The Effectiveness of a Program for Health Literacy Development of the Patients with Uncontrolled Type 2 Diabetes at

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พรวิจิตร ปานนาค
สุทธีพร มูลศาสตร์
เชษฐา แก้วพรม


          Enhancing health literacy is important for the development of appropriate health behaviors among persons with Diabetes Mellitus (DM). A quasi-experimental study using a two-group pre-test and post-test design was conducted to investigate the effects of a program improving health literacy among patients with DM type II and with uncontrolled blood sugar level. The participants were 70 patients with DM who received health services at Bangwua health promotion hospital, Chachoengsao Province. They were equally divided into an experimental and control groups. Research instruments included 1) a program of health literacy development, 2) “Health literacy and diabetes control” handbook, 3) a questionnaire of health literacy, self-efficacy, and self-care behaviors, and 4) a blood glucose monitoring device. Content validity indexes for the questionnaire were .85-1.0, and Cronbach’s alpha coefficients were .84-.96. The data were analyzed using descriptive statistics and t-test comparisons.

          The results revealed that after participating in the program, the level of health literacy, self-efficacy related to management, and health behaviors reported by the experimental group was higher than that of the control group at the significance level of 0.01. The blood sugar level of the experimental group was also significantly lower than that of the control group (p<.05). The findings suggest that improving health literacy is a strategy that can help diabetic people acquire appropriate health behaviors, decreasing the severity and unwanted complications due to DM.


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ปานนาคพ, มูลศาสตร์ส, แก้วพรมเ. The Effectiveness of a Program for Health Literacy Development of the Patients with Uncontrolled Type 2 Diabetes at. NJPH (วารสาร พ.ส.) [Internet]. 2018Jan.26 [cited 2020Aug.12];27(3):91-106. Available from:


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