Effects of Health Promotion Program on Health Belief Perception and Preventive Behaviors in First Degree Relatives of Persons with Type II Diabetes

Monday, July 11, 2011

Suchinda Jarupat Maruo, PhD, RN
Ramathibodi School of Nursing, Mahidol University, Bangkok, Thailand

Learning Objective 1: The learner will be able to describe the effect of health promotion program on preventive behaviors in first degree relatives of persons with diabetes.

Learning Objective 2: The learner will be able to recognize a significance of primary prevention for diabetes.

Purpose:

This quasi-experimental study aimed at investigating the effects of a health promotion program on health belief perception and preventive behaviors in first degree relatives of persons with type 2 diabetes. 

Methods:  

Sample consisted of 83 first degree relatives of persons with type 2 diabetes who lived in Bangpahan District, Phranakhon Sri Ayuthaya Province.  Through purposive sampling, 43 were assigned into the experimental group and 40 were assigned into the control group. The experimental group received a health promotion program to prevent type 2 diabetes, involving telephone follow-ups and reminder letters.  The instrument used for data collection included the health belief perception and preventive behaviors questionnaire.  Data were collected at baseline and six weeks after the program.  Paired t-test, independent t-test, and ANCOVA were used for data analysis.

Results:

The findings revealed that after the program, the experimental group had overall health perceptions greater than those before the program. Also, overall type 2 diabetes preventive behaviors after the program were greater than those the program and those of the control group with statistical significance (p < .001). The results indicated the effectiveness of the health promotion program to prevent type 2 diabetes in first degree relatives of persons with type 2 diabetes.

Conclusion:

According to the results, it is recommended that proactive health promotion should be carried out with an assessment of risks of type 2 diabetes and dissemination of knowledge among risk groups who are first degree relatives of persons with type 2 diabetes.  In addition, their type 2 diabetes preventive behaviors should be continuously promoted. Further studies should be conducted in other risk groups of type 2 diabetes.