Development of a prevention model for diabetes and hypertension in a risk group under the health district reform Ang Thong Province.

Abstract

     This research is a research study and development aimed at examining the current situation, developing a model, and assessing the effectiveness of a diabetes and hypertension prevention model for a risk group under the
health district reform in Ang Thong Province from June 2023 to March 2024. The sample consisted of: 1) a health team of 45 people and 2) a risk group of 150 people for diabetes and hypertension. The research process was divided into four phases: Phase 1 - studying the current situation, Phase 2 - developing the model, Phase 3 - evaluating the model’s effectiveness. The tools used in this research included a health literacy assessment form based on the 3E.2S principles, a feasibility questionnaire of the model, a satisfaction questionnaire for the health team and the risk group, and a clinical outcome data collection form. Data analysis was conducted using content analysis, descriptive statistics, and paired t-test statistics.
     The research results revealed that the developed model comprised: 1) a health team of 45 people 2) Screening by Digital Healthcare 3)Comprehensive - Coordination of care 4) Promote HL 5) establishing advisory groups via the Line application6) environment in conducive to good health7) continuous follow-up care (3 doctors).The evaluation of the model's effectiveness indicated a high level of feasibility (mean=24.52, S.D.=0.93). The risk group showed a statistically significant improvement in health literacy based on the 3E.2S principles (p<0.05). The health team’s satisfaction with the model was at the high level (mean=4.28, S.D.=0.36), as was the satisfaction of the risk group (mean=4.30, S.D.=0.28). Clinical outcomes, including blood sugar and blood pressure levels before and after using the model, showed statistically significant differences (p<0.05), while the body mass index did not differ significantly (p>0.05).