The Development of a model to promote health literacy and health behavior to control hemoglobin A1C levels in patients with type 2 diabetes, That Phanom Community Health Center, Nakhon Phanom Province.

Abstract

     This action research aimed to study the effect of developing a model to promote health literacy and health behavior to control hemoglobin A1C levels in type 2 diabetes patients at That Phanom Community Health Center, Nakhon Phanom Province. The sample group consisted of 65 patients with type 2 diabetes who met the specified criteria. The data collection instruments were the diabetes health literacy questionnaire, and the health behavior assessment form based on the 3 aor 2 sor 1 yor . Data analysis: General data were analyzed using numbers, percentages, health literacy, and health behavior using mean and standard deviation. Pre-post participation comparisons were performed using paired t-test statistics.
     The results of the study found that before and after participating in the activity, the sample group had a mean score of health literacy about diabetes that was significantly different at the .05 level. In terms of health behavior, after participating in the activity, the mean score of self-care increased. Smoking, mean score 4.90 (SD = .44), drinking alcohol and alcoholic beverages, mean score 4.61 (SD = .99), was at the highest level. Exercise, mean score 3.06 (SD = .86), food consumption, mean score 2.64 (SD = .79), and taking diabetes medication, mean score 2.65 (SD=.80), was at the moderate level. Stress management, mean score 1.83 (SD = 1.07), was at the low level. Hemoglobin A1c (HbA1c) level decreased by 8.29 (SD = 2.09) to 7.7 (SD=1.71). Comparing before and after participating in the activity, there was a statistically significant difference at the .05 level.