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Journal of Public Health

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01-10-2018 | Original Article

Developing a diabetes prevention education program for community health care workers in Thailand: translation of the knowledge to at-risk people

Authors: Kitti Sranacharoenpong, Panrawee Praditsorn, Piyanit Churak

Published in: Journal of Public Health | Issue 5/2018

Abstract

Aim

To evaluate the effects of a randomized education program for community health care workers (CHCWs) on the knowledge, awareness and understanding of key messages related to healthy eating among community members at risk for diabetes (at-risk-DM) identified through community diabetes screening.

Subjects and methods

Sixty-nine health centers from five districts in Chiang Mai Province, Thailand, were randomized into the intervention (CHCWs-IG, n = 35) and control group (CHCWs-CG, n = 34). CHCWs-IG participated in a diabetes prevention education program (DPEP) over 4 months. No training/support materials were provided to the CHCWs-CG. The knowledge of all CHCWs was assessed at baseline and the 4- and 8-month follow-ups. To test knowledge dissemination from CHCWs to at-risk-DM, awareness of key messages and other risk factors was tested between at-risk-DM in the CHCW intervention group (at-risk-DM-IG, n = 511) compared with controls (at-risk-DM -CG, n = 405) at baseline and 8 months.

Results

CHCWs-IG knowledge scores improved from baseline [mean (SD), 56.5% (6.26)] after 4-month training [75.5% (6.01), p < 0.001] and 8-month follow-up [71.3%(7.36), p < 0.001) while those of CHCW-CG remained unchanged. Body weight, body mass index, waist circumference and systolic blood pressure within at-risk-DM-IG and at-risk-DM-CG at baseline and 8 months were not significantly different. Knowledge test scores of both groups after 8 months had increased from baseline (p = 0.001) but were not different from each other.

Conclusion

DPEP for CHCWs was effective in improving knowledge. However, it was likely that multiple influences resulted in improvements in community member knowledge. As expected, no difference between groups in physical measures was observed at 8 months. Long-term lifestyle changes towards the health outcome of diabetes prevention are suggested for future study.

Aekplakorn W, Bunnag P, Woodward M, Sritara P, Cheepudomwit S, Yamwong S, Yipintsoi T, Rajatanavin R (2006) A risk score for predicting incident diabetes in the Thai population. Diabetes Care 29(8):1872–1877CrossRefPubMed

Aekplakorn W, Chongsuvivatwong V, Abbott KJ, Suwanprapisa T, Premgamone B, Tiptarado S, Chaikittipon C, Lim SS (2007) Prevalence and management of diabetes and associated risk factors by regions of Thailand. Diabetes Care 30(8):2007–2012CrossRefPubMed

Amend A, Melkus GD, Chyun DA, Galasso P, Wylie-Rosett J (2007) Validation of dietary intake data in black women with type 2 diabetes. J Am Diet Assoc 107:112–117CrossRefPubMed

Armstrong SJ, Bryce J, de Savigny D, Lambrechts T, Mbuya C, Mgalula L, Wilczynska K, Tanzania IMCI Multi-Country Evaluation Health Facility Survey Study Group (2004) The effect of integrated management of childhood illness on observed quality of care of under-fives in rural Tanzania. Health Policy Plan 19:1–10CrossRef

Baker EA, Kreuter M, Homan SM, Starkloff-Morgan S, Schonhoff R, Francioni A (2002) Using community-based participatory processes to bring health education technology to communities. Health Promot Pract 3(1):83–94CrossRef

Baumgartner TA, Chung H (2001) Confidence limits for intraclass reliability coefficients. Meas Phys Educ Exerc Sci 5:179–188CrossRef

Briggs FH, Turner MB, Gary TL, Brancati FL, Hill MN, Levine DM, Bone LR (2006) Training community health workers as diabetes educators for urban African Americans: value added using participatory methods. Prog Community Health Partnersh 1(2):185–193CrossRef

Bryant CA, McCormack Brown KR, McDermott RJ, Forthofer MS, Bumpus EC, Calkins SA, Zapata LB (2007) Community-based prevention marketing: organizing a community for health behavior intervention. Health Promot Pract 8(2):154–163CrossRefPubMed

Eriksson J, Lindstrom J, Valle T, Aunola S, Hamalainen H, Parikka-Ilanne P, Keinänen-Kiukaanniemi S, Laakso M, Lauhkonen M, Lehto P, Lehtonen A, Louheranta A, Mannelin M, Martikkala V, Rastas M, Sundvall J, Turpeinen A, Viljanen T, Uusitupa M, Tuomilehto J (1999) Prevention of type II diabetes in subjects with impaired glucose tolerance: the diabetes prevention study (DPS) in Finland. Study design and 1-year interim report on the feasibility of the lifestyle intervention programme. Diabetologia 42(7):793–801CrossRefPubMed

Flynn MAT, McNeil DA, Maloff B, Mutasingwa D, Wu M, Ford C, Tough SC (2006) Reducing obesity and related chronic disease risk in children and youth: a synthesis of evidence with ‘best practice’ recommendations. Obes Rev 7(suppl 1):7–66CrossRefPubMed

French SA, Story M, Jeffery RW (2001) Environmental influences on eating and physical activity. Annu Rev Public Health 22:309–335CrossRefPubMed

Hair JF, Anderson RE, Tatham RL, Black WC (1998) Multivariate data analysis, 5 edition. Prentice Hall Inc., London

Keeratiyutawong P, Hanucharurnkul S, Melkus GD, Vorapongsathon OPT (2006) Effectiveness of a self-management program for Thai with type 2 diabetes. Thai J Nurs Res 10:85–97

Knowler WC, Barrett-Connor E, Fowler SE, Hamman RF, Lachin JM, Walker EA, Nathan DM, Diabetes Prevention Program Research Group (2002) Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med 346:393–403CrossRef

Lindstrom J, Louheranta A, Mannelin M, Rastas M, Salminen V, Eriksson J, Uusitupa M, Tuomilehto J (2003) The Finnish diabetes prevention study (DPS): lifestyle intervention and 3-year results on diet and physical activity. Diabetes Care 26:3230–3236CrossRefPubMed

Mochari H, Gao Q, Mosca L (2008) Validation of the MEDFICTS dietary assessment questionnaire in a diverse population. J Am Diet Assoc 108:817–822CrossRefPubMedPubMedCentral

Raine KD (2004) Overweight and obesity in Canada: A population health perspective. CIHI/CPHI

Richard L, O’Loughlin J, Masson P, Devost S (1999) Healthy menu intervention in restaurants in low-income neighbourhood: a field experience. J Nutr Educ Behav 31:54–59CrossRef

Salter D, Richards L, Carey T (2004) The ‘T5’ design model: An instructional model and learning environment to support the integration of online and campus-based course. EMI Educ Media Int 207–217CrossRef

Satterfield DW, Burd C, Valdez HG, Eagle SJ (2002) The in-between people: participation of community health representatives in diabetes prevention and care in American Indian and Alaskan Native communities. Health Promot Pract 3(2):166–175CrossRef

Schulz AJ, Zenk S, Odoms-Young A, Hollis-Neely T, Nwankwo R, Lockett M, Ridella W, Kannan S (2005) Healthy eating and exercising to reduce diabetes: exploring the potential of social determinants of health frameworks with the context of community-based participatory diabetes prevention. Am J Public Health 95(4):645–651CrossRefPubMedPubMedCentral

Segal-Isaacson C, Wylie-Rosett J, Gans KM (2004) Validation of a short dietary assessment questionnaire: the rapid eating and activity assessment for participants short version (REAP-S). Diabetes Educ 30:774–781CrossRefPubMed

Sirichakwal PP, Sranacharoenpong K (2008) Practical experience in development and promotion of food-based dietary guidelines in Thailand. Asia Pac J Clin Nutr 17(Suppl 1):63–65PubMed

Sranacharoenpong K, Hanning RM, Sirichakwal PP (2009) Chittchang U (2009) process and outcome evaluation of a diabetes prevention education program for community healthcare workers in Thailand. Educ Health (Abingdon) 22(3):335–346

Sranacharoenpong K, Hanning RM (2011) Developing a diabetes prevention education programme for community health care workers in Thailand: formative findings. Prim Health Care Res Dev 12:357–369CrossRefPubMed

Sranacharoenpong K, Hanning RM (2012) Diabetes prevention education program for community health care workers in Thailand. J Community Health 37:610–618CrossRefPubMed

Story M, Kaphingst KM, Robinson-O’Brien R, Glanz K (2008) Creating healthy food and eating environments: policy and environmental approaches. Annu Rev Public Health 29:253–272CrossRefPubMed

Wibulpolprasert S (ed) (2002) Thailand health profile 2001–2004. Express Transportation Organization Printing Press, Bangkok

Wibulpolprasert S (Editor) (2007) Thailand health profile 2005–2007. Bangkok: Express Transportation Organization. http://www.hiso.or.th/hiso/picture/reportHealth/report/ThaihealthProfileE2007.pdf. Accessed 26 March 2016

Witmer A, Seifer SD, Finocchio L, Leslie J, O’Neil EH (1995) Community health workers: integral members of the health care work force. Am J Public Health 85:1055–1058CrossRefPubMedPubMedCentral

World Health Organization (2002) Globalization, Diets and Noncommunicable Diseases. WHA55.23. Geneva, Switzerland. http://whqlibdoc.who.int/publications/9241590416.pdf. Accessed 5 Jan 2016

World Health Organization (2005) IMCI Integrated Management of Childhood Illness. (NLM classification: WS 200). Geneva, Switzerland. http://apps.who.int/iris/bitstream/10665/42939/1/9241546441.pdf. Accessed 12 Feb 2016

Title: Developing a diabetes prevention education program for community health care workers in Thailand: translation of the knowledge to at-risk people
Authors: Kitti Sranacharoenpong
Panrawee Praditsorn
Piyanit Churak
Publication date: 01-10-2018
Publisher: Springer Berlin Heidelberg
Published in: Journal of Public Health / Issue 5/2018
Print ISSN: 2198-1833
Electronic ISSN: 1613-2238
DOI: https://doi.org/10.1007/s10389-018-0897-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Developing a diabetes prevention education program for community health care workers in Thailand: translation of the knowledge to at-risk people

Abstract

Aim

Subjects and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Aim

Subjects and methods

Results

Conclusion

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