Development Strategy on Diabetes Prevention for Prediabetics Group Based on Community Culture Means

Abstract

     The objectives of this study were: 1) to analyze problems and evaluate the needs assessment of prediabetes mellitus, 2) to study local culture, 3) to construct a development strategy of a prediabetics group for prediabetes mellitus prevention based on cultural means, and 4) to study the results of the development strategy. The research design was a quasi experiment between two groups and utilized a qualitative approach. The sample population was 342 respondents from village no. 3 in Ban Khawdin Nuar. Data were analyzed by descriptive analysis, correlation analysis, and stepwise multiple regression analysis. The research findings revealed that: 1) the experiment group possessed risk factors, showed risk behavior, and required needs assessment on behavioral changes; 2) the typical local culture when cooking food for consumption was to adding fish sauce by estimation, with a preference for salty, sweet, and oily tastes, drinking coffee and soft drinks, and consuming a lot of rice, with other behavior involving going to bed early, no exercising, and eliminating stress through socializing with neighbors; 3) the constructed development strategy consisted of a handbook for diabetes prevention, empowerment, self- regulation, and knowledge sharing; and 4) the experimental group obtained more knowledge, skills, and preventative behavior in prediabetes mellitus to significantly higher level than before the experiment. Moreover, based on a physical and laboratory examination, the comparative group was significantly better after than before the experiment. The factors related to prediabetes mellitus prevention were: family income, knowledge, self-efficacy, behavior, favorite food and ingredients, and food consumption. However, the influencing factors were family income and food consumption. The new findings from this research can be distributed beneficially for diabetes prevention, the construction and development of development strategy, policy making, and development strategy implementation.