Effect of PITS-Based Education on Health Literacy Among Older Persons with Type-2 Diabetes


  • Nattaya Yakong Faculty of Nursing, Chiang Mai University
  • Sirirat Panuthai Faculty of Nursing, Chiang Mai University
  • Nattaya Suwankruhasn Faculty of Nursing, Chiang Mai University


Health literacy, Older persons with type-2 diabetes, PITS-based education program


For good disease control in older persons with diabetes, they need enhanced health literacy. This experimental research aims to examine the effect of a PITS-based education program on health literacy in older persons with type-2 diabetes. The 54 participants were selected by simple random sampling from older persons with type-2 diabetes attending the Health Promoting Hospital, Hang Dong District, Chiang Mai Province, and 27 participants were randomly assigned into either the control or experimental groups. The experimental group received the PITS-based education program, consisting of group and individual education, with 5 sessions for a duration of 3 weeks, while the control group received usual care. The experimental tool included the PITS-based education program for older persons with type-2 diabetes and data collection tools which consisted of a personal and illness data record form and the health literacy questionnaire for older persons with type-2 diabetes. Data were analyzed using descriptive statistics, independent t-test, Mann-Whitney U test, and Wilcoxon Signed Rank test.

          The results showed that the mean health literacy scores of older persons with type-2 diabetes who received the PITS-based education program were significantly higher than those who received usual care (p < .001). After receiving education, participants had signifi- cantly higher mean health literacy scores than before (p < .01).

        The results showed that education based on the PITS model can enhance health literacy. Therefore, the education program could be useful for health personnel to use as a guideline for enhancing older persons with type-2 diabetes to have better health literacy.


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Research Article