Cost effectiveness of a health literacy intervention to reduce HbA1c level among type 2 diabetes mellitus patients in Hospital Angkatan Tentera Tuanku Mizan

INTERVENTION: The educator will be the diabetic nurse. Intervention module ‐ Diabetes Literacy and Numeracy Education Toolkit (DLNET) adopted and adapted from Vanderbilt University This module specifically design for diabetes patients with moderate and low health literacy. DLNET used here will be modified to suit the culture, diet and anti diabetic treatment used in Malaysia. Teaching of this module will be face to face verbally in small groups (6‐8 respondents) at a private room in a primary care clinic. Teaching language will be in Bahasa Malaysia. This clinic is run by 2 family medicine physician. The respondents are selected from their diabetic patients list. Each teaching session is 2 hours per session alternate 2 weeks in 2 months (2 session per month in 2 months). The module booklet will be printed in Bahasa Malaysia. It will also available in PDF form. For this research I will be teaching the module with the help of diabetic educator. No treatment will given to the respondents except they will continue with their own medication. The sessions comprise of verbal education explaining self‐care entities which are diet, exercise, blood sugar testing and control, medical treatment and foot care. Teaching technique is based on self‐efficacy theory. It will be in two way communication between the educator and respondents. Other than that whats app group will be created for the intervention group. CONDITION: Type 2 Diabetes Melitus PRIMARY OUTCOME: Change in HbA1c SECONDARY OUTCOME: Cost effectiveness analysis on providers prospectus from public health service cost records Diabetes Self‐Care Activities Scale Score INCLUSION CRITERIA: i. Inclusion criteria a. Confirmed patients with Type 2 Diabetes (within 6 months) b. Adult ( Age = 18‐80 years old) c. Able to understand English or Malay language d. Low health literacy (Newest Vital Sign score less than 4) e. Baseline HbA1c is more or equal to 6.5%