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tedi, tedi
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Effects of Structured Health Education and Multimodal Intervention on Behavioural and Clinical Outcomes in Type 2 Diabetes Mellitus: A Quasi-Experimental Study Simamora, Sarmalina; Tedi, Tedi; Rulianti, Mona Rahmi; Mangunsong, Sonlimar
Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Vol. 9 No. 5 (2026): May 2026
Publisher : Fakultas Kesehatan Masyarakat, Universitas Muhammadiyah Palu

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56338/mppki.v9i5.8512

Abstract

Introduction: Type 2 Diabetes Mellitus (T2DM) is a chronic disease commonly found in individuals over the age of 40 and ranks among the top three diseases suffered by participants of the National Health Insurance (JKN) program. The management of T2DM often involves the long-term use of medications, both oral and injectable, which may extend throughout the patient's lifetime. This condition can worsen in the presence of complications. However, T2DM patients can maintain a good quality of life and reduce the risk of macrovascular and microvascular complications if their blood sugar, blood pressure, and cholesterol levels are well-controlled. Effective management requires more than just medication; proper dietary regulation and sufficient physical activity are also crucial. This study aims to enhance the understanding and behaviors of T2DM patients so that they can achieve optimal clinical parameters and reduce the risk of complications. Method: The research employs a quasi-experimental pre–post design was applied involving 20 adults with T2DM divided into treatment and control groups. The intervention consisted of face-to-face education, booklets, and exercise videos. Behavioral and clinical outcomes were assessed before and after the intervention. Data were analyzed using the Wilcoxon signed-rank test and paired t-test based on data distribution. Result: The results showed significant improvements in understanding and behavior related to medication use, meal practices, and physical activity in the treatment group based on the Wilcoxon test (p < 0.05). However, no significant improvement was observed in dietary-management understanding. Conclusion: Structured health education combined with multimodal intervention demonstrated significant improvements in behavioral and selected clinical outcomes among patients with type 2 diabetes mellitus compared with the control group.
Co-Authors . Apriansyah Afriyanti, Rini Afriza Fernando, Lucky Agus Prianto Agustianingsih, Ade Anis, Delvi Arif Rahman Hakim Ariska, Melda Via Astuti, Ratnaningsih Dewi Dahlia Dahlia Dewi Marlina Elia Azizah, Elia Fadly Fadly Fikri Fikri Fitri Ramdhani Harahap GITA SURYANI LUBIS Handayani Handayani Harsyta, Andini Hendrik, Maulina Kamaludin, Muhammad Doni Khusban, Hoerul Kushadiwijayanto, Arie Antasari MARYANTI, LILIS MINDAWARNIS, MINDAWARNIS Mirdad, Amir Muhammad Habibi Natasyah, Natasyah Noah, Muhammad Nouki Novelalahu, Mochi Noventa, Vinsen Oktavia, Eci R, Ridho Rahma Widiantie Rulianti, Mona Rahmi Sajiwo, Tegar Samaullah, Yamin Saparina, Saparina Saputra, Armadi Sarmadi, Sarmadi Sarmalina Simamora Siti Aminah Siti Qomariyah Solikhah, Mar'atus Sonlimar mangunsong SUBIYANDONO, SUBIYANDONO Suryana, Toha Syafutra, Randi Vera Astuti, Vera Warnis, Minda Zahra, Mutiara