Development of a Behavioral Modification Program on Food Consumption Using Carbohydrate Counting to Reduce the Risk of Diabetes Among At-Risk Health Personnel in Lamduan District, Surin Province
Keywords:
carbohydrate counting, food consumption behavior, diabetes mellitus, health personnel, health promotion programAbstract
This quasi experimental research aimed to develop and evaluate the effectiveness of a behavioral modification program on food consumption using carbohydrate counting to reduce the risk of diabetes among at-risk health personnel in Lamduan District, Surin Province. The sample consisted of 40 at-risk health personnel selected through purposive sampling based on the specified inclusion criteria. The research instruments included an 8-week behavioral modification program using carbohydrate counting, a general information questionnaire, a food consumption behavior questionnaire, a carbohydrate counting knowledge test, a satisfaction assessment form, weighing scales, height measurement equipment, and a fasting blood sugar testing device. Data were analyzed using descriptive statistics and Paired t-test.
The results revealed that after participating in the program, the participants showed significant improvement in carbohydrate counting knowledge scores, increasing from 10.85 to 17.42 points, and food consumption behavior scores, increasing from 38.27 to 50.63 points. In addition, fasting blood sugar levels decreased from 112.48 to 101.26 mg/dL, and body mass index decreased from 27.14 to 25.98 kg/m². All differences were statistically significant at the .05 level. Overall satisfaction with the program was at the highest level, with a mean score of 4.64 and a standard deviation of 0.48.
References
กรมอนามัย. (2567). รายงานสถานการณ์โรคไม่ติดต่อเรื้อรังประเทศไทย ปี 2567. สำนักโรคไม่ติดต่อ กรม
อนามัย กระทรวงสาธารณสุข.
ภาณุวัฒน์ สมบูรณ์ และคณะ. (2566). ปัจจัยที่มีความสัมพันธ์กับพฤติกรรมเสี่ยงโรคไม่ติดต่อเรื้อรังของ
บุคลากรสาธารณสุข. วารสารสาธารณสุขชุมชน, 19(2), 45–59.
สำนักงานสาธารณสุขอำเภอลำดวน. (2567). รายงานผลการตรวจสุขภาพบุคลากรสาธารณสุข ประจำปี
งบประมาณ 2567. สำนักงานสาธารณสุขอำเภอลำดวน.
American Diabetes Association. (2023). Standards of care in diabetes—2023. Diabetes Care,
(Suppl 1), S1–S156. https://doi.org/10.2337/dc23-S001
Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory.
Prentice-Hall.
Evert, A. B., Dennison, M., Gardner, C. D., Garvey, W. T., Lau, K. H. K., MacLeod, J., ... & Yancy,
W. S. (2019). Nutrition therapy for adults with diabetes or prediabetes: A consensus
report. Diabetes Care, 42(5), 731-754.
Hertzog, M. A. (2008). Considerations in determining sample size for pilot studies. Research in
Nursing & Health, 31(2), 180-191.
The Belmont Report. (1979). Ethical principles and guidelines for the protection of human
subjects of research. The National Commission for the Protection of Human Subjects of
Biomedical and Behavioral Research.
Warshaw, H. S., Powers, M. A., & Bales, S. (2020). Practical carbohydrate counting: A how-to-
teach guide for health professionals. American Diabetes Association.
World Health Organization. (2023). Global report on diabetes. World Health Organization.
Yamane, T. (1973). Statistics: An introductory analysis (3rd ed.). Harper & Row.
