The Effects of a Behavioral Modification Program Utilizing Health Stations and Community Participation on Blood Sugar Levels in Individuals at Risk of Diabetes in Kranuan District, Khon Kaen Province

Abstract

This quasi-experimental study aimed to examine the effect of a behavior modification program using health stations and community participation on blood sugar levels among individuals at risk of diabetes in Kranuan District, Khon Kaen Province. A one-group pretest-posttest design was employed. The sample consisted of 40 at-risk individuals screened by health stations in Nong Kung Yai and Nong No subdistricts. The study was conducted from October 2024 to April 2025. Participants received a 12-week program focused on behavior change based on the "3S-3A-1N" principles (healthy diet, exercise, emotional control; avoiding smoking, alcohol, and risky behaviors; and adequate sleep). Week 1 involved baseline assessments and education. Weeks 2–10 included follow-up visits and support. Week 11 involved reassessments, and Week 12 focused on evaluation, experience sharing, and post-program assessment. Data was analyzed using descriptive statistics and paired t-tests. Results showed a statistically significant reduction in average fasting blood sugar from 110.28 mg/dL to 102.05 mg/dL (p < 0.001). Knowledge about diabetes, health behaviors related to the 3S-3A-1N principles, and overall health behaviors significantly improved (p < 0.001). While BMI, weight, and waist circumference showed decreasing trends, the differences were not statistically significant. In conclusion, the behavior modification program incorporating health stations and community participation effectively reduced blood sugar levels and improved health behaviors in individuals at risk of diabetes.