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Effectiveness of a behavior modification program for older people with uncontrolled type 2 diabetes
Liwan Ounnapiruk1, Virapun Wirojratana, Nitaya Meehatchai
1Faculty of Nursing, Mahidol University, Bangkok, Thailand.
Nursing & Health Sciences
|September 3, 2013
Summary
A behavior modification program improved knowledge and self-efficacy in Thai elders with Type 2 Diabetes, but did not significantly alter blood glucose levels. Further research is needed for better glycemic control.
Area of Science:
- Gerontology
- Endocrinology
- Public Health
Background:
- Type 2 Diabetes is a growing concern among the elderly population in Thailand.
- Effective management strategies are crucial for improving health outcomes and quality of life for diabetic elders.
- Behavior modification programs show promise in addressing lifestyle factors contributing to diabetes.
Purpose of the Study:
- To evaluate the effectiveness of a 12-week behavior modification program on diabetes control in Thai elders.
- To assess changes in knowledge, self-efficacy, and health behaviors related to diabetes management.
- To determine the impact of the program on glycemic control indicators (fasting blood glucose and HbA1c).
Main Methods:
- A quasi-experimental design with purposive sampling was employed.
- Thirty Thai elders with uncontrolled Type 2 Diabetes formed the intervention group, with 30 in a control group.
- The intervention included group counseling, discussion, and empowerment focused on diet, medication, and exercise.
Main Results:
- The intervention group demonstrated significantly higher scores in diabetes knowledge, self-efficacy, and health behaviors post-program compared to the control group.
- No significant differences were observed in fasting blood glucose or glycosylated hemoglobin levels between the groups.
- The program successfully enhanced participants' understanding and engagement in healthy diabetes management practices.
Conclusions:
- Behavior modification programs can positively impact knowledge, self-efficacy, and behaviors in elders with Type 2 Diabetes.
- While beneficial for support and education, the program requires refinement to achieve significant improvements in glycemic control.
- Nurses can adapt components of this program to support elderly diabetic patients, with ongoing research needed for enhanced clinical outcomes.
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