A Community-Based Lifestyle Modi(cid:976)ication for Prevention
Diabetes in Pre-Diabetes: A Quasi-Experimental Study
Sangthong Terathongkum RN, ACNP, PhD1, Supichaya Wangpitipanit RN, APGN, PhD1,
Phachongchit Kraithaworn RN, PhD1, Sakda Arj-Ong Vallibhakara MD, PhD, MSIT, MSIS2
Affiliation :
1 Ramathibodi School of Nursing, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
2 Section for Clinical Epidemiology and Biostatistics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
Objective : A quasi-experimental study, pretest-posttest design, was applied to assess the effects of the lifestyle modi(cid:976)ication programs
[LMPs] on health behaviors, capillary plasma glucose [CPG], and nutritional status in pre-diabetes.
Materials and Methods : Eighty-one subjects with pre-diabetes meeting inclusion criteria during community survey by Diabetes
Ambassador Youth Student were included in this study. The multi-sites study was conducted and allocated different LMPs specially
exercise assignment to three communities, 28 subjects from Mahasawat Sub-district, 30 subjects from Khlongyong Sub-district,
and 23 subjects from Khanonnae Sub-district. The demographic information, health behaviors factors, CPG, body mass index [BMI],
and waist circumference were recorded, and analyzed using descriptive statistics, paired t-test and ANOVA.
Results : After the LMPs, participants from Mahasawat had statistically signi(cid:976)icant higher scores for food consumption and exercise
behavior than before the program (p-value <0.05, and <0.01, respectively). Participants from Khlongyong Sub-district had statistically
lower average CPG (p-value <0.05) and BMI (p-value <0.01) than before the program. Participants from Khanonnae Sub-district
had statistically higher scores for food consumption (p-value <0.05) and exercise behavior (p-value <0.01), and lower BMI (p-value
<0.05). When compared with before the program. The mean score of health behaviors, exercise aspect, stress management, and
CPG were statistically signi(cid:976)icant different (F = 11.54, p-value <0.001; F = 11.34, p-value <0.001; F = 5.25, p-value <0.01; and F =
3.82, p-value <0.05, respectively). Thus, different activities in the LMPs had differently effects on health behaviors, CPG, and BMI.
Conclusion : The LMPs demonstrated improving of health behaviors, CPG, and BMI. It should be recommended to integrate with
conventional method and education when pre-diabetes condition is recognized. It is a promising adjunct method to obviate pre-
diabetes as well as diabetes and its complications in future.
Keywords : Lifestyle modi(cid:976)ication programs, Pre-diabetes, Health behaviors, Diabetes, Food consumption, Exercise behavior
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