TAF PUBLISHING

The participatory action research aims to study how to change health behavior about the ability of self- efficacy, self regulation and self-care for prevention and control of diabetes with PROMISE model. The sample was subjects at risk and patients with diabetes and high blood pressure . A total of 28 people from the Premruthi community 20 at Prawet Bangkok were chosen. Most were female having lower education. Entitled to healthcare Gold in Bangkok. The Vulnerable groups and groups with diabetes and high blood pressure were 51.3 percent. Accounted for 10.6 per cent of the risk factors that is important. Obese / BMI was 24.7 percent. Higher risk behavior is eating spicy food ( sweet, sour , salty ) 40.7 percent, Lack of exercise, stress, 12.7 percent to 28 percent, Genetic risk is 23.3 percent and 12.7 percent were smokers . The results showed that after receiving behavior modification, have efficacy in their health behavior (Self-efficacy), Self-regulation and Self-care better than before the event: 92.3 percent, 90.0 and 96.6 of the participants, respectively. It is a change in a better direction . And blood pressure dropped from 86 percent to 36 percent, weight loss and BMI decreased by 20.7 percent. That health status has changed to the better. Most members were satisfied with the high level of 97.3 per cent suggested in the project next time. This research focused on the development of activities that encourage participants to have the skills and knowledge through practical action . Making sustainable approach is organized in accordance with activities that blend into everyday life. Obtaining social support to encourage volunteerism, good health care personals and some extra incentive to participate. These factors resulted in trust and cooperation from members and communities of Practice to foster good health.