DEVELOPMENT OF A HEALTH PROMOTION SYSTEM TO REDUCE COMPLICATIONS OF DIABETES MELLITUS IN PEOPLE WITH MOBILITY DISABILITIES

Abstract

This research aims to 1) study the health promotion system for reducing complications of diabetes in people with mobility disabilities, 2) develop a health promotion system for reducing complications of diabetes in people with mobility disabilities, and 3) foster collaboration in developing the health promotion system for reducing complications of diabetes in people with mobility disabilities. A qualitative research method was used. Key informants included representatives from government agencies, people with mobility disabilities, and their caregivers, totaling 30 individuals selected using purposive sampling. Data collection was conducted using in-depth interviews, validated by content validity testing and item validity index calculations. Descriptive data analysis revealed that: 1) The health promotion system for reducing complications of diabetes in people with mobility disabilities focuses on disease prevention and control rather than treatment. It is designed to be tailored to the physical limitations, daily living, and access to healthcare services of vulnerable groups, incorporating health databases, medication history, complications, and the social context of the disabled individuals. 2) The development of health promotion and complication reduction for diabetes in people with mobility disabilities within an integrated healthcare system reflects a transition from therapeutic care in healthcare facilities to a holistic approach linking hospitals, primary care systems, and communities. 3) The creation of collaboration in developing the health promotion system for reducing complications of diabetes in people with mobility disabilities was also discussed. This relies on the concrete integration of the roles of community network partners, with sub-district health promotion hospitals serving as the primary mechanism for academic support and healthcare systems. They act as a link between treatment, continuous follow-up, and education for people with disabilities and the community.