JHE (Journal of Health Education)
Vol. 11 No. 1 (2026)

A Health Education Intervention to Improve Diabetic Foot Ulcer Prevention: Effects on Knowledge, Self-Efficacy, Social Support, and Foot Care Practices

Rita Sari (Universitas Muhammadiyah Pringsewu)
Janu Purwono (Universitas Muhammadiyah Pringsewu)



Article Info

Publish Date
30 Jul 2026

Abstract

Background: Type 2 diabetes mellitus (T2DM) is a major global health concern that disproportionately affects low- and middle-income countries. Health education is a fundamental component of diabetes management, as it enhances health literacy by improving patients' knowledge, self-efficacy, foot care practices, and social support. This study aimed to evaluate the effectiveness of a health education intervention in preventing diabetic foot ulcers (DFUs). Methods: This quasi-experimental study employed a one-group pretest–posttest design. The study was conducted over a nine-month period among patients with T2DM in Pringsewu Regency. Of the 350 patients with T2DM, 107 participants were recruited using purposive sampling. Data were analyzed using the chi-square test. Results: The health education intervention significantly improved participants' knowledge, self-efficacy, foot care practices, and perceived social support. Furthermore, the intervention demonstrated a significant effect in preventing DFUs, with all outcome measures showing statistical significance (p < 0.05). Conclusion: Health education effectively enhances knowledge, self-efficacy, foot care practices, and social support, thereby contributing to the prevention of DFUs among patients with type 2 diabetes mellitus.

Copyrights © 2026






Journal Info

Abbrev

jhealthedu

Publisher

Subject

Health Professions

Description

JHE (Journal of Health Education) is abbreviated J. Health Edu publishes articles from the results of research in the field of health education. This includes research in school environments as well as ...