• TH
    • EN
    • Register
    • Login
    • Forgot Password
    • Help
    • Contact
  • Register
  • Login
  • Forgot Password
  • Help
  • Contact
  • EN 
    • TH
    • EN
View Item 
  •   Home
  • สถาบันวิจัยระบบสาธารณสุข (สวรส.) - Health Systems Research Institute (HSRI)
  • Articles
  • View Item
  •   Home
  • สถาบันวิจัยระบบสาธารณสุข (สวรส.) - Health Systems Research Institute (HSRI)
  • Articles
  • View Item
JavaScript is disabled for your browser. Some features of this site may not work without it.

Effectiveness of Lifestyle Modification Program on Preventing Type 2 Diabetes among Thai Adults with Prediabetes

ดวงดาว ศรียากูล 1; Duangdao Sriyakun 1; สันติ ลาภเบญจกุล 2; Santi Lapbenjakul 2; สัมฤทธิ์ ศรีธำรงสวัสดิ์ 3; Samrit Srithamrongsawat 3; วรสิทธิ์ ศรศรีวิชัย 4; Vorasith Sornsrivichai 4; จิรุตม์ ศรีรัตนบัลล์ 5; Jiruth Sriratanaban 5; ภาณุวิชญ์ แก้วกำจรชัย 3; Phanuwich Kaewkamjornchai 3;
Date: 2567-03
Abstract
This study aimed to assess effectiveness of lifestyle modification program on reduction of diabetic risks among adults with prediabetes by adapting an effective lifestyle modification program from abroad to fit the Thai context. The program started with an awareness raising activity followed by 5 consecutive group learning sessions. Session 1 stage of change, started from the indifference stage to the modification and maintenance of new behaviors after setting a realistic weight loss goal at 3–5% of the initial weight. Session 2 employed a patient-centered approach, doctors as a friend so called “peer professional”, assisting participants to design own individual self-care plan focusing on caloric restrictions and increasing physical activity. Session 3 raised motivation through dialogue and game playing by using a “toolbox set” consisting of game cards, video and various media to create learning of how to adjust the self-care plan by gradually increasing frequency and intensity of activities (e.g. exercise). Session 4 organized group learning to create social reinforcement by exchanging experiences and making commitments with flexibility as to their convenience. Session 5 employed a nudge theory for follow-up and maintaining healthy behavior by sending stickers on personal Line accounts, chatting on Facebook, etc., to monitor participants’ continuous compliance to their plans. The program was piloted in 4 districts of 4 regions divided into experimental sub-districts and control sub-districts. Adults with prediabetes in each sub-district were recruited, there were 423 samples in experimental group and 443 samples in control group. Assessment of lifestyle behaviors was done prior and after completion of the program and analyzed the changes by using relative change statistics. Result illustrates that experimental group had significant reduction in body mass index of 1.9 kg/m2, waist circumference of 4.5 cm, fasting blood sugar average of 3.8 mg/dL and diabetic risk score of 14.9, all with statistical significance reductions compared to control group. In conclusion, the lifestyle modification program was able to reduce prediabetic risk at least one level by 77.5% of the experimental group and reduced the chance to be diabetes within next 10 years by 12.7%.
Copyright ผลงานวิชาการเหล่านี้เป็นลิขสิทธิ์ของสถาบันวิจัยระบบสาธารณสุข หากมีการนำไปใช้อ้างอิง โปรดอ้างถึงสถาบันวิจัยระบบสาธารณสุข ในฐานะเจ้าของลิขสิทธิ์ตามพระราชบัญญัติสงวนลิขสิทธิ์สำหรับการนำงานวิจัยไปใช้ประโยชน์ในเชิงพาณิชย์
Fulltext
Thumbnail
Name: hsri-journal-v18n ...
Size: 1.291Mb
Format: PDF
Download

User Manual
(* In case of download problems)

Total downloads:
Today: 2
This month: 29
This budget year: 2,466
This year: 995
All: 3,999
 

 
 


 
 
Show full item record
Collections
  • Articles [1366]

    บทความวิชาการ


DSpace software copyright © 2002-2016  DuraSpace
Privacy Policy | Contact Us | Send Feedback
Theme by 
Atmire NV
 

 

Browse

HSRI Knowledge BankDashboardCommunities & CollectionsBy Issue DateAuthorsTitlesSubjectsThis CollectionBy Issue DateAuthorsTitlesSubjectsSubjectsการบริการสุขภาพ (Health Service Delivery) [619]กำลังคนด้านสุขภาพ (Health Workforce) [99]ระบบสารสนเทศด้านสุขภาพ (Health Information Systems) [286]ผลิตภัณฑ์ วัคซีน และเทคโนโลยีทางการแพทย์ (Medical Products, Vaccines and Technologies) [125]ระบบการเงินการคลังด้านสุขภาพ (Health Systems Financing) [158]ภาวะผู้นำและการอภิบาล (Leadership and Governance) [1281]ปัจจัยสังคมกำหนดสุขภาพ (Social Determinants of Health: SDH) [228]วิจัยระบบสุขภาพ (Health System Research) [28]ระบบวิจัยสุขภาพ (Health Research System) [20]

DSpace software copyright © 2002-2016  DuraSpace
Privacy Policy | Contact Us | Send Feedback
Theme by 
Atmire NV