Effects of a Community Participation Program on Management at Kudmakfai Sub-District in Nong Wua So District, Udon Thani Province

Abstract

This quasi-experimental research aimed to study the effects of a community participation program in caring for uncontrolled diabetic patients. Population was 136 type-2, non-insulin dependent diabetic patients. Samples were consisted of 53 patients with  uncontrolled blood sugar level randomly selected from the total patients. The instruments were questionnaires that was content validated by 3 experts with all questions having the index of item-objective congruence (IOC) greater than 0.50 and reliability using Cronbach's alpha coefficient analysis of the entire questionnaire of 0.79. Data were collected from December 16, 2022 to January 31, 2023. Statistics used for data analysis were descriptive statistics and paired samples t-test, with a statistical significance level set at 0.05.

The results showed that the mean scores of cognitive abilities of patients with uncontrolled blood sugar level, before and after the intervention, increased significantly at p-level of 0.01. Mean scores of perceived self-efficacy in treatments among patients significantly increased after the intervention at p<0.05. It was recommended that educational activities must be provided in accordance with community contexts and ways of life. Communities, diabetic patients, caregivers, village health volunteers, public health officials and network partners in communities should be involved in problem analyses and should be involved in more roles in solving problems to make problem solving more appropriately and sustainable.