Improving of Type 2 Diabetic Patients’ Knowledge, Attitude and Practice Towards Diabetes Self-care by Implementing Community-Based Interactive Approach-Diabetes Mellitus Strategy

BMC Research Notes

Sri Suryawati³  Mohamed Izham MI²  Titien Siwi Hartayu¹ 

[1] Faculty of Pharmacy Sanata Dharma University, Yogyakarta, Indonesia;College of Pharmacy, Qatar University, Doha, Qatar;Department of Pharmacology and Therapy, Faculty of Medicines, Gadjah Mada University, Yogyakarta, Indonesia

关键词: Small group discussion;    Public education;    KAP;    Diabetes mellitus;    CBIA-DM;   

Others  :  1166249
DOI  :  10.1186/1756-0500-5-315

 received in 2011-10-31, accepted in 2012-06-21,  发布年份 2012

【 摘 要 】

Background

Community Based Interactive Approach-diabetes mellitus (CBIA-DM) is an active self-learning method. This study is aimed at improving type 2 diabetic patients' knowledge, attitude and practice on diabetes self-care by implementing the CBIA-DM strategy. Time series, pre and post quasi-experimental design, Intervention group underwent CBIA-DM, DM-club and Normal-care group acted as control. Data were collected in pre-intervention, immediately, one, three and six months post intervention. Ranging scores for pre and post test questionnaires were: knowledge (0–18) and attitude (9–45); categorizing as rational scales of the scores in good, fair and poor. Practicing in diabetes self-care was assessed using 12 questionnaires, and categorized as adhere and not adhere to DM self-care. Effectiveness of CBIA-DM was evaluated based on the increasing number of participants in good knowledge and attitude levels, and adherence in practicing diabetes self-care.

Results

CBIA-DM group shows increasing number of participants in good level of knowledge from 40 % (n = 30) up to 80 % at M + 3 with scores significantly improved from 13.1 ± 2.4 up to 15.4 ± 2.0 (Wilcoxon test, p < 0.05), attitude from 20 % up to 50 % at M + 3, with scores significantly improved from 33.5 ± 4.1 up to 34.9 ± 6.2 (p = 0.031) and increasing number of participants’ adherence to all variables of DM self-care at M + 6 post intervention.

Conclusions

CBIA-DM strategy is effective to improve diabetic patients’ knowledge, attitude and practice on diabetes self-care. Repeating and improving the strategy program is needed to sustain the impact.

【 授权许可】

   
2012 Hartayu et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

【 参考文献 】

• [1]Suryawati S: CBIA: Improving the quality of self-medication through mothers’ active learning. Essential Drugs Monitor. World Health Organization. Geneva 2003, 32:22-23.
• [2]Astuti A: Improving knowledge and skills of pharmacy assistances in Yogyakarta municipality on medicine information service for hypertensive patients using community based interactive approach (CBIA) Master Thesis Gadjah Mada University, Master program for medicine management and policy studies. 1998.
• [3]Susantini: mplementing CBIA strategy to improve tuberculosis patients’ adherence to treatment program. Master Thesis. Gadjah Mada University, Master program for medicine management and policy studie. , ; 2006.
• [4]Suyono S: Latest Guidelines in Management of Type 2 Diabetes Mellitus. In Diabetes Seminar. Jakarta; 2009.
• [5]Kuller LH: Dietary fat and chronic diseases epidemiologyc: Overview. J Am Diet Assoc 1997, 97:9-15.
• [6]Robles YHK, Edwards AGK, Cannings-John R, Butler C: Health education for type 2 diabetes mellitus in ethnic minority groups (protocol). In The Cochrane Library 2007, 2:1-16.
• [7]Adherence to long-term therapies: evidence for action. World Health Organization, Switzerland; 2003.
• [8]Wild S, Roglic G, Green A, Sicree R, King H: Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes care 2004, 27(Suppl 5):1047-53.
• [9]Ebrahim S, Davey SG: Exporting failure coronary heart disease and stroke in developing countries. Int. J Epidemiol 2007, 30:201-5.
• [10]Ghazanfari Z, Ghofranipour F, Tavafian SS, Ahmadi F, Rajab A: Life style education and diabetes mellitus type 2: A non-randomized control trial. Iranian Journal Public Health 2007, 36(Suppl 2):68-72.
• [11]Sutanegara D, Budiarta: The epidemiology and management of diabetes mellitus in Indonesia. 2000. [http://www.ncbi.nlm.nih.gov/entrez/query.fcgl?cmd=retrieve&db webcite]
• [12]Abramson JH: Survey methods in community medicine. 4th edition. Edinburgh, Churchill Livingstonel; 1990:399.
• [13]Grbich C: Qualitative research in health: an introduction. Sage Publications, London; 1999:222-227.
• [14]Badrudin N, Basit A, Hydrie MZI, Hakeem R: Knowledge, attitude and practices of patients visiting a diabetes care unit. Pakistan Journal of Nutrition 2002, 1:99-102.
• [15]Issa BA, Baigewu O: Quality of life of patient with diabetes mellitus in a Nigerian teaching hospital. Hongkong J Psychiatri 2006, 16:27-33.
• [16]Soegondo S: The Consensus of type 2diabetes mellitus management and prevention in Indonesia. PB PERKENI 2006, 12-15.
• [17]Brown SA, Craig I, Hanis: A community-based, culturally sensitive education and group-support intervention for Mexican Americans with NIDDM: A pilot study of efficacy. The diabetes educator 1995, 21(Suppl 3):203-210.
• [18]Slevin K, Cleator J, Wilding J: Obesity and diabetes. In Nutritional management of diabetes mellitus. Edited by Frost G, Dornhost A, Moses R. Wiley, England; 2003:112.
• [19]Ramachandran A, Snehalatha C: The Nutrition Society Textbook Series. In Public Health Nutrition Edited by Michael J, Barrie M, John M, Lenore Arab, Gibney , Kearney . 2004. [www.nutritiontexts.com webcite]
• [20]Soegondo S: Integrated diabetes mellitus management. Balai Penerbit Fakultas Kedeokteran Universitas Indonesia, Jakarta; 2007.
• [21]Pratiknya AW: Basics of Research metodology in health and medicine. PT Raja Grafindo Persada, Jakarta; 2000.
• [22]Green LW, Kreuter MW: Health promotion planning: an educational and environmental approach. 2nd edition. Mayfield Publishing Company, California; 2000.
• [23]Fountain S: Assessment strategies for skills-based health education with focus on HIV prevention related issues. UNICEF education. 2002.
• [24]Azwar S: Human attitude: theory and measurements. 2nd edition. Pustaka Pelajar, Yogyakarta Indonesia; 1995.