Effects of the Case Management With Community Support Program on Health Behaviors and Outcomes in Thai Buddhist Monks With Type 2 Diabetes and Early-stage Chronic Kidney Disease
11
Issued Date
2025-01-01
Resource Type
ISSN
08574421
eISSN
2586940X
Scopus ID
2-s2.0-105014219116
Journal Title
Journal of Health Research
Volume
39
Issue
4
Start Page
299
End Page
307
Rights Holder(s)
SCOPUS
Bibliographic Citation
Journal of Health Research Vol.39 No.4 (2025) , 299-307
Suggested Citation
Tangtrongvisolkit N., Piaseu N., Malathum P., Belza B. Effects of the Case Management With Community Support Program on Health Behaviors and Outcomes in Thai Buddhist Monks With Type 2 Diabetes and Early-stage Chronic Kidney Disease. Journal of Health Research Vol.39 No.4 (2025) , 299-307. 307. doi:10.56808/2586-940X.1145 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/111917
Title
Effects of the Case Management With Community Support Program on Health Behaviors and Outcomes in Thai Buddhist Monks With Type 2 Diabetes and Early-stage Chronic Kidney Disease
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Author's Affiliation
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Abstract
Background: Patient engagement and community support are vital for promoting self-care in monks with early-stage chronic kidney disease (CKD). This study investigated the impact of an 18-week Case Management with Community Support Program (CMCSP) on self-care activities and health outcomes (hemoglobin A1c, HbA1c), blood pressure, and estimated glomerular filtration rate (eGFR) in Thai Buddhist monks with type 2 diabetes mellitus (T2DM) and CKD. Methods: A Randomized Controlled Trial (RCT) with pretest and post-test measures was employed. Eighty-two monks with T2DM and stage 1e2 CKD were recruited from 33 subdistricts in Thailand and randomly assigned into experimental (n = 41) and control (n = 41) groups. The experimental group received CMCSP and usual care, while the control group received only usual care. The CMSCP included self-management skills training sessions, follow-ups, and community support. Outcomes were assessed at baseline and 18 weeks post-enrollment. Research tools included Brief cognitive screening, the Summary Self-Care Activities questionnaire, and clinical measures. Results: Significant differences were found in health outcomes between groups (F = 19.857, p < 0.001), with large effect sizes for self-care activities (hp<sup>2</sup> = 0.487), HbA1c (hp<sup>2</sup> = 0.155), and eGFR (hp<sup>2</sup> = 0.208). Conclusions: The CMCSP led to significant improvements in self-care and health outcomes, suggesting that nurse case managers should implement this program to support monks with T2DM and early-stage CKD.