Preliminary Study of Effects of Diet Control Program using FoodExchange on Knowledge, Food Consumption Behaviors, andGlycemic Control among Persons with Type 2 Diabetes

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Nareemarn Neelapaichit, RN, DrPH
Chularuk Kaveevivitchai, RN, PhD
Noppawan Piaseu, RN, PhD

Abstract

OBJECTIVE: This quasi-experimental research aimed to examine the effects of a dietcontrol program using food exchange on knowledge, food consumption behaviors,glycemic control and nutrient intake among persons with type 2 diabetes in sub-districthealth promoting hospitals.

MATERIALS AND METHODS: The sample of 44 persons with type 2 diabetes weredivided by purposive sampling into two groups, experimental (n=22) and comparison(n=22). The experimental group participated in a 12-week diet control program usingfood exchange based on the Health Belief Model concept. The program consisted ofone education session for two hours using a video, a food exchange pamphlet, a platemodel to enhance subjects’ understanding, meal planning, and three home visit followups.Data were collected via four instruments: a demographic data questionnaire, healthinformation records, a food consumption behavior of persons with diabetes questionnaire,a knowledge test and 24 hours food record. The data was analyzed through descriptivestatistics, Wilcoxson Signed Rank test and Mann-Whitney U test.

RESULTS: After receiving the program, the experimental group had a significantlyhigher food consumption behavior score when compared to before the program (p=0.005)and scored significantly higher than the comparison group (p <0.001). Hemoglobin A1c(HbA1c) levels of the experimental group showed a significant reduction in more thanthe control group (p=0.002) whereas in knowledge score and in fasting blood sugar(FBS) there was no significant difference.

CONCLUSION: It is recommended that nurses can use this program to effectivelymodify type 2 diabetic patients’ health behavior in diet control leading to glycemiccontrol.

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How to Cite
1.
Neelapaichit N, Kaveevivitchai C, Piaseu N. Preliminary Study of Effects of Diet Control Program using FoodExchange on Knowledge, Food Consumption Behaviors, andGlycemic Control among Persons with Type 2 Diabetes. BKK Med J [Internet]. 2017 Sep. 20 [cited 2024 Mar. 29];13(2):49. Available from: https://he02.tci-thaijo.org/index.php/bkkmedj/article/view/221933
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Original Article

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