Development of Thai Healthy Lifestyle Promotion Model by Using the Principles of 3 Sor, 3 Orr and 1 Nor for Prevention and Control of Diabetes and Hypertension

Abstract

This quasi-experimental research aimed to develop a Thai Healthy Lifestyle Promotion Model by using the principles of 3 Sor, 3 Orr and 1 Nor for prevention and control of diabetes and hypertension and to study the effectiveness in implementing the developed model. The research design involved two groups comparing before and after the test. This study applied multistage sampling to recruit all 840 samples from Phetchabun, Nakhon Nayok, Ubon Ratchathani and Pattani provinces in which samples were randomized to 210 samples of intervention group and control group equally. For 12 weeks, the principles of 3 Sor (pray, meditation, dhamma discussion), 3 Orr (food, exercise, emotions-dharma way), and 1 Nor (biological clock; dhamma way of life) for the prevention and control of diabetes and hypertension was implemented. The tools used for data collection include a health questionnaire (general information, knowledge about diabetes/hypertension disease and health behaviors) and a health status recording form (weight, height, blood sugar level, and blood pressure). Data were analyzed usinbg mean, standard deviation, paired t-test, and independent t-test. The research found that the model included (1) building capacity of Health Team coach, (2) workshop training on Thai Healthy Lifestyle Promotion by Using the Principles of 3 Sor, 3 Orr and 1 Nor, (3) patient behavior based on the principles of 3 Sor, 3 Orr and 1 Nor, and (4) monitoring, supporting, and follow-up visits to empower patients by health team coach. The effectiveness of the developed model found that the intervention group was evident in the statistically significant improvement (average knowledge score (13.07 points), health behavior score (74.18 points), body mass index (24.83), blood sugar level (123.76 mg/dl), systolic blood pressure level (127.33 mmHg), and diastolic blood pressure level (77.82 mmHg) were better than before the experiment (10.45 points, 59.28 points, 26.97, 155.22 mg/dl, 150.26 mmHg, and 90.30 mmHg, respectively) and better than the control group, which had an average knowledge score (10.64 points), health behavior score (59.59 points), body mass index (26.52), blood sugar level (154.40 mg/ dL), systolic blood pressure level (150.33 mmHg), and diastolic blood pressure level (90.40 mmHg) (p<0.05). In conclusion, the developed model shows positive outcomes for individuals suffering from diabetes and hypertension, resulting in improved health. Therefore, the model’s results should be extended for using in other areas to achieve broader coverage.