Development of Lifestyle Medicine Learning Process in Diabetic Patients in Mueang Nakhon Pathom District.

Abstract

      Development of a Lifestyle Medicine Learning Process for Diabetes Patients in Mueang Nakhon Pathom District This study was a Research and Development (R&D) study aiming to examine the context and health status of diabetes patients and to develop a lifestyle medicine learning process for diabetes patients in Mueang Nakhon Pathom District. The sample comprised 6,207 eligible type 2 diabetes patients from 28 Health Promoting Hospitals. The study was conducted from March 2026 to July 2027 (B.E. 2568–2569), divided into two phases: Phase 1 (Research Phase, March–October 2568) involving context and health status assessment, learning process design and implementation, and outcome summary; and Phase 2 (Development Phase, October 2568–July 2569) involving review and refinement of activities, capacity building for relevant personnel, network stakeholder role assignment, and monitoring and evaluation. Data were collected using both quantitative and qualitative methods and analyzed using content analysis, frequency, percentage, mean, standard deviation, and Dependent t-test.

      Research Findings: Following the development of a lifestyle medicine learning process for diabetic patients in Mueang Nakhon Pathom District, the overall and individual aspects of lifestyle medicine literacy among diabetic patients in Mueang Nakhon Pathom District were at the highest level. Health behaviors of type 2 diabetic patients in Mueang Nakhon Pathom District, after the process development, were overall and individual aspects were at a very appropriate level, except for quality sleep, avoiding (reducing) risky behaviors, and medication adherence and doctor visits, which were at an appropriate level. The overall HbA1c (glycated hemoglobin) level of diabetic patients in Mueang Nakhon Pathom District was less than 7%, an increase from 61.0% after the process to 68.71%. Furthermore, there was a statistically significant difference (p < 0.05) in lifestyle medicine literacy and health behaviors of type 2 diabetic patients in Mueang Nakhon Pathom District before and after the process development. The average score for lifestyle medicine literacy after the process development was higher than after the process development. Similarly, there was a statistically significant difference (p < 0.05) in HbA1c scores after the process development decreased from after the process.