The Development Intensive Lifestyle Model of Type 2 Diabetes for Diabetes Remission, Bangphae District, Ratchaburi Province
Keywords:
Intensive lifestyle/ behavior, Type 2 diabetes patient, Diabetes remissionAbstract
The research and development study aimed to develop an intensive lifestyle intervention model to achieve diabetes remissions in patients with type 2 diabetes mellitus. The study was conducted in two groups of diabetic patients. The experimental group were 30 patients in Bang Pae Hospital. The Control group were 30 patients. Duration to an intensive lifestyle intervention was 12 weeks. Instruments used in the experiment was Behavior Modification Program. The data collection tool was health behaviors of diabetic patients. Statistics used for Repeated Measures ANOVA and Independent t-test. The results of the research found that:
Finally, the mean of fasting blood sugar of control group and experimental group were statistically significantly different ,the experimental group was 143.167 and the control group was 161.567 was statistically significant difference (F=4.956, p= 0.030). Explained the percentage difference= 7.9 (η 2=.079), different on 8th weeks (F= 5.151, p= .027) 8.2% (η 2= .082) and different on 12th weeks (F = 8.917, p= .004) 13.3% (η 2 = .133). The mean of HbA1c of experimental group after the program was 6.8 (SD=.86) and the same group before program was 7.27 (SD=1.09. The result found that an experimental group was 5 diabetic remission patients (16.67%) and reduced drugs 11 diabetic patients (36.67%).
Therefore, to promote sustainable and appropriate behavioral changes in patients, the multidisciplinary team should systematically and continuously implement behavior modification programs.
References
Bandura, A. (1977). Self-efficacy: The exercise of control. W.H. Freeman and Company.
Creer, L. T. (2000). Self-management of chronic illness. In Boekaerts, M., Printrich, P. R., & Zeidner, M. (Eds.). Handbook of self-regulation. pp. 601-629. CA: Academic Press
Division of Non Communicable Disease. Department of disease control. (2023). Remission service. https://ddc.moph.go.th/uploads/publish/1517720240105042138.pdf. (in Thai)
Duangklad, K., Lapvongwatana, P., & Chasatitporn, N. (2019). Improvement of self-management program in uncontrolled type II diabetes patients, Journal of Health and Nursing Research, 36(1), 66-83. (in Thai)
Gerstein, L. H., Heppner, P. P., Ægisdóttir, S., Leung, S.-M. A., & Norsworthy, K. L. (2009).Cross-cultural counseling: History, challenges, and rationale.
Khovidhunkit, W., Umphonsathien, M., & Boonyasuppayakorn, K. (2016). Effect of intermittent very-low-calorie diet on glycemic control and cardiovascular risk factors in obese patients with type 2 diabetes mellitus. Research report. Chulalongkorn University. (in Thai)
Khuharat, S., Konthong, D. (2022). Effectiveness of dpacrb ketogenic diet programe in Controlling type 2 dm, potharam district, Ratchburi Province. Journal of Health Science, 31(Supplement 2), 8365-8375. (in Thai)
Lovell, R.B. ( 1980 ). Adult Learning. John Wiley & Sons, Inc
Phuangchumpa. S, Piboon. K, Jaidee. W, & Chaiklongkit. K .(2020). The effects of self-Management support program on knowledge, exercise behavior, number of steps, and hemoglobin a1c among type 2 diabetes patients. Royal Thai Navy Medical Journal, 47(2), 273-300. (in Thai)
Ratchaburi Provincial Public Health Office. (2024). Non-communicable Disease Database, Ratchaburi Province. Health Data Center (HDC).
Ruangsuttipap, C. (2023). Effectiveness of remission service of type 2 diabetes mellitus, Phibun mangsahan district. Journal of environmental education medical and health, 9(2), 323-330. (in Thai)
Thubtim, T. (2017). Development of health promotion model for diabetic patients in community Ban Tha Khrai, Tambon Klang, Selaphume dristrict in Roi-Et Province. Journal of Environment Health and Community Health, 2(3), 39-49. (in Thai)
Skrha J, Kunesova M, Hilgertova J, Weiserova H, Krizova J, & Kotrlikova E. (2005). Short-term very low calorie diet reduces oxidative stress in obese type 2 diabetic patients. Physiological research / Academia Scientiarum Bohemoslovaca, 54(1), 33-39.
Tobin, D. L., Reynold, R. C., Holroyd , K. A., & Ceer, T. L. (1986). Self-management of chronic disease. Handbook of Clinical Interventions and Research.
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