Thesis:

Development of family-based intervention model to improve family participation in self-care management for patients with diabetes mellitus type ii in kitui county.

Background Information Patients diagnosed with type 2 diabetes mellitus need full family support to enable them practice self-care management regularly.family involvement the county is very Low. Global predictions suggest that by 2035, over 642 million persons will have been affected by disorder.susbsaharan african countires including kenya continue to experience high prevalance of the disorder. Urban areas report higher prevalence than rural parts family based intervention model will help improve their participation in diabetes self-care practice.The study aimed at investigating patients routine self-care practices,patients and family factors influencing family participation in diabetic self-care practice come up with various strategies that could be used to enhance family participation and aid in developed family participation model. The concepts of develped model could be used to manage disease at family level instead of hospital settings. Methodology of the study: An analytical -cross-sectional study design was utilized..Mixed methods were utilised to collect both quantitative and qualitative data. Study population comprised of all patients diagnosed with the for more than six months with their .family members. Study questionnaire and an interview schedules were utilized as data collection tools .Confidentiality was maintained, approval was sought and granted. A sample size of 68 respondents participated in the study. A test-re-test reliability co-efficient was used to test reliability. Association between patients, family factors influencing their participation in self-care management was analyzed using Pearson Chi-Square and t-test at alpha of 0.05. Qualitative data was interpreted using thematic analysis. Input from patients, families, diabetes experts and reseacher;s were all considered, utilised and triagulated in model development Findings More males 35 (64.1%) had been diagnosed with DMTII as compared to 33 (48.6%) Females counter pants. similar findings was observed by Kautzky- wille (2023) .Majority 26(45.6%) respondents were also nursing hypertension. Majority 22(38.6%) of respondents diagnosed with disease aged more than 59 years. Statistical relationship was found between routine self care practices and family participation, with p-value of 0.000.Patients factors were reported to have much influence on family participation to self-care management as evidenced by Pearson ChiSquare of 0.030. Education was seen as among strategies to improve family participation as evidenced by high 57.9% of respondents had not received training on self-care practices Anova analysis, tested the goodness of model at 95% confidence Levell was found to be fit to use Conclusion Full family participation is required for patients to display optimal routine self-care practices.planned support system to be put in place to get successful results.. Basic education offered to Patients and family members empowers them acquire knowledge, skills and cope with disease related chllenges. Self-care practice to be embraced aim at utilizing locally availlable resources in disease management. family support in diabetes care provides a good media for self-care practice Recommendations National policy makers and planners of health care to incoperate family particpation as part of diabetes care. Kitui County government and hospital administration need to design regular family based training/ counselling programs where patients and families fully participate in management of diabetes. .Kitui Hospital diabetes department to introduce whats up communication strategy. Patients/family to have diabetes routine self care activity plan and calendar.