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This quasi-experimental research aimed to examine the effect of Muslim-Based Health Behavior Modification Program on diabetic control behaviors and blood sugar level of uncontrolled DM Muslim patients with co-morbidity. The samples comprised of 64 DM muslim patients. Samples were purposively selected according to the specific qualifications. They were assigned to experimental and control groups with 32 samples per group by matched pairs of age, sex, and duration of illness. The experimental group received the Muslim-Based Health Behavior Modification Program for 8 weeks and the control group received the usual care. The research instruments included: 1) the Muslim-Based Health Behavior Modification Program and 2) demographic data and health data form, diabetic control behavior questionnaire and glucometer. Instruments were validated for their content validity by 3 experts. The reliability of the diabetic control behaviors questionnaire was tested by 20 uncontrolled DM Muslim patients with co-morbidity, using Croncbach’s alpha coefficient which yielded the value of .82. Data were analyzed using descriptive statistics, paired t-test, independent t-test, ANCOVA, Wilcoxon Signed Ranks and Mann-Witney U Test.
Results revealed that the mean score of diabetic control behaviors and the mean of blood sugar level posttest between the experimental and control group were significantly different (F=124.15 and Z=-6.11, p< .001). In the experimental group, the mean score of diabetic control behaviors posttest was significantly higher than that at pretest (t=-16.34, p< .001) and the mean of blood sugar level was significantly lower than that at pretest (Z=-4.94, p< .001). The findings of this study indicated that the Muslim-Based Health Behavior Modification Program acts as a catalyst and motivates patients to change their behavior and then
reduce their blood sugar levels.
2. Bareau of Non Communicable Disease. World diabetes day campaign in 2016 [Internet]. Bangkok: Bareau of Non Communicable Disease; 2016 [cited 2016 Oct 10]. Available from: http://www.thaincd.com.
3. Bareau of Policy and Strategy. Summary of illness report 2012. Nonthaburi: The War Veterans Organization of Thailand Under Royal Patronage of His Majesty the King; 2013.Thai.
4. National Trustworthy and Competent Authority in Epidemiological Surveillance and Investigation. Annual epidemiological surveillance report 2013. [Internet]. Nonthaburi: Bareau of Non Communicable Disease; 2014 [cited 2014 Jul 1]. Available from: http://boe.moph.go.th/.
5. Chongtrakul P. Rational drug use: Diabetic hypertension. 2nd ed. Bangkok: Watthana-karnpim; 2014.Thai.
6. MedResNet. Report on the evaluation of care among clients with diabetes and hypertension annual 2014 [Internet]. 2015 [cited 2015 June 29]. Available from: http:// www.slideshare.net/ChuchaiSornchumni/2557-43275237
7. Mokmula M, Nimah Y. Integration of knowledge, Islamic law and health promotion: Chronic disease. Songkhla: Health Systems Research Institute; 2009. Thai.
8. Yala Provincial Public Health Office. Chronic non-communicable disease information system in Yala. [Internet]. 2014 [cited 2014 Jun 14]. Available from: http://www.ylo.moph.go.th/chronic/.
9. Diabetes Association of Thailand. Clinical practice guideline for diabetes 2014. Bangkok: Arun-karnpim; 2014. Thai.
10. American Diabetes Association. Nutrition recommendations and interventions for diabetes. Diabetic care. 2008; 31(1):61-78. doi:10.2337/dc08-s061
11. Chaiarsa P, Sucamvang K, Promoch A. Effect of the self-efficacy and social support enhancement program on food consumption behavior among the elderly with diabetes mellitus. Nursing Journal. 2008; 35(3): 59-71. Thai.
12. Pakdeepaiboolsakun R. Effect of food-choice-promoting program on food consumption and blood glucose among patients with poorly controlled diabetes [thesis]. [Songkhla]: Prince of Songkla University; 2012. 95 p.
13. Tosumrit S, Oba N, Kitiporn T. Effect of self-efficacy enhancement program concerning dietary intake behavior on A1C level among type 2 diabetes mellitus patients. NUJST. 2008; 16(3):203-10. Thai.
14. Kongsaeng S. Development of self-management manual for dietary behavioral modification of muslim patients with diabetes [thesis]. [Songkhla]: Prince of Songkla University; 2012. 92 p.
15. Archasantisuk P, Oba N, Vichitkaew N. Effects of supportive and educative nursing care on self-care behaviors and level of hemoglobin A1C in diabetes mellitus patients. NUJST. 2008; 2(1):66-77. Thai.
16. Phengjaroen P. Depressive symptom management of diabetic patients with moderate depression in community hospitals, Suratthani province, Thailand [thesis]. [Songkhla]: Prince of Songkla University; 2012.58 p.
17. Mahamad P. Development of behavior modification program of dietary consumption and physical activity for Thai muslim woman with metabolic syndrome [thesis]. [Songkhla]: Prince of Songkla University; 2012. 132 p.
18. Thotham R. Effects of a yoga camp on blood sugar and self care practices in people with type 2 diabetes [thesis]. [Songkhla]: Prince of Songkla University; 2007. 147 p.
19. Awae R. Effect of health education with Al-Quran reading program on stress of diabetic patient [thesis]. [Songkhla]: Prince of Songkla University; 2009. 80 p.
20. Chuon S. Development of eating behavior modification program for overweight muslim women [thesis]. [Songkhla]: Prince of Songkla University; 2011. 160 p.
21. Sutheravut P, Nimah Y. Health services according to muslim way of life 4 ages. Songkhla: Health Systems Research Institute; 2009. Thai.
22. Prochaska JO, DiClimente CC, Norcross JC. In search of how people change: Applications to addictive behaviors. Am Psychol. 1992; 47 (9):1102-14.
23. Boonyasopun U. Stage of change. In: Khampalikit S, Baramee J, editers. Teaching guide for health promotion in nursing. Khon Kaen: Faculty of Nursing, Khon Kaen University; 2012. Thai.
24. Nimah Y, Hasuwannakit S. Medical and patient care consistent with the muslim way. 3rd ed. Songkhla: Health Systems Research Institute; 2008. Thai.
25. Polit DF, Hungler BP. Nursing research: Principle and methods. 6th ed. Philladelphia: J.B. Lippincott; 1999.
26. Karnjanapiboonwong A. et al. NCDs situation report no. 2: Kick off to the goals. Nonthaburi: International Health Policy Program Foundation; 2016. Thai.
27. Chongchareon W. Nutrition and nutritional therapy in nursing. Songkhla: Copy Conner Digital Print Center; 2009. Thai.
28. Tocharoenvanich P. Primary care: Diabetes care in special areas Yala, Narathiwat, Pattani, Songkhla. Songkhla: Health Systems Research Institute; 2008. Thai.
29. Wae-Alee D. Islamic Healing. Bangkok: O S Printing House; 2005. Thai.
30. Norris SL, Lau J, Smith SJ, et al. Self-management education for adults with type 2 diabetes: A meta-analysis of the effect on glycemic control. Diabetic care. 2002; 25(7):1159-71.
31. Chana N. Development of practice guideline for enhancing pre-diabetes stage-based behavioral modification [thesis]. [Songkhla]: Prince of Songkla University; 2010. 109 p.
32. Pender NJ, Murdaugh CL, Pearson MA. Health promotion in nursing practice. 6th ed. New Jersey: Frentice-Hall; 2011.
33. Olarikkachat T, Jittanoon P, Srikeaw M. The effect of a behavioral change promotion program on health behaviors and blood lipid of hotel staff with hyperlipidemia. Songklanagarind J Nurs. 2016:36(4); 99-116. Thai