Outcomes Assessment of the Health Behavior Modification Program for Diabetes Disease Risk Groups by using the Action Research Evaluation.

Abstract

The outcome assessment of health modification program for diabetes risk groups research using the concept of action research evaluation. Aimed to evaluate the outcomes of the health behavior change program and compare the means differences of knowledge, attitude and health behaviors of diabetes risk groups. Conducted between June and December 2022. The tools used for data collection were group meeting recordings and 2 data collection questionnaires before and after the operation. Qualitative data  analyzed by content analysis. Questionnaires data analyzed by descriptive statistics. Compare the means differences of knowledge, attitudes and behaviors analyzed by Paired t-test.

The results from focus group, The risk group had a decrease in sugar level as a normal group of 9 people, still in the risk level of 21 people, found that 1 person whose sugar level did not change. Other than that, sugar levels are all reduced. The samples were female (66.7%), aged between 55-64 years (43.0%), primary school education (63.3%), occupation being agriculture (63.3%), average monthly income 2,001– 6,000 Baht (36.7%) had underlying disease (16.7%), high lipid disease (6.7%), relative with diabetes (20.0%), hypertension (20.0%) were both diabetes and hypertension (23.3%) had an average waistline 70-85 centimeters, an average weight of 64-79 kilograms, an average blood sugar level of 102 to 122 mg/dL. Before joining the project, the samples group had a moderate level of diabetes knowledge (83.3%).The average attitude towards diabetes was  low level (53.3%), the average behavior was low level (76.7%). After participating, the mean of knowledge was moderate level (86.7%), attitude toward diabetes was low level (46.7%) and behavior was high level (40.0%). Comparing the differences mean of knowledge, attitudes and behaviors of Diabetes Risk Groups before and after operation, It was found that, knowledge attitude and behavior after participating in the project improved (P-value 0.17, 0.00 and 0.00 respective)