The Effects of Self-Efficacy Enhancement on Health Promotion Behaviors, Body Weight and Fasting Plasma Glucose Among Pre-Diabetes in the Community

Abstract

The purpose of this research was to examine the effects of self-efficacy enhancement on health promoting behaviors and health status among per-diabetes in the community. A simple random sampling method was used to recruit 56 people with pre-diabetes who met the inclusion criteria in Chakapong subdistrict, Kleang district, Rayong province. Precious fasting plasma glucose levels between 100-125 mg/ dl and had body mass index more than or equal to 25 kg/m2, which has a functional group. Then they were randomly assigned into either the experimental (n = 28) or the comparison (n = 28). The experimental group received the self-efficacy enhancement program, whereas the comparison group received a regular care from
health personnel. Research experimental instruments included the self-efficacy enhancement program,handbook for body weight and fasting plasma glucose level control, and behaviors record form. Data was collected by demographic questionnaires and health promoting behaviors questionnaires. Data were analyzed by using descriptive statistics and independent t-test.The results revealed the mean score of health promoting behaviors in the experimental group was significantly higher than at pre-test (t = 7.19, p < 0.001) and had higher mean difference for body weight and blood sugar levels than those in the comparison group (t = 5.71, p < 0.001; t = 6.16, p < 0.001 respectively). The findings suggest that nurses and other health professional should apply this self - efficacy enhancement program to reduce body weight and blood sugar level for the pre-diabetes. These would help prevent or delay the occurrence of this disease.