The Effect of Motivational Program on Blood Glucose Control in Type 2 Diabetic Patients

Abstract

This experimental study (quasi-experimental) aimed to study the effect of motivational program on blood glucose control in type 2 diabetic patients. The conceptual framework was based on Rogersus Protection Motivation Theory. Thirty type 2 diabetic patients, at Nonmuong primary care unit, were recruited to the study. Sample underwent simple random sampling methods and was randomly assigned into either an experimental group or a control group. The first fifteen patients were randomly assigned into the control group receiving usual care. The other fifteen patients were into experimental group receiving motivational program. The program designed by the researcher based on Rogerus Protection Motivation Theory, was divided in to three subprograms with three main purposes; (1) to reinforce behaviors intention (2) to decrease barrier of behaviors and (3) to reinforce self-efficacy of behaviors. Each subprogram consisted of group activities and individual activities. Group activities included group discussion, symbolic model presentation and verbal persuasion by the researcher. Individual activities included home visit and reminded letter or telephone. The duration of the program was twelve weeks. The instruments used in this study were demographic data questionnaire and blood glucose control behavior questionnaire, which were created by researcher. Content validity had been according to the five experts. Reliability was tested using Cronbach,s Alpha Coefficient giving a value of 0.75. Data were collected during March to June 2006. Blood glucose control behavior and hemoglobin A 1C (HbA 1C ) level were measured before and after the experiment. Data were analyzed using Independent-sample t test to determine differences between groups, and Paired-sample t test to determine differences within groups. The results shown that after receiving the motivational program (1) The patient with type 2 diabetes who received the motivational program had a significant higher mean score of blood glucose control behaviors than before receiving the program and higher than who did not (P < 0.05) and (2) The patient with type 2 diabetes who received the motivational program had a significant lower mean score of hemoglobin A 1c (HbA 1C ) than before receiving the program and lower than who did not (P < 0.05). Therefore, this program is recommended to be used for blood glucose control behaviors improvement in the type 2 diabetic patients. §” ”§—≠ : ‚a√·°√i°“√‡ √‘i √â“s·√s®Ÿs„® °“√§«∫§yi√–¥—∫πE”μ“≈„π‡≈◊O¥ oŸâaE«¬‡∫“A«“πTMπ‘¥∑’E 2