Type 2 diabetes mellitus (T2DM) is a chronic metabolic disease requiring comprehensive management to prevent complications. Despite structured care programs, patients often exhibit inadequate self-care and low self-efficacy. This quasi-experimental study aimed to evaluate the effect of Diabetes Self-Management Education (DSME) on self-care practices and self-efficacy among T2DM patients at Kabila Health Centre, Gorontalo, Indonesia. A non-randomized control group pretest-posttest design was employed involving 170 respondents equally divided into intervention (n=85) and control (n=85) groups through simple random sampling. The intervention group received DSME over one week using tailored educational materials for elderly participants, while the control group received standard Prolanis care. Outcomes were measured using validated self-care and self-efficacy questionnaires before and after the intervention. Data were analyzed using Wilcoxon and Mann-Whitney tests. The results demonstrated a significant improvement in self-care (p=0.000) and self-efficacy (p=0.000) scores in the intervention group compared to the control group. DSME was found to be effective in enhancing diabetes management behaviors and confidence among patients. These findings support integrating DSME into routine care to optimize patient outcomes and prevent long-term complications. Healthcare providers are encouraged to adopt structured DSME interventions as part of comprehensive chronic disease management strategies.
Tanamas et al. (Sun,) studied this question.