Journal of Tropical Life Science : International Journal of Theoretical, Experimental, and Applied Life Sciences
Vol. 15 No. 1 (2025)

Combination of Diabetes Self-Management Education and Support Through Telehealth and Hypnotherapy Optimizes Self-Care Behaviors and Lowering HbA1c Levels in Patients with Type 2 Diabetes Mellitus: Combination of Diabetes Self-Management Education and Support

Subiyanto, Paulus (Unknown)
Saifulaman, Muhammed (Unknown)
Sitorus, Ratna (Unknown)



Article Info

Publish Date
26 Jun 2025

Abstract

This study aims to explore the effectiveness of the combination of Diabetes Self-Management Education and Support (DSMES) through telehealth and hypnotherapy in optimizing self-care behavior and reducing hemoglobin A1c (HbA1c) levels in patients with type 2 diabetes mellitus (T2DM). The study used a quasi-experimental approach and comparative study with a pretest-posttest design and a 3-month cohort design. This study was conducted after obtaining a letter of ethical eligibility involving 40 T2DM patients divided into two groups. The control group received conventional medical services face-to-face. The intervention group received a DSMES program of seven self-care behaviors via telehealth with additional hypnotherapy sessions. The respondents in this study are women (60%) with an average age of 55.3 (31–65) years, who are highly educated (80%). A significant increase in DSM scores before and after the intervention occurred in the intervention group, (49.35–81.20) or (+31.85), and in the control group, (55.70–55.52) or (−0.18). The decrease in A1c in the intervention group (8.9%–7.37%) was (−1.53) and in the control group (8.12%–8.10%) was (−0.02). There were significant differences in DSM attainment and HbA1c levels in both types of interventions (p = 0.000; p = 0.030 with alpha 5%). DSMES, through telehealth combined with hypnotherapy, can provide a synergistic effect with medical treatment commonly given to patients with T2DM during and after the COVID-19 pandemic. This approach not only improves healthcare accessibility but also addresses the psychological barriers associated with lifestyle change.

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Journal Info

Abbrev

jtrolis

Publisher

Subject

Agriculture, Biological Sciences & Forestry Environmental Science

Description

The Journal of Tropical Life Science (JTLS) provides publication of full-length papers, short communication and review articles describing of new finding or theory in living system, cells and molecular level in tropical life science and related areas. The journal publishes articles that report novel ...