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Effects of the Individual and Family Self-management Promotion Program on
Self-management Behaviors and Hemoglobin A1C Level among Older Persons
with Uncontrolled Diabetes Mellitus

1
1
T. Songpimai, N. Suwankruhasn, and K. Thana 1
1 Faculty of Nursing, Chiang Mai University, Thailand

Background: Uncontrolled diabetes in elderly patients requires effective self-management strategies
involving both the patients and their families.

Objective: This experimental study aimed to examine the effects of the Individual and Family
Self-Management Promotion Program on self-management behaviors and Hemoglobin A1C Levels in
elderly patients with uncontrolled diabetes.

Methods: A total of 52 elderly diabetic patients were randomly selected from community health centers
and sub-district health-promoting hospitals in San Sai District, Chiang Mai Province. The participants were
randomly assigned to either an experimental group (26 participants) or a control group (26 participants).
The experimental group participated in the Individual and Family Self-Management Promotion Program,
which included five sessions over four weeks. The control group received standard care. The tools used
in the study included the Individual and Family Self-Management Promotion Program and various data
collection instruments such as general information questionnaires, self-management behavior ques-
tionnaires, and hemoglobin A1C levels tests. Data were analyzed using descriptive statistics, independent
t-tests, and paired t-tests.

Results: The Results of a study found that the mean self-management behavior scores of elderly diabetic
patients in the experimental group significantly increased after participating in the self-management
promotion program (p<.001) compared to before the program and to the control group (p<.001). and the
results of hemoglobin A1C level wait for results.

Conclusion: The study demonstrates the effects of the Individual and Family Self-Management Promotion
Program in improving self-management behaviors and may reduce hemoglobin A1C levels in elderly
patients with uncontrolled diabetes. Health professionals can use this program to help elderly patients
manage their diabetes better and prevent complications.

Keywords: individual and family self-management, self-management behaviors, hemoglobin A1C
level, older persons with uncontrolled diabetes mellitus

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Poster Presentation Abstracts
Correspondence: Thiranai Songpimai, Faculty of Nursing, Chiang Mai University, Thailand
E-mail: thiranai_songpimai@cmu.ac.th

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