Development of Health Behavior Modification Model for Diabetes Risk Groups Using Community Participation in the Catchment Area of Ban Miang Sub-district Health Promoting Hospital, Tha Li District, Loei Province

Abstract

The objectives of this research and  development are 1) to study context and situations, 2) to develop role models for health behavior modification, 3) to examine the effectiveness of health behavior modification programs, 4) to develop a participatory health behavior modification model for diabetes risk groups, and 5) To study the health outcomes from the development of a health behavior modification model for people at risk for diabetes. The study was conducted in two phases. Phase 1: Context study. Phase 2: Health behavior modification approach based on findings from Phase 1. The study was implemented in a semi-urban community where lifestyle changes, particularly in dietary consumption and physical activity behaviors, resulted in 9.86% diabetes risk prevalence. Phase 2 results showed significant improvements in knowledge, health behaviors, and health outcomes after role model development. Knowledge and health behavior scores increased significantly at the 0.05 level. Diabetes risk groups demonstrated statistically significant improvements across all domains at the 0.05 level. The developed health behavior modification model comprised five steps: preparation, planning, implementation, evaluation, and improvement. Participants expressed the highest satisfaction levels with the developed model. Key success factors included community participation in all stages, strong community organizations, and academic support from external agencies.