Abstract

Tengku Mohd Mizwar Bin T Malek* and Aini Ahmad

Aim: This study investigated the intentions, opportunities, and barriers to engaging in a meaningful internationalization of higher education in Malawi, once a global player, to reposition itself on the global stage.

Objective: This study aims to identify the effects of web-based educational programs on Diabetic Self-efficacy Management (DSEM), Diabetic Self-care Behavior Management (DSCM) in Quality of Life (QoL) among type 2 diabetes patients in public hospitals.

Methods: This study used a quantitative quasi-experimental design of pre-test and post-test. Diabetic-N-Care program was conducted at Orthopedic Clinic Hospital Sultana Nur Zahirah Kuala Terengganu for 34 days, where purposive sampling involved type 2 diabetic patients who were divided into intervention groups (IG) (n=60) and control group (CG) (n=60). Respondents are the same individual for each phase of measurement.

Results: Data analysis method the general linear model repeated measures ANOVA, Split-plot ANOVA (SPANOVA) and paired t-test was conducted on 120 patients to see the effect of using Diabetic-N-Care on IG. The results of Split-plot ANOVA analysis showed a significant overall effect of DSEM, DSCM and QoL (p=0.000) on IG. Meanwhile, paired t-test analysis there was a significant mean difference in DSEM, DSCM and QoL at pre-test and post-test (p=0.000) to IG compared to CG.

Conclusion: Web-based health education can have an impact on DSEM, DSCM in the QoL of type 2 diabetic patients where greater than before confidence, change the old behavior to new behavior to improve quality of life in the long term planning. Therefore, this study concludes that web-based methods such as Diabetic-N-Care need to be widely adapted in current health education methods.