The Effectiveness of a Health Literacy Development Program in Patients with Type 2 Diabetes Risking to Chronic Kidney Disease

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สายฝน สารินทร์
สุทธีพร มูลศาสตร์
วรวรรณ ชัยลิมปมนตรี


The purpose of a quasi-experimental study with two group pre-test and post-test design was conducted to examine the effects of a health literacy development program on health literacy, self-management behaviors, urine sodium, blood sugar and glomerular filtration rate of type 2 diabetes mellitus patients risking to chronic kidney disease.  The sample consisted of the patients with uncontrolled type 2 diabetes mellitus at risk of chronic kidney disease, having a blood glucose level between 155 and182 milligrams per deciliter and glomerular filtration rate at stage 1 and 2, living in Charoensin District, Sakon Nakhon Province. The sample was selected by stratified random sampling and put into experimental and comparative groups. Each group included 30 persons. Research instruments included 1) a 12 week program of health literacy development which was developed based on the concept health literacy pathway model; 2) a handbook of health literacy for delaying the progression of renal failure from diabetes; and 3) a questionnaire. Content validity indexes of health literacy and self-management behavior sectors were .97 and 1.00, respectively. Kuder-Richardson of health literacy was .78 and Cronbach’s alpha coefficient of self-management behaviors was .84. Data were analyzed by descriptive statistics and Independent t-test. The results revealed that after enrolling in the program, the mean scores of health literacy and self-management behaviors of the experimental group were higher than those of before enrolling in the program and higher than the comparative group at p-value <.05. Urine sodium and blood sugar of the experimental group were lower than before enrolling the program and lower than the comparative group at p-value <.05. The mean glomerular filtration rate was higher than before enrolling in the program and higher than that of the comparative group, but not significantly higher at p-value <.05.


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สารินทร์ส, มูลศาสตร์ส, ชัยลิมปมนตรีว. The Effectiveness of a Health Literacy Development Program in Patients with Type 2 Diabetes Risking to Chronic Kidney Disease. NJPH (วารสาร พ.ส.) [Internet]. 2019Aug.31 [cited 2020Aug.12];29(2):64-3. Available from:


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