Effect of Applying Information Motivation and Behavior Skills Model Regarding Dietary Control of Blood Sugar Level Among Persons with Type 2 Diabetes
Keywords:
Information Motivation and Behavior Skills, Dietary Control, Blood Sugar Level, Persons with Type 2 DiabetesAbstract
The most important goal for persons with diabetes mellitus is to be able to control their blood sugar level. The persons with diabetes mellitus should pay attention to their diet, exercise, take medication and manage their stress, as these could help in controlling blood sugar levels. However, persons with type 2 diabetes were found to be unable to control their diet and were inconsistent with their life style. Therefore, a model to promote health behavior in controlling the diet for people with type 2 diabetes should be developed. This quasi-experimental study aimed to examine the effect of applying information, motivation, and behavior skills model regarding dietary control of blood sugar level among persons with type 2 diabetes who had attended Donkaew Community Hospital, Mae Rim district, Chiang Mai province from February to June 2016. Thirty-five subjects were assigned to the control group (n = 17) and experimental group (n = 18). The experimental group received and applied information, motivation, and behavior skills model regarding dietary control, while the control group received the usual nursing care. The research instruments consisted of: 1) The Applying Information, Motivation, and Behavior Skills Model Regarding Dietary Control which was developed by a researcher based on Fisher, Fisher, & Harman (2003), information, motivation and behavior skills concept, 2) The Questionnaire Regarding Exercise and Medication Taking Behavior among Persons with Diabetes Mellitus and 3) glucometer. The Psychometric Property of research instrument was approved prior to collecting data. Data were analyzed by using descriptive statistics, Friedman test and Mann-Whitney U test.
The results revealed that:
- After receiving an applying the information, motivation, and behavior skills model regarding dietary control, the blood sugar levels of subjects in the experimental group at 6th, and 10th week were statistically significant lower than that of before (p<.001).
- After receiving an applying information, motivation, and behavior skills model regarding dietary control at 6th, and 10th week, the blood sugar level of the subjects in the experimental group were statistically significantly lower than the control group who received the usual nursing care (p<.01).
The results of this study demonstrated that the applying information, motivation and behavior skills model regarding dietary control can help persons with type 2 diabetes control their diet and decrease their blood sugar level. Thus, the integration of the program into the usual care for persons with diabetes mellitus type 2 in order to control blood sugar level should be implemented. For further study, the extension of the period for testing sustainability of this program as well as assessing hemoglobin A1C is recommended.
References
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American Diabetes Association. (2014a). Diagnosis and classification of diabetes mellitus.
Diabetes care, 37(1), 81-90.
American Diabetes Association. (2014b). The cost of diabetes. Retrieved from
http://www.diabetes.org/advocacy/news-events/cost-of-diabetes.html
American Diabetes Association. (2015). Standards of medical care in diabetes 2015. The
journal of clinical and applied research and education, 38(1), 1-94.
Bandura, A. (1997). Self-efficacy and health behavior. Cambridge handbook of psychology
health and medicine. Cambridge: Cambridge University Press.
Chang, S. J., Choi, S., Kim, S. A., & Song, M. (2014). Intervention strategies based on
information-motivation-behavioral skills model for health behavior change: A systematic review. Asian Nursing Research, 8(3), 172-181.
Diabetes Association of Thailand Under the Patronage of Her Royal Highness Princess Maha
Chakri Sirindhorn, The Endocrine Society of Thailand, Department of Medical Services and National Health Security Office. (2014). Clinical Practice Guideline for Diabetes 2014. Bangkok: Aroon Printing. (In Thai)
Fisher, W. A., Fisher, J. D., & Harman, J. (2003). The information-motivation behavioral skill
model: A general social psychological approach to understanding promoting health behavior. In J. Suls, & K. A. Wallston (Eds.), Social psychological foundation of health and illness (pp. 82e106). Malden: Blackwell.
Gavgani, R. M., Poursharifi, H., & Aliasgarzadeh, A. (2010). Effectiveness of information-
motivation and behavioral skill (IMB) model in improving self-care behaviors & Hba1c measure in adults with type2 diabetes in Iran-Tabriz. Procedia-Social and Behavioral Sciences, 5, 1868-1873.
Intharabut, M., & Muktabhant, B. (2007). Perception and Practices of Dietary Control in Type 2
Diabetic Patients. Srinagarind Medical Journal, 22(3), 283-290. (In Thai)
Kotebuntao, K. (2008). The Effect of Participatory Learning Program and Social Support from
Fammilies on the Diabetic Type 2 Patient’s Knowledge and Health Behaviors, Fammilies Knowledge and their Social Support Behaviors Chiangkhan Hospital. Independent Study Master of Nursing Science (Family Nursing), Graduate School, Khonkhan University. (In Thai)
Lundberg, P. C., & Thrakul, S. (2012). Type 2 diabetes: How do Thai Buddhist people with
diabetes practice self-management. Journal of Advanced Nursing, 68(3), 550-558.
Lerdsrimongkol, P. (2007). Food Consumption Exercise and Blood Sugar Level of Patients with
Type 2 Diabetes Mellitus. Independent Study Master of Science (Nutrition Education), Graduate School, Chiang Mai University. (In Thai)
Namwongsa, C. (2008). Self-care Practices in Nutrition and Health of Type 2 Diabetes
Mellitus Patients. Independent Study Master of Science (Nutrition Education), Graduate School, Chiang Mai University. (In Thai)
Nimnoy, N. (2012). Nutrition therapy in diabetic patients. In W. Sarinpakorn (editors), Case
approach for diabetes mellitus management (2nd ed., pp.36-53). Bangkok: Bangkok Medical Publisher. (In Thai)
Osborn, C. Y., Amico, K. R., Cruz, N., O'Connell, A. A., Perez-Escamilla, R., Kalichman, S. C.,
Wolf, A. S., ... & Fisher, J. D. (2010). A brief culturally tailored intervention for Puerto Ricans with type 2 diabetes. Health Education & Behavior, 37(6), 849-862.
Oba, N., Danyuthasilp, C., & Chairatana, S. (2008). Illness Experiences of Patients with Diabetes
Mellitus. Journal of Nursing Science Naresuan University, 2(1), 78-77. (In Thai)
Prentice-Dunn, S., & Roger, W. (1986). Protection motivation theory and preventive health: beyond
the health belief model. Health Education Research, 1(3), 153-161.
Polit, D. F., & Hungler, B. P. (1999). Nursing research: Principles and methods (6thed.).
Phildephia: J.B. Lippincott.
Suwanasorn, T. (2007). Effect of Self-efficacy Enhancing Program on Health behaviors Among
Persons with Diabetes Mellitus in Hangchat Hospital, Lampang Province. Independent Study Master of Nursing Science (Adult Nursing), Graduate School, Chiang Mai University. (In Thai)
Siddiqui, S. (2014). Depression in type 2 diabetes mellitus a brief review. Diabetes & Metabolic
Syndrome: Clinical Research & Reviews, 8(1), 62-65.
Strychar, I., Elisha, B., & Schmitz, N. (2012). Type 2 diabetes self-management: Role of diet self-
efficacy. Canadian Journal of Diabetes, 36(6), 337-344.
Thai health survey office. (2010). Thai health survey report by physical examination 4 th 2008-
9. Nonthaburi: The Grafico Systems. (In Thai)
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