Universal Journal of Public Health Vol. 11(4), pp. 494 - 501
DOI: 10.13189/ujph.2023.110415
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Educational Model Based on Health Belief Model to Increase the Resilience of People with Type - 2 Diabetes Mellitus: An Experimental Embedded Mixed Methods Study

Amira Permata Sari Tarigan ^1,2,*, Albiner Siagian ³, Etti Sudaryati ³, Rahayu Lubis ^4
1 Faculty of Public Health, Universitas Sumatera Utara, Indonesia
² Department of Nursing, Politeknik Kesehatan Kementerian Kesehatan Medan, Indonesia
³ Department of Nutrition, Faculty of Public Health, Universitas Sumatera Utara, Indonesia
⁴ Department of Epidemiology, Faculty of Public Health, Universitas Sumatera Utara, Indonesia

ABSTRACT

Deaths from diabetes are very high in Indonesia. This shows that the resilience of people with diabetes is very low. Low resilience is a result of poor self-care behavior in people with diabetes. This study aimed to produce an educational model based on Health Belief Model, and determine the effectiveness of the educational model to increase the resilience of people with type-2 diabetes mellitus (T2DM). This study used mixed methods with an experimental embedded design. Informants in the qualitative study totaled seven people. The qualitative study was conducted to explore the health belief model as well as identify the risk and asset factors associated with the resilience of people with T2DM. The educational model designed from a qualitative study was tested on 28 respondents in Pancur Batu District, Indonesia. Before being given education, the assessments of behavioral resilience (diabetes self-care) and health resilience (HbA1c levels) were carried out. Diabetes self-care behavior was measured using the summary diabetes self-care activities (SDSCA) instrument. Diabetes self-care and HbA1c levels were measured again after three months and six months from the baseline to see the effectiveness of the educational program. The Cochran test showed that there was a significant increase in the resilience of people with T2DM after taking the HBM-based education program (p<0.01). The educational model based on HBM is effective in increasing the resilience of people with T2DM; therefore, this educational model should be applied to increase the resilience and quality of life of people with diabetes at health centers.

KEYWORDS
Educational Model, HBM, Self-Care Behavior, Diabetes Resilience

Cite This Paper in IEEE or APA Citation Styles
(a). IEEE Format:
[1] Amira Permata Sari Tarigan , Albiner Siagian , Etti Sudaryati , Rahayu Lubis , "Educational Model Based on Health Belief Model to Increase the Resilience of People with Type - 2 Diabetes Mellitus: An Experimental Embedded Mixed Methods Study," Universal Journal of Public Health, Vol. 11, No. 4, pp. 494 - 501, 2023. DOI: 10.13189/ujph.2023.110415.

(b). APA Format:
Amira Permata Sari Tarigan , Albiner Siagian , Etti Sudaryati , Rahayu Lubis (2023). Educational Model Based on Health Belief Model to Increase the Resilience of People with Type - 2 Diabetes Mellitus: An Experimental Embedded Mixed Methods Study. Universal Journal of Public Health, 11(4), 494 - 501. DOI: 10.13189/ujph.2023.110415.