A Synthesis of the Behavioral Change Intervention in Risky People to Diabetes Mellitus (DM)

Abstract

This study was aim to synthesis behavioral change program in Pre Diabetes group. The method was systematic review. Researchers were search research article from PUBMED, SCOPUS, Google Scholar, and Thailand citation index (TCI), which distribution during 1 January to 31 December 2018. Keywords for searching were “DM” or “Prediabetes” or “risk groups-DM” or “Health Behavior Change Program” or “Health Behavior Change Model” or “Health Behavior Change Intervention” or “Health Behavior Change Innovation”. Researchers were using the criteria for research selection and synthesis the program.

The results were found 5,875 research articles divided in database of PUBMED 4,211, SCOPUS 960, Google Scholar 306, and Thailand Citation Index 398 and 8 researches were selected for synthesis the program. 8 researches were divided programs of changing way of life for 5 programs and using special technique for behavioral change for 3 programs. Three activities of the program were 1) Life style change; exercise, diet control, monitoring of fasting plasma glucose, Blood pressure, weight, waist and self-monitoring evaluation, 2) Using MI (Motivation Interview) and SMS techniques, and 3) various knowledge programs: DVD, training course, face to face, and using manual. Three aspects for applied the program were 1) Time line of program not less than 1 year classify to intensive phrase 1-3 months and monitoring phrase 4-12 months. If the program time line was 1 year to 4 years, it should be core booster for participants and address how to maintain and control the level of weight and fasting plasma glucose, 2) Provider or program user should be trained about 3 Or 2 Sor (Healthy diet, Activities, Emotion, Tobacco and Alcohol) for life style change and how to monitoring and evaluation, 3) PreDM group who were selected into the program should be learning about how to self evaluation about waist, weight, fasting plasma glucose, blood pressure and report about the activities follow the program agenda.