Development of Care Model for Type 2 Diabetes Patients Using Health Literacy Enhancement in Dampra of Tambon Health Promoting Hospital, Muang District, Ubon Ratchathani Province.

Abstract

     The purpose of this action research: of care model for Type 2 diabetes patients using Health Literacy enhancement in Dampra of Tambon Health Promoting Hospital, Mueang district, Ubon Ratchathani Province. Research Methodology: The research was conducted in four stages: 1) studying and analysing the assessment of the problem conditions, Health literacy, and health behaviors of diabetic patients 2) develops a model of care for type 2 diabetes patients and using Health literacy 3) evaluate the results of model development, Health literacy, Health behavior and HbA1c. One hundred of patients with Type 2 diabetes were randomly assigned into an experimental group and control group, with 50 Type 2 diabetes patients in each group. 4) making post-experimental improvements. Data were analyzed by descriptive statistic, Chi-square test, independent t-test and paired t-test
     Results: 1) The model of care for patients with type 2 diabetes using health literacy enhancement including, 1) establishing an effective care system for diabetic patients 2) building a multidisciplinary team 3) using technology to support learning and follow-up 4) development of quality manuals and teaching materials 5) motivation  6) patient network and community support 7) "DAMPHA Model" program. 2) Regarding the efficacy of the model, it was found that after the intervention, the experimental group’s average Health Literacy score and health behaviors score was significantly higher than that of the control group, (95% CI =36.73 – 46.54; p-value=0.00, 95% CI = 8.59–18.45; p-value=0.00 , respectively). The experimental group’s average HbA1c levels were significantly lower than those of the control group (95% CI = -1.64 – 0.20;p-value=0.013)