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Effectiveness of a behavior modification program for older people with uncontrolled Type 2 Diabetes

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  • Liwan Ounnapiruk
  • Virapun Wirojratana
  • Nitaya Meehatchai
  • Sue Turale

Abstract

This quasi‐experimental study examined the effectiveness of a behavior modification program for diabetic control in Thai elders with uncontrolled Type 2 Diabetes. Purposive sampling was used to select 30 elders from one community as an intervention group, and 30 from a neighboring community as a control group. The intervention group participated in a program of 12 weeks' duration involving activities related to group counseling, group discussion, and an empowerment process that enhanced appropriate consumption of healthy diet, medication taking, and exercise. Data were collected by interviews using a questionnaire to assess knowledge of diabetes, perceived self‐efficacy, and diabetes control behavior, including fasting blood glucose and glycosylated hemoglobin, were examined at the baseline and three months thereafter. At program completion, the intervention group had significantly higher scores of knowledge, self‐efficacy, and health behaviors than those in the control group, but blood glucose and glycosylated hemoglobin were not significantly different. Although nurses can use aspects of this program to benefit elders with diabetes who require support and education, further research is required to provide improved health outcomes such as better glycemic control.

Suggested Citation

  • Liwan Ounnapiruk & Virapun Wirojratana & Nitaya Meehatchai & Sue Turale, 2014. "Effectiveness of a behavior modification program for older people with uncontrolled Type 2 Diabetes," Nursing & Health Sciences, John Wiley & Sons, vol. 16(2), pages 216-223, June.
    • Handle: RePEc:wly:nuhsci:v:16:y:2014:i:2:p:216-223
    DOI: 10.1111/nhs.12089
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    Cited by:

    1. Pranee C. Lundberg & Supunnee Thrakul, 2018. "Self‐care management of Thai Buddhists and Muslims with type 2 diabetes after an empowerment education program," Nursing & Health Sciences, John Wiley & Sons, vol. 20(3), pages 402-408, September.
    2. Amarasekara Appuhamillage Thamara Dilhani Amarasekara & Warunee Fongkaew & Savithri Wasundara Wimalasekera & Sue Turale & Chawapornpan Chanprasit, 2015. "Cross‐sectional study of glycemic control among adults with type 2 diabetes," Nursing & Health Sciences, John Wiley & Sons, vol. 17(2), pages 223-228, June.
    3. Lisa Korsbakke Emtekær Hæsum & Lars Ehlers & Ole K. Hejlesen, 2016. "Interaction between functional health literacy and telehomecare: Short‐term effects from a randomized trial," Nursing & Health Sciences, John Wiley & Sons, vol. 18(3), pages 328-333, September.
    4. Razel B. Milo & Cynthia D. Connelly, 2019. "Predictors of glycemic management among patients with type 2 diabetes," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(9-10), pages 1737-1744, May.

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