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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; 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 ., Listrianah Abda Abda Abdul Gani Ade Agustianingsih Afifah Rahmah, Afifah Aguscik, Aguscik Agustianingsih, Ade Akbar, Widyan Muchzadi Anayani Dalilah ANITA OKTARIANI APRILLINA, PERMATA Athiutama, Ari Athur Bayunata Bayunata, Athur Bianggo NauE, Dian Adhe Cica Meliza Dahliyah Hayati Dahliyah Hayati Dalilah, Anayani Dewi Marlina Dian Adhe Bianggo Naue Dwiprahasto I Eka Puspa Sari Elvi Sunarsih Fadly Akbar Fadly Fadly FADLY FADLY Fadly Fadly Farama, Dodi Aprika Fransiska Angelina Hartati, Yuli Hayati, Dahliyah Helda Mirani Jumina . KURNIANTO, TEGUH Lega Aryanti Lia Marsela Lilis Maryanti LILIS MARYANTI Listrianah . M. Nizar M. Nizar Manurung, Monika Septiana Mar'atus Sholikhah Mas'ud, Beri Meli Fitriyani Minda Warnis Mirani, Helda Mohammad Achmad Amin Soetomo Mona Rachmi Rulianti Mona Rahmi Mona Rahmi Rulianti Mona Rahmi Rulianti Mona Rahmi Rulianti MONA RAHMI RULIANTI Monika Septiana Manurung Muhamad Taswin Muhammad Totong Kamaluddin Muhammad Totong Kamaluddin Muhammad Totong Kamaluddin Muntaha, Amar Mustofa . Oktari, Vivi OKTARIANI, ANITA Pastari, Marta Pastati, Taufik Meidiansyah Pebriani, Indra PERMATA APRILLINA Podojoyo, Podojoyo Pome, Gunardi Pratiwi, Tiara Mayang Priscila Natalia Marpaung Purnama, Fajriah Rahma Arum Sari Rahmi Rulianti, Mona Ramadhiani, Aninditha Rachmah Ramadhiani, Aninditha Rachmah Resi Sukma Melati Rifqi Assiddiqy Rika Saputri Rizka Riatama Rulianti, Mona Rahmi Samarlina Simamora Sari, Alfitria Sarmadi Sarmadi Sarmalina Sarmalina Sarmalina Simamora Sarmalina Simamora Sarmalina Simamora Sefriadi, Ilham SIMAMORA, SAMARLINA Siregar, Estelita O.N. Soetomo, Mohammad Achmad Amin Sri Martini Sumastri, Heni Taswin, Muhamad tedi, tedi TEGUH KURNIANTO Theodorus Theodorus Theodorus Theodorus Theodorus Theodorus Tiara Mayang Pratiwi Trisna Yuniarti Trisna Yuniarti Vera Astuti VERA ASTUTI Vera Astuti, Vera Warnis, Minda Yani, Tiara Yunida Yunida Yunida Yunida