowledge to at-risk groups, monitor behavior changes, and create environmental changes in the community. The study observed improvements in blood pressure, body mass index, waist circumference, knowledge, and blood sugar levels among the high-risk diabetes group. The group reduced consumption of carbonated beverages, became aware of sugar levels in soft drinks, and read labels before making decisions by choosing zero-calorie substitutes. Additionally, local stores changed their inventory to include zero-calorie drinks. These findings reflected the success of behavior change using the 4 principles. The community network and leaders played a crucial role in monitoring and stimulating behavior changes, thus reducing the workload of personnel. The success factors of this research included policies, community involvement, and support by setting common goals in collaboration with the community network, which served as role models and catalysts for health behavior change among the high-risk group.