SELF-HELP GROUP INTERVENTION TO IMPROVE DIETARY COMPLIANCE IN PATIENTS WITH TYPE 2 DIABETES MELLITUS

Enny Puspita; Ilmiatuz Zuhria; Roni Setiawan

doi:10.60050/pwh.v7i1.114

Penulis

Enny Puspita Bachelor of Nursing Science Study Program, College of Health Science of Husada Jombang, East Java Province, Indonesia
Ilmiatuz Zuhria Bachelor of Nursing Science Study Program, College of Health Science of Husada Jombang, East Java Province, Indonesia
Roni Setiawan Bachelor of Nursing Science Study Program, College of Health Science of Husada Jombang, East Java Province, Indonesia

DOI:

https://doi.org/10.60050/pwh.v7i1.114

Kata Kunci:

Self-Help Group, Dietary Compliance, Type 2 Diabetes Mellitus, Diabetes Self-Management, Peer Support

Abstrak

Background: Dietary non-compliance remains a major challenge in the management of patients with Type 2 Diabetes Mellitus (T2DM) and contributes to poor glycemic control and disease complications. Social support–based interventions, such as self-help groups, have been increasingly recognized as effective strategies to improve self-management behaviors among patients with chronic diseases.

Objectives: This study aimed to examine the effect of a self-help group intervention on dietary compliance among patients with Type 2 Diabetes Mellitus.

Methods: This study employed a pre-experimental one-group pretest–posttest design. A total of 60 patients with Type 2 Diabetes Mellitus who attended a primary health care center were selected using purposive sampling. Dietary compliance was measured using a structured questionnaire before and after the self-help group intervention. The intervention consisted of group education sessions, peer discussion, and mutual support activities. Data were analyzed using the Wilcoxon Signed Rank Test with a significance level of p < 0.05.

Results: Before the intervention, the majority of participants (85.0%) were categorized as non-compliant with dietary recommendations. After the self-help group intervention, dietary compliance significantly increased, with 78.3% of participants categorized as compliant. Statistical analysis showed a significant difference in dietary compliance before and after the intervention (p = 0.000).

Conclusion: The self-help group intervention significantly improved dietary compliance among patients with Type 2 Diabetes Mellitus. This approach can be considered an effective and feasible strategy for diabetes management education in primary health care settings.

Referensi

Al-Salmi, N., Cook, P., & D’Souza, M. S. (2022). Diet Adherence among Adults with Type 2 Diabetes Mellitus: A Concept Analysis. Oman Medical Journal, 37(2), e361. https://doi.org/10.5001/omj.2021.69

American Diabetes Association [ADA]. (2024). Introduction and Methodology: Standards of Care in Diabetes—2024. Diabetes Care, 47(Supplement_1), S1–S4. https://doi.org/https://doi.org/10.2337/dc24-SINT

Azmiardi, A., Murti, B., Febrinasari, R. P., & Tamtomo, D. G. (2021). The effect of peer support in diabetes self-management education on glycemic control in patients with type 2 diabetes: a systematic review and meta-analysis. Epidemiology and Health, 43, e2021090. https://doi.org/10.4178/epih.e2021090

Chang, Y., Li, H., Zhu, Z., & Liu, Y. (2020). Effectiveness of self-management group interventions for type 2 diabetes mellitus: A meta-analysis. Journal of Clinical Nursing, 29(11), 1943–1957.

Chen, C., Zhou, Y., Xu, J.-Y., Song, H.-Y., Yin, X.-W., & Gu, Z.-J. (2024). Effect of peer support interventions in patients with type 2 diabetes: A systematic review. Patient Education and Counseling, 122, 108172. https://doi.org/https://doi.org/10.1016/j.pec.2024.108172

Chrvala, C. A., Sherr, D., & Lipman, R. D. (2020). Diabetes self-management education for adults with type 2 diabetes mellitus: A systematic review of the effect on glycemic control. Patient Education and Counseling, 103(2), 163–175.

De Pue, J. D., Dunsiger, S. I., Seiden, A. D., Blume, J., Rosen, R. K., Goldstein, M. G., & De Groot, M. (2021). Diabetes self-management education improves outcomes in adults with type 2 diabetes: A systematic review. Journal of Public Health Management and Practice, 27(5), 521–528.

Fang, M., Wang, D., Coresh, J., Selvin, E., & Zhang, X. (2023). Dietary compliance and influencing factors among patients with type 2 diabetes mellitus. Nutrition & Diabetes, 13(5), 1–9.

Fisher, E. B., Boothroyd, R. I., Elstad, E. A., Hays, R., Henes, A., Maslow, G. R., … Safford, M. M. (2020). Peer support in health care and prevention: Cultural roots, current evidence, and future directions. Annual Review of Public Health, 41, 363–383.

Fortmann, A. L., Gallo, L. C., Garcia, M. I., Taleb, M., Euyoque, J. A., Clark, T., & Philis-Tsimikas, A. (2023). Peer support interventions for adults with type 2 diabetes: A meta-analysis of randomized controlled trials. BMJ Open Diabetes Research & Care, 11(1), e003051.

Heisler, M., Choi, H., Mase, R., Long, J. A., Reeves, P. J., & Spencer, M. (2021). Effectiveness of peer support in improving diabetes management: A systematic review and meta-analysis. Diabetes Care, 44(6), 1361–1370. https://doi.org/https://doi.org/10.2337/dc20-1317

Kassahun, C. W., Gesesew, H. D., Mwanri, L., & Eshetie, T. C. (2021). Adherence to diabetes self-care practices and associated factors among adults with type 2 diabetes mellitus: A systematic review. Frontiers in Endocrinology, 12, 640459.

Macdonald, S., Turner, A., Smith, F., & Anderson, J. (2022). Effects of group-based self-management programs on self-efficacy in adults with type 2 diabetes mellitus. Diabetes Therapy, 13(4), 705–716.

Powers, M. A., Bardsley, J. K., Cypress, M., Duker, P., Funnell, M. M., Fischl, A. H., … Vivian, E. (2020). Diabetes self-management education and support in adults with type 2 diabetes: A consensus report. The Diabetes Educator, 46(4), 350–369.

Ridwan, R. K. S., & Dewi, A. D. A. (2024). Family Support and Dietary Adherence in Individuals with Type 2 Diabetes Mellitus in Banten , Indonesia. Jurnal Gizi Dan Pangan, 19(28), 27–34. https://doi.org/https://doi.org/10.25182/jgp.2024.19.Supp.1.27-34

Sherifali, D., Berard, L. D., Gucciardi, E., MacDonald, B., & MacNeill, G. (2023). Self-management education and support interventions for adults with type 2 diabetes: A systematic review update. Canadian Journal of Diabetes, 47(1), 1–12.

Susanti, N., Nursalam, N., & Nadatien, I. (2023). PENGARUH PENGARUH EDUCATION AND SUPPORT GROUP BERBASIS TEORI SELF CARE TERHADAP KEPATUHAN, KEMANDIRIAN PERAWATAN KAKI DAN KADAR GLUKOSA DARAH PADA PASIEN DIABETES MELITUS TIPE 2. JURNAL KEPERAWATAN SUAKA INSAN (JKSI), 8(1 SE-Articles), 21–29. https://doi.org/10.51143/jksi.v8i1.413

Yohannes, A. M., Abebe, G. F., Tesfaye, T., & Mengistu, M. D. (2023). Self-efficacy and glycemic control among patients with type 2 diabetes mellitus. BMC Endocrine Disorders, 23(1), 55.