The Effect of Possible Selves and Stage of Change on Self-Management Behavior and Hemoglobin A1C Controlling for the Effect of Knowledge among Type 2 Diabetic Patient The Effect of Possible Selves and Stage of Change on Self-Management Behavior and Hemoglobin A1C Controlling for the Effect of Knowledge among Type 2 Diabetic Patient

Main Article Content

ดาราวรรณ รองเมือง ยศพล เหลืองโสมนภา สุกัญญา ขันวิเศษ

Abstract

ABSTRACT

The success of changing the behavior of a person requires motivation and readiness
to change of behavior. The purpose of this cross-sectional research was to examine
1) the effect of possible selves on self-management behavior and hemoglobin A1C
controlling for the effect of diabetes knowledge 2) the effect of stage of change on
self-management behavior and hemoglobin A1C controlling for the effect of diabetes
knowledge and3) the effect of interaction between possible selves and stage of change
on self-management behavior and hemoglobin A1C controlling for the effect of diabetes
knowledge. The total sample of 340 type II diabetes patients receiving treatment at
health promotion hospital, Chanthaburi province. The data collection tools consisted of
1) demographic data questionnaire 2) possible selves questionnaire 3) stage of behavior
change questionnaire 4) self-management questionnaire and 5) diabetes knowledge
questionnaire. All instruments were validated by 3 experts and tried out with 20 type II
diabetes patients. The content validity was between 0.87-1 and the reliability between
was .76-.89. The data were analyzed using descriptive statistic and two way MANCOVA.
The results revealed that: 1) there was no effect of possible selves on self-management
behavior and hemoglobin A1C controlling for the effect of diabetes knowledge (Wilks
Lambda= .983, F = 1.051, p=.380) 2) Stage of change signifcantly affected self-management
behavior and hemoglobin A1C when controlling for the effect of diabetes knowledge
(Wilks Lambda= .715, F = 48.142, p <.001) and statistically signifcant difference both selfmanagement behavior (F= 90.910, p<.001, hp2 = .272) and hemoglobin A1C (F = 7.229,
p=.008, hp2 = .029) and 3) Interaction between possible selves and stage of change did
not signifcantly affect self-management behavior and hemoglobin A1C when controlling
for the effect of diabetes knowledge (Wilks Lambda= .996, F = .271, p=.896).
The results of this study confrm that the stage of change influence self-management
behavior and hemoglobin A1C. Therefore, the healthcare provider should apply the stage
of change approach to modify health behavior of type 2 diabetic patients to control
their hemoglobin A1C.

Keywords

Article Details

Section
Research Articles; บทความวิจัย

References

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