Community education on Diabetes Mellitus in Taratara Satu Village, Tomohon Barat District, Indonesia
Abstract
Diabetes Mellitus (DM) is a major global health issue, with rising prevalence linked to lifestyle factors. In Indonesia, DM was the third leading cause of mortality in 2019, and cases are projected to increase by 47% by 2045. Given these concerns, community education plays a crucial role in enhancing public awareness regarding DM prevention and management. This program aimed to enhance community knowledge about DM risks in Taratara Satu Village, Tomohon Barat District. A pre-experimental one-group pretest-posttest design was used, involving 12 DM-diagnosed respondents. The intervention included a pre-test, door-to-door education using lectures and visual media, and a post-test. Data were analyzed descriptively to assess knowledge improvement. Before the intervention, 58.33% of participants had good knowledge, while 41.67% had moderate knowledge. After the program, 91.67% demonstrated good knowledge, showing a significant improvement. The educational program successfully enhanced public knowledge about Diabetes Mellitus in Taratara Satu Village. The intervention proved effective in increasing awareness of DM risk factors, symptoms, and prevention strategies. This study underscores the importance of continuous community education to promote healthier lifestyles and reduce DM prevalence.
References
Abbott, L., Slate, E., Graven, L., Lemacks, J., & Grant, J. (2021). Fatalism, social support and self-management perceptions among rural African Americans living with diabetes and pre-diabetes. Nursing Reports, 11(2), 242-252. https://doi.org/10.3390/nursrep11020024
Adu, M., Malabu, U., Malau‐Aduli, A., & Malau‐Aduli, B. (2019). Enablers and barriers to effective diabetes self-management: A multi-national investigation. PLOS ONE, 14(6), e0217771. https://doi.org/10.1371/journal.pone.0217771
Afaya, R., Bam, V., Azongo, T., & Afaya, A. (2020). Knowledge of chronic complications of diabetes among persons living with type 2 diabetes mellitus in northern Ghana. PLOS ONE, 15(10), e0241424. https://doi.org/10.1371/journal.pone.0241424
Alsous, M., Jalil, M., Odeh, M., Kurdi, R., & Alnan, M. (2019). Public knowledge, attitudes and practices toward diabetes mellitus: A cross-sectional study from Jordan. PLOS ONE, 14(3), e0214479. https://doi.org/10.1371/journal.pone.0214479
Bakara, D. (2022). Self-management education to control blood sugar levels and HbA1c value for type 2 diabetes patients. The Malaysian Journal of Nursing, 14(1), 84–89. https://doi.org/10.31674/mjn.2022.v14i01.012
Bekele, H., Asefa, A., Getachew, B., & Belete, A. (2020). Barriers and strategies to lifestyle and dietary pattern interventions for prevention and management of type-2 diabetes in Africa: Systematic review. Journal of Diabetes Research, 2020, 1–14. https://doi.org/10.1155/2020/7948712
Caspe, M., & Hernandez, R. (2024). From classroom to community: A commentary on preparing educators for family and community engagement. Journal of Teacher Education, 75(4), 369–381. https://doi.org/10.1177/00224871241259782
Çelik, S., Olgun, N., Yılmaz, F., Anataca, G., Ozsoy, I., Çiftci, N., & Cetin, N. (2022). Assessment of the effect of diabetes education on self-care behaviors and glycemic control in the Turkey Nursing Diabetes Education Evaluating Project (TURNUDEP): A multi-center study. BMC Nursing, 21(1). https://doi.org/10.1186/s12912-022-01001-1
Chami, M., & Khaled, M. (2022). Epidemiology, diagnosis, and assessment of diabetes mellitus in the elderly population: A purposive review. The North African Journal of Food and Nutrition Research, 6(13), 9-21. https://doi.org/10.51745/najfnr.6.13.9-21
Chang, H., Hawley, N., Kalyesubula, R., Siddharthan, T., Checkley, W., Knauf, F., & Rabin, T. (2019). Challenges to hypertension and diabetes management in rural Uganda: A qualitative study with patients, village health team members, and health care professionals. International Journal for Equity in Health, 18(1). https://doi.org/10.1186/s12939-019-0934-1
Ciucă, S., & Zăvoianu, E. (2024). Enhancing resilience in primary education: Addressing societal challenges and fostering holistic student development. Revista Romaneasca Pentru Educatie Multidimensionala, 16(1), 495–505. https://doi.org/10.18662/rrem/16.1/834
Das, A., Pendsey, S., Abhyankar, M., & Malabade, R. (2020). Management of diabetic foot in an Indian clinical setup: An opinion survey. Cureus. https://doi.org/10.7759/cureus.8636
DeFosset, A., Sivashanmugam, M., Mosst, J., & Kuo, T. (2021). Clinic- and community-based national diabetes prevention programs in Los Angeles. Health Education & Behavior, 49(4), 647–657. https://doi.org/10.1177/10901981211016759
Dugani, S., Mielke, M., & Vella, A. (2020). Burden and management of type 2 diabetes in rural United States. Diabetes/Metabolism Research and Reviews, 37(5). https://doi.org/10.1002/dmrr.3410
Ernawati, U., Wihastuti, T., & Utami, Y. (2021). Effectiveness of diabetes self-management education (DSME) in type 2 diabetes mellitus (T2DM) patients: Systematic literature review. Journal of Public Health Research, 10(2). https://doi.org/10.4081/jphr.2021.2240
Gebremedhin, G., Enqueselassie, F., Yifter, H., & Deyessa, N. (2021). Hyperglycemic crisis characteristics and outcome of care in adult patients without and with a history of diabetes in Tigrai, Ethiopia: Comparative study. Diabetes Metabolic Syndrome and Obesity Targets and Therapy, 14, 547-556. https://doi.org/10.2147/dmso.s275552
Guignona, M., Halili, S., Cristobal, F., Woolley, T., Reeve, C., Ross, S., & Neusy, A. (2021). A curriculum for achieving universal health care: A case study of Ateneo de Zamboanga University School of Medicine. Frontiers in Public Health, 9. https://doi.org/10.3389/fpubh.2021.612035
Harding, D., Uppal, S., Meiring, S., Golding, B., Dutta, N., & Parekh, R. (2023). Community‐engaged primary care medical education. The Clinical Teacher, 20(3). https://doi.org/10.1111/tct.13573
Hasan, B., Thompson, W., Almasri, J., Wang, Z., Lakis, S., Prokop, L., & Murad, M. (2019). The effect of culinary interventions (cooking classes) on dietary intake and behavioral change: A systematic review and evidence map. BMC Nutrition, 5(1). https://doi.org/10.1186/s40795-019-0293-8
Hill‐Briggs, F., Adler, N., Berkowitz, S., Chin, M., Gary‐Webb, T., Navas‐Acién, A., & Haire‐Joshu, D. (2020). Social determinants of health and diabetes: A scientific review. Diabetes Care, 44(1), 258-279. https://doi.org/10.2337/dci20-0053
Hosseini, H., Ghasemi, M., & Sabouhi, F. (2019). Effect of peer group education on the quality of life of elderly individuals with diabetes: A randomized clinical trial. Iranian Journal of Nursing and Midwifery Research, 24(1), 44. https://doi.org/10.4103/ijnmr.ijnmr_39_17
Jeffrey, B., Bagala, M., Creighton, A., Leavey, T., Nicholls, S., Wood, C., & Pit, S. (2019). Mobile phone applications and their use in the self-management of type 2 diabetes mellitus: A qualitative study among app users and non-app users. Diabetology & Metabolic Syndrome, 11(1). https://doi.org/10.1186/s13098-019-0480-4
Kakraniya, P., Ambad, R., Jha, R., Jadhav, D., Dhawade, M., & Wankhade, Y. (2024). An epidemiological study on diabetes and pre-diabetes in an urban area with reference to lifestyle modification. E3S Web of Conferences, 491, 03014. https://doi.org/10.1051/e3sconf/202449103014
Khalil, H., Esheba, N., Mohammad, W., & Ahmed, L. (2021). Impact of physician and patient education on type 2 diabetes outcome in primary health care units, Al-Gharbiyah Governorate, Egypt. Journal of Advances in Medicine and Medical Research, 20–27. https://doi.org/10.9734/jammr/2021/v33i2431220
Kreutzenberg, S. (2023). Long COVID-19 and diabetes mellitus: A short review. Metabolism and Target Organ Damage, 3(1), 4. https://doi.org/10.20517/mtod.2022.30
Luambano, C., Mwinuka, B., Ibrahim, R., & Kacholi, G. (2023). Knowledge about diabetes mellitus and its associated factors among diabetic outpatients at Muhimbili National Hospital in Tanzania. Pan African Medical Journal, 45. https://doi.org/10.11604/pamj.2023.45.3.33143
MacDonald, H., Papadopoulos, A., Dewey, C., Humphries, S., Dodd, W., Patel, K., & Little, M. (2021). Sociodemographic factors associated with knowledge of type 2 diabetes in rural Tamil Nadu, India: A cross-sectional study. https://doi.org/10.21203/rs.3.rs-141407/v1
Méndez, I., Lundeen, E., Saunders, M., Williams, A., Saaddine, J., & Albright, A. (2022). Diabetes self-management education and association with diabetes self-care and clinical preventive care practices. The Science of Diabetes Self-Management and Care, 48(1), 23–34. https://doi.org/10.1177/26350106211065378
Nugraheni, N., & Isfandiari, M. (2022). Relationship of knowledge and attitude to the prevention of type II diabetes mellitus among students of public health undergraduate degree program. The Indonesian Journal of Public Health, 17(2), 264-272. https://doi.org/10.20473/ijph.v17i2.2022.264-272
Osarenmwinda, M., Erah, P., & Eromhonsele, P. (2020). Incidence of undiagnosed diabetes mellitus in rural community, Edo South, Benin City. Indian Journal of Pharmacy Practice, 13(3), 232-239. https://doi.org/10.5530/ijopp.13.3.38
Othman, M., Al‐Wattary, N., Khudadad, H., Dughmosh, R., Furuya‐Kanamori, L., Doi, S., & Daher‐Nashif, S. (2022). Perspectives of persons with type 2 diabetes toward diabetes self-management: A qualitative study. Health Education & Behavior, 49(4), 680–688. https://doi.org/10.1177/10901981221098373
Patil, S., Chavan, A., Patel, A., Chavan, P., & Bhopale, J. (2023). A review on diabetes mellitus its types, pathophysiology, epidemiology and its global burden. Journal for Research in Applied Sciences and Biotechnology, 2(4), 73-79. https://doi.org/10.55544/jrasb.2.4.9
Rasmussen, B., Wynter, K., Rawson, H., Skouteris, H., Ivory, N., & Brumby, S. (2021). Self-management of diabetes and associated comorbidities in rural and remote communities: A scoping review. Australian Journal of Primary Health, 27(4), 243–254. https://doi.org/10.1071/py20110
Sękowski, K., Grudziąż-Sękowska, J., Pinkas, J., & Jankowski, M. (2023). Diabetes in Poland – Public health challenges and opportunities. Medycyna Ogólna I Nauki O Zdrowiu. https://doi.org/10.26444/monz/162193
Shori, A., & Alshareef, H. (2023). Knowledge and risk factors regarding type 2 diabetes among Saudi population in Jeddah. Indian Journal of Pharmaceutical Education and Research, 57(3), 930-936. https://doi.org/10.5530/ijper.57.3.112
Siagian, A., Siregar, F., & Mutiara, E. (2023). Promotion and prevention control of type 2 diabetes mellitus at risk groups through empowerment of Dalihan Na Tolu in Mandailing Tribe in Padangsidimpuan City. JPTCP, 30(5). https://doi.org/10.47750/jptcp.2023.30.05.041
Skóra, A., Hajduk-Maślak, K., Galasińska, I., Michalik, B., Szypuła, A., & Sęk, M. (2024). Gestational diabetes – Management strategies including pharmacological treatment and lifestyle interventions. Journal of Education Health and Sport, 62, 87-106. https://doi.org/10.12775/jehs.2024.62.006
Slamah, T., Nicholl, B., Slail, F., Harris, L., Melville, C., & Kinnear, D. (2020). Cultural adaptation of self-management of type 2 diabetes in Saudi Arabia (qualitative study). PLOS ONE, 15(7), e0232904. https://doi.org/10.1371/journal.pone.0232904
Theivasigamani, K., & Palaniappan, S. (2023). Assessment of knowledge of diabetes mellitus among the rural population of Erode District of Tamil Nadu, South India. Journal of Young Pharmacists, 15(1), 174-181. https://doi.org/10.5530/097515050532
Tuna, S. (2023). The effect of comprehensive tele-education in patients with diabetes mellitus: A randomized controlled trial. Turkish Journal of Diabetes and Obesity, 7(3), 191–197. https://doi.org/10.25048/tudod.1330668
Wang, Y., Zhang, Y., Guo, T., Han, J., & Fu, G. (2024). Knowledge level and health information-seeking behavior of people with diabetes in rural areas: A multicenter cross-sectional study. Frontiers in Public Health, 12. https://doi.org/10.3389/fpubh.2024.1285114
Wijayanti, D. (2022). The effect of health education on knowledge of the prevention of diabetes mellitus. Babali Nursing Research, 3(1), 23-29. https://doi.org/10.37363/bnr.2022.3176
Zhu, T., & Xu, H. (2019). Status and influencing factors of diabetes information acquisition among rural elderly with pre-diabetes in Yiyang City, China: A cross-sectional study. BMJ Open, 9(7), e029938. https://doi.org/10.1136/bmjopen-2019-029938

Copyright (c) 2025 Sri Seprianto Maddusa, Adeleide Rumengan, Fridela Sabandar, Graselin Lantho, Patricia Sinaga, Kheren Lintong, Okan Polii

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.