Comparative results of blood sugar control in type 2 diabetes patients between the use of the 3A 2S behavior modification program and the strict behavior modification program

Abstract

          This research was a quasi-experimental research to compare the control of blood sugar levels in type 2 diabetic patients between the control group receiving the regular 3A2S behavior modification program and the experimental group receiving the strict behavior modification program. In 96 type 2 diabetic patients who received treatment services at the primary care unit in Photharam District, they were divided into a control group and an experimental group, 48 patients in each group. The experimental group used the strict behavior modification program developed by the researcher based on the concept of Trans-Theoretical Mode (TTM), Stage of Change Theory, and health belief model. The control group received care according to the regular 3A2S approach by primary care unit staff. Data were analyzed using descriptive statistics, frequency distribution, percentage, mean, standard deviation, and comparative analysis of blood sugar values (A1c) using the Chi square test, Independent t-test, paired t-test, and relative risk (RR) statistics.

          The results of the study found that the mean accumulated sugar (A1c) levels of type 2 diabetic patients before and after participating in the strict behavior modification program were different (p<.001). After participating in the program, the mean accumulated sugar (A1c) levels decreased from 8.62 to 6.69. The results of the comparison of the mean differences in accumulated sugar (A1c) levels of type 2 diabetic patients in the 3A2S behavior modification program group with the normal type and the strict behavior modification program group after participating in the program showed that the strict behavior modification program group had a lower accumulated sugar (A1c) level than the 3A2S behavior modification program group with the normal type (p<.001). The strict behavior modification program group had a mean accumulated sugar (A1c) level of 6.69, and the 3A2S behavior modification program group had a mean accumulated sugar (A1c) level of 8.68