Knowledge, Attitude, and Practices (KAP) and Their Behavioural Consequences for Glycemic Management in Adults with Type 2 Diabetes in Haryana, India: The Impact of Structured Nutritional Education
Swati Sharma
Department of Home Science, Kurukshetra University, Kurukshetra, India.
Tarvinder Jeet Kaur *
Department of Home Science, Kurukshetra University, Kurukshetra, India.
*Author to whom correspondence should be addressed.
Abstract
With one of the fastest-growing prevalence rates in India, type 2 diabetes mellitus (T2DM) continues to represent a significant worldwide public health burden. In addition to pharmaceutical treatment, patient-centred behavioural adjustment is necessary for sustainable illness management. The impact of a six-month organised nutritional education program was investigated in this community-based interventional trial, which assessed baseline Knowledge, Attitude, and Practices (KAP) among persons with type 2 diabetes in the districts of Kurukshetra and Karnal, Haryana. An intervention group (n = 30) and a control group (n = 30) were randomly allocated to 60 individuals. A standardised KAP questionnaire consisting of 90 subjects was given both at baseline and 180 days thereafter. A standardised KAP questionnaire consisting of 90 items was given both at baseline and 180 days thereafter. Significant gains in knowledge (t = 6.242, p <.001), attitude (t = 6.787, p <.001), and practice (t = 6.239, p <.001) were found in the intervention group, but changes in the control group were statistically insignificant, according to statistical analysis utilising independent and paired t-tests. These results support the inclusion of ongoing nutrition counselling in standard basic healthcare services and highlight the vital role that structured nutritional education plays in enhancing diabetic self-management practices.
Keywords: Glycemic behaviour, diabetes self-management, KAP, nutritional counselling, T2DM