MULTIFACETED HEALTHY COACHING PROGRAM IMPROVE HbA1c AND QUALITY OF LIFE IN OLDER ADULT AND ELDERLY WITH DIABETES MELLITUS TYPE 2 : SEMI-URBAN DWELLER BANGKOK THAILAND

Abstract

Currently, prevalence of diabetes is risen. The variety strategies of prevention and control, commonly held view is that multi-approached interventions are more effective approach in improving glycated hemoglobin (HbA1c) controlling and influencing quality of life. The aim of this study was to evaluate the effect of the Multifaceted Healthy Coaching Program to improve HbA1c and quality of life among older adult and elderly type 2 diabetics semi-urban dweller, Bangkok, Thailand. A randomized control trial was performed 2 phases and involved 274 T2DMt in phase I and randomized 40 uncontrollable to receive the DM management booklet, diary records for healthy behaviors group education, short message (SMS) reminder for healthy behaviors and drug adherence and individual telephone counselling monthly. Statistical analysis were used paired t-test and independent t-test. Changing in fasting plasma glucose (FPG) from baseline, 3 and 6 months were applied Repeated ANOVA measurement. The situation highlight reported uncontrollable T2DM and low-moderate quality of life. Additional, almost of them were majority female (70.1%) with the average of aged over 60 year, over normal BMI (85.4%) and 90.5% having comorbidity. At 6 month were a significant improvement of health literacy, knowledge of diabetes, self-efficacy, self-care activity, HbA1c and quality of life (p<0.01) in the intervention group when compared to the control group (P<0.01). The Multifaceted Healthy Coaching was an acceptable intervention in their ongoing care. It appears to lead a significant benefits for limited of health literacy with poorly controlled type 2 diabetes.