Community Health Worker Intervention Program on Self-Efficacy and Family Support in Foot Care on Diabetes Mellitus Patients

Aims: Diabetes foot is a complication of diabetes mellitus that can be avoided by practicing proper foot care. This behavior is influenced by factors such as self-efficacy and family support. The presence of communication and language barriers between health care providers and patients with diabetes mellitus leads to difficulties understanding diabetes education, which ultimately hinders self-care. As a result, an alternative approach using community health workers as a liaison is required. The purpose of this study is to understand how community health worker intervention programs affect self-efficacy and family support in diabetic foot care. Material & Methods: The research design was a quasy experiment pre post with a control group on ۷۲ diabetes mellitus patients taken by purposive sampling in the working area of the Lempake Primary Health Care Center in Samarinda City. Foot Care Confident Scale and Family Support Questionnaire were used to collect data. Various tests were used in the data analysis to assess self-efficacy and family support. Findings: there were differences in family support in the intervention group versus the control group (p value ۰.۰۱). Meanwhile, there was no difference between the two groups in terms of self-efficacy (p value ۰.۴۸). There were, however, differences in self-efficacy and family support before and after intervention by community health workers (p value ۰.۰۵). Conclusion: The community health care worker intervention can increase self efficacy and family support in foot care. As a result, there is a need for community health workers to be supported and guided in the prevention of noncommunicable disease complications, which can be used as part of the PTM Posbindu program activities at primary health care.