Effects of a Dietary Literacy Development Program on Uncontrolled Diabetic Patients in Khao Ya Subdistrict Community, Si Banphot District, Phatthalung Province

Authors

  • Sarita Chandaewa Student, Bachelor of Public Health, Faculty of Health and Sports Sciences, Thaksin University
  • Boonruang Khaonuan Assistant Professor, Faculty of Health and Sports Science, Thaksin University
  • Saowaluk Nung-arlee Student, Bachelor of Public Health, Faculty of Health and Sports Sciences, Thaksin University
  • Pornthip Ruengput Department of Primary Care and Holistic Health, Sribunpot Hospital, Phatthalung Province.
  • Chamaiporn Thongphet Lecturer, Faculty of Health and Sports Sciences, Thaksin University

Keywords:

Health Literacy, Food Consumption Behavior, Diabetic patients

Abstract

This quasi-experimental research aimed to study the effects of health media utilization for developing health literacy to modify dietary behaviors among uncontrolled diabetic patients in Khao Ya Subdistrict Community, Si Banphot District, Phatthalung Province. The study applied health literacy theory and was conducted with a sample of 32 participants over a 3 month period. Data were collected using questionnaires and analyzed using descriptive statistics including frequency, percentage, mean, and standard deviation, as well as inferential statistics including Paired t-test and Wilcoxon Signed-Rank test.

The results showed that uncontrolled diabetic patients had significantly increased levels of health literacy regarding dietary consumption compared to pre-intervention (p <0.001). The mean scores for dietary behavior also significantly improved compared to pre-intervention (p <0.001). After the intervention, uncontrolled diabetic patients achieved better glycemic control than before the intervention, with statistical significance (p <0.001). These findings demonstrate that the dietary literacy development program helped uncontrolled diabetic patients improve their health literacy regarding dietary consumption, modify their dietary behaviors, and achieve reduced blood glucose levels. Continuous follow-up with empowerment approaches for participants and documentation of implementation lessons for scaling up are recommended.

 

References

Boonthanapisarn, N. (2021). Effects of self-management promotion program using LINE application on health behaviors and glycated hemoglobin levels in diabetic patients with uncontrolled blood sugar (Thesis, Community Nurse Practitioner, Naresuan University).

Bureau of Information, Office of the Permanent Secretary, Ministry of Public Health. (2022). Department of Disease Control reveals diabetes situation. Retrieved June 25, 2024, from https://pr.moph.go.th/?url=pr/detail/2/02/181256/

Department of Health Education, Department of Health Service Support. (2022). Strategies for health literacy and health behavior promotion. Journal of Health Education and Health Communication, 8(1), 8–10.

Department of Health, Ministry of Public Health. (2017). Development of health literate organization. Retrieved July 25, 2024, from https://mwi.anamai.moph.go.th/web.pdf

Diabetes and Endocrine Center, Phyathai Hospital. (2021). Chronic complications in diabetes patients. Retrieved July 25, 2024, from https://www.phyathai.com/th/article/3572

Diabetes Association of Thailand & Department of Medical Services, Ministry of Public Health. (2023). Clinical practice guidelines for diabetes 2023 (1st ed.). Bangkok: Srimuang Printing.

Health Data Center, Information and Communication Technology Center, Ministry of Public Health. (2024). New diabetes incidence rate. https://hdc.moph.go.th/center/public/standard-report- detail/eeeab22e386d32e7f5f5ecefebce0001

Kaewpradab R. (2021). Effectiveness of health literacy enhancement program on food consumption behavior for type 2 diabetes patients with uncontrolled blood sugar levels. Journal of Environmental Health and Community Health, 9(2), 755-763.

Klarop, R., Sikhao, O., & Prasertsong, C. (2021). Effects of health literacy program for type 2 diabetes patients with uncontrolled blood sugar levels. Journal of The Royal Thai Army Nurses, 22(3), 274- 283.

Limrermsakul, S., Saneha, C., Wattanakitkrileart, D., & Buranasupkajorn, P. (2022). Effects of a health literacy development program on self-care behaviors in the elderly with type 2 diabetes mellitus. Nursing Science Journal of Thailand, 40(1), 84–98.

Nutbeam, D. (2000). Health literacy as a public health goal: A challenge for contemporary health education and communication strategies into the 21st century. Health Promotion International, 15(3), 259–267.

Subpaiboonkit, P., Aungwattana, S., & Tamdee, D. (2022). Effects of the motivation program on dietary behaviors and blood sugar level among uncontrolled diabetic persons. Nursing Journal, 48(4), 80–92.

Rungcharoenareejitta, M. (2024). Effects of health literacy program for type 2 diabetes patients with Uncontrolled blood sugar levels. Journal of Primary Health Care (Northern Region), 34(2), 46-53.

Saentecha, P. (2020). Effects of health literacy development program in patients with type 2 diabetes. Journal of Health Education, 43(2), 150-164.

Siriwattanamethanon, Y., & Tophakam, A. (2018). Comparison of blood sugar control outcomes in type 2 Diabetes patients according to two treatment targets. Srinagarind Medical Journal, 33(6), 512–513.

Sutthiphol, K. (2022). Factors affecting blood sugar control in type 2 diabetes patients at Prachanukroh Community Health Center, Ratchaburi Hospital. Maharaj Nakhon Si Thammarat Medical Journal, 5(2), 1–12.

Ya-in, B. (2021). Effects of health literacy promotion program on self-care behaviors in type 2 diabetes Patients with uncontrolled blood sugar levels. Sawanpracharak Medical Journal, 18(1), 36-48.

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Published

2025-07-22

How to Cite

Chandaewa, S., Khaonuan, B. ., Nung-arlee, S. ., Ruengput, P. ., & Thongphet, C. . (2025). Effects of a Dietary Literacy Development Program on Uncontrolled Diabetic Patients in Khao Ya Subdistrict Community, Si Banphot District, Phatthalung Province. Public Health Policy and Laws Journal, 11(3), 633–646. retrieved from https://so05.tci-thaijo.org/index.php/journal_law/article/view/280649

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Original Article