THE EFFECTS OF THE 3 - SELF HEALTH BEHAVIOR MODIFICATION PROGRAM ON CHANGING THE LEVEL OF BLOOD SUGAR, BLOOD PRESSURE AND WAIST CIRCUMFERENCE AMONG DIABETES MELLITUS AND HYPERTENSION RISK GROUPS IN PHROMKHIRI DISTRICT, NAKHON SI THAMMARAT PROVINCE

Abstract

          The objectives of this research article was used to test the effects of health behavior modification program on changing the level of blood sugar, blood pressure and waist circumference of diabetes mellitus and hypertension risk groups by applying the concept of Self - efficacy, Self - regulation and self - care. The sample included 84 risk population groups individuals with Diabetes Mellitus and Hypertension living in Phromloke tambon, Phrom Khiri district, Nakhon Si Thammarat province. Using multi - stage sampling, the participants were divided in to an experimental group (n = 42) and a control group (n = 42).The experimental group received a program of the 3 self health behavior modification while the control group received regular attention but with no interventions. Results were evaluated in week 12 with the data analysis using descriptive statistics, the chi - square test, paired and independent t - test. The results showed that after the 12^th week of the experiment, the experimental group had a significant reduction in blood glucose, blood pressure and waist circumference statistically significant lower than before the experiment (p<.05). Comparing the experimental group and the control group, the mean blood glucose level and blood pressure of the experimental group was significantly lower than the control group (p<.05); however, the mean waist circumference was not significantly different (p>0.05). Recommendations: This study suggested that of health behavior modification program should be compared, applying the concept of 3 self to other health behavior modification models. And should be extended through other risk groups of diabetes mellitus and hypertension in the area. By studying the long - term performance.