Development of Intensive Behavior Change Promotion Strategies in Type 2 Diabetes Patients for Achieving Diabetes Remission in Nonthaburi Province
Abstract
This research is a study using a research and development process with the objective of developing intensive behavior change promotion strategies for type 2 diabetes patients to achieve diabetes remission in Nonthaburi Province. The research is divided into two phases: Phase 1, the development of behavior change promotion strategies, and Phase 2, the study of the outcomes of these strategies. The sample group consists of type 2 diabetes patients receiving treatment at three primary health promotion hospitals in the Sai Noi district of Nonthaburi province. The sample is divided into an experimental group of 37 people and a control group of 37 people. The research tools include: 1) a behavior change promotion strategy, and 2) a data collection tool. Data were analyzed using statistical methods such as mean, standard deviation, Independent t-test, and Paired t-test.
The study found that after the development of the behavior change promotion strategy, the experimental group showed significantly higher average scores in knowledge, food consumption behavior, and exercise behavior compared to before the development, and compared to the control group (P<.001). The average HbA1c, body mass index (BMI), and waist circumference were significantly lower than before the development of the strategy (P<.001) and were also significantly lower than in the control group (P<.001, P<.05, and P<.05, respectively). Therefore, the intensive behavior change promotion strategy for type 2 diabetes patients can be used as a guideline for behavior change to achieve diabetes remission by reducing HbA1c, BMI, and waist circumference, which leads to reduced medication use or even stopping diabetes medication.
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