Development of an Inhibitory Control Model on Eating Behavior by Community Participation for People with Type 2 Diabetes in Ta Phraya District, Sa Kaeo Province
Keywords:
Inhibitory Control on Eating Behavior, Type 2 Diabetes Mellitus, Community ParticipationAbstract
This study aimed to develop a community-participatory model for inhibitory control on eating behavior among people with type 2 diabetes in Ta Phraya District, Sa Kaeo Province, and to examine its effects on eating behavior, HbA1c, and medication use. A Participatory Action Research (PAR) design with a mixed-method approach was applied in five phases: problem identification, participatory planning, implementation, evaluation using the CIPP model, and after-action review. A total of 315 participants aged ≥60 years with type 2 diabetes were selected by multi-stage sampling. Data were collected using questionnaires, interviews, HbA1c records, and medication records. Quantitative data were analyzed with paired t-tests and McNemar’s test, while qualitative data underwent content analysis.
Findings indicated strong community and stakeholder engagement throughout program design and implementation. Key activities included an inhibitory control training manual, workshops, monthly coaching, and community-based monitoring. Outcomes showed significant improvement in eating behavior scores (p<0.001), with the proportion rated “good” rising from 35.6% to 72.4% after six months. Mean HbA1c decreased from 8.7% to 7.4% (−1.3%, p<0.001), with 12.5% of participants achieving remission and 28.6% reducing at least one antidiabetic medication. Lessons learned were synthesized into a “Community-Participatory Inhibitory Control Model” with four components: (1) awareness and motivation, (2) family and community support, (3) monitoring and evaluation, and (4) linkage with health services.
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