Development of nutrition meducational tool using carbohydrate counting concept for adult Sri Lankan with diabetes

Name: Adikari Mudiyanselage Namalie Thakshila Adikari

LCSH: Food -- Study and teaching

LCSH: Diabetes -- Diet therapy

Abstract: Self-management education on food choices and meal planning for diabetes is important. Carbohydrate counting is one of the simple meal planning approaches for people with diabetes. It focuses on the total amount of carbohydrate as the primary nutrient affecting postprandial glycaemic response. Introducing an educational tool model for meal planning using this approach for people with diabetes is important for self-care control because it has more variety of food choices, making their lifestyle more flexible. The purposes of this study were to develop nutrition educational tool using carbohydrate counting concept for adult people with diabetes in Sri Lanka and to evaluate the understanding, the accuracy in perception and acceptability of the developed education tool. A colourful printing booklet was developed, composed of two sections. The first section consisted of general information on diabetes and dietary management strategies such as plate model and food exchanged list. The second section comprised of carbohydrate containing food groups, one exchange portion of food photographs, and the steps of carbohydrate counting. The effectiveness of the tool was assessed among thirty five adult (mean age 50 years) Sri Lankan with diabetes to determine 1) their knowledge and understanding in identifying the sources of carbohydrate and carbohydrate counting; 2) the accuracy in perception and conceptualization of carbohydrate counting and 3) the satisfaction with the developed tool. Group meeting were conducted once a week for five weeks, consisting of class practice and homework exercises. Pre-test and post-test were carried out in the first and the last week of study for the evaluation of the knowledge on carbohydrate counting concept. From the exercises in class and homework, a majority of the participants understood and had accuracy in perception and conceptualization of carbohydrate counting concept at a high level. By using the developed tool 51% of participants’ knowledge of carbohydrate counting was at a high level and 43% of them were at a moderate level. The results revealed that the significant (p<0.0001) improvement of knowledge on carbohydrate counting from an average score of pre-test 43.14% to an average score of 74.57% post-test. In addition, the result also indicated that an overall satisfaction level of the developed educational tool in terms of content, format, illustration and application aspects was moderate level with a medium score of 5. In conclusion, the developed nutrition educational tool using carbohydrate counting concept for adult Sri Lankan with diabetes is acceptable as an attractive learning tool and can be used as a tool for diabetic control

Mahidol University. Mahidol University Library and Knowledge Center

Address: NAKHONPATHOM

Email: liwww@mahidol.ac.th

Name: Chanida Pachotikarn

Role: Thesis Advisors

Created: 2009

Modified: 2020-11-03

Issued: 2010-07-20

วิทยานิพนธ์/Thesis

application/pdf

CallNumber: TH A235d 2009

eng

DegreeName: Master of Science

Level: Master's Degree

Descipline: Food and Nutrition for Development

Grantor: Mahidol University

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