The Effect of Diabetes Self-Management Education (DSME) on Self-Efficacy of Type 2 Diabetes Mellitus Patients at the Kassi-Kassi Public Health Center
DOI:
https://doi.org/10.6000/1929-6029.2026.15.30Keywords:
Type 2 Diabetes Mellitus, DSME, self-efficacy, health educationAbstract
Type 2 diabetes mellitus requires continuous self-management, yet many patients have limited confidence in performing daily care. This study evaluated the effect of Diabetes Self-Management Education (DSME) on self-efficacy among patients with type 2 diabetes mellitus at the Kassi-Kassi Community Health Center, Makassar. A non-randomized quasi-experimental pretest–posttest design with a control group was used. A total of 120 patients were recruited consecutively and divided into an intervention group (n=60) and a control group (n=60). The intervention group received four structured 60-minute face-to-face DSME sessions over two weeks, supported by modules, booklets, and educational videos, whereas the control group received usual care and an educational booklet. Self-efficacy was measured using the 20-item Diabetes Management Self-Efficacy Scale. Data were analyzed using paired and independent t-tests and Difference-in-Differences analysis. Mean self-efficacy increased from 38.43±6.54 to 90.90±5.87 in the intervention group and from 39.55±6.26 to 80.53±6.39 in the control group. The posttest mean difference was 10.37 points (95% CI: 8.15–12.59; p<0.001; Cohen’s d=1.69). The Difference-in-Differences estimate was 11.49 points. Structured DSME was associated with a substantial short-term improvement in self-efficacy and may be considered for integration into routine primary diabetes care. Further multicenter randomized studies with longer follow-up and clinical outcomes are still needed.
References
Zuryati M, Ernirita, Widiastuti E, et al. The effect of Diabetes Self-Management Education (DSME) on improving knowledge of type 2 diabetes mellitus patients. J Ilm Keperawatan 2026; 12(1): 157-161. Available from: https://journal.stikespemkabjombang.ac.id/index.php/jikep/article/view/3146 (journal.stikespemkabjombang.ac.id) DOI: https://doi.org/10.33023/jikep.v12i1.3146
Palupi E, Kartiningrum ED, Fardiansyah A, et al. Effect of Diabetes Self-Management Education on self-care management among patients with type 2 diabetes mellitus in Gedangan. Promot J Kesehat Masy 2025; 15(2): 79-89.
Heltty, Nazaruddin. Hubungan self-efficacy dengan kadar glukosa darah pasien diabetes melitus tipe II. J Keperawatan dan Kesehat 2023; 14(1): 1-5. Available from: https://jurnal.itekesmukalbar.ac.id/index.php/JK2/article/download/245/141(jurnal.itekesmukalbar.ac.id)
Suardi S, Razak A, Amiruddin R, et al. Effectiveness of diabetes self-management education against diet behavior in patients with type 2 diabetes mellitus: A literature review. Open Access Maced J Med Sci 2021; 9(E): 364-368. DOI: https://doi.org/10.3889/oamjms.2021.6033
Marbun AS, Siregar R, Harefa K, et al. Pengaruh Diabetes Self-Management Education (DSME) berbasis aplikasi WhatsApp terhadap self-efficacy pada pasien DM tipe 2 di Puskesmas Hamparan Perak. J Mutiara Ners 2021; 4(2): 128-139. DOI: https://doi.org/10.51544/jmn.v4i2.2071
Tamornpark R, Utsaha S, Apidechkul T, et al. Quality of life and factors associated with a good quality of life among diabetes mellitus patients in northern Thailand. Health Qual Life Outcomes 2022; 20(1): 1-12. DOI: https://doi.org/10.1186/s12955-022-01986-y
Ma L, Zhao WS, Wang R, et al. Effect of diabetes self-management education in type 2 diabetes management: A systematic umbrella review of meta-analysis. BMC Endocr Disord 2026; 26(1): 79. DOI: https://doi.org/10.1186/s12902-026-02183-4
Eroglu N, Sabuncu N. The effect of education given to type 2 diabetic individuals on diabetes self-management and self-efficacy: Randomized controlled trial. Prim Care Diabetes 2021; 15(3): 451-458. DOI: https://doi.org/10.1016/j.pcd.2021.02.011
Othman MM, Khudadad H, Dughmosh R, et al. Towards a better understanding of self-management interventions in type 2 diabetes: A concept analysis. Prim Care Diabetes 2022; 16(1): 142-149. DOI: https://doi.org/10.1016/j.pcd.2021.09.001
Saha S, Riemenschneider H, Müller G, et al. Comparative analysis of diabetes self-management education programs in the European Union Member States. Prim Care Diabetes 2017; 11(6): 529-537. DOI: https://doi.org/10.1016/j.pcd.2017.05.011
Gamboa Moreno E, Mateo-Abad M, Ochoa de Retana García L, et al. Efficacy of a self-management education programme on patients with type 2 diabetes in primary care: A randomised controlled trial. Prim Care Diabetes 2019; 13(2): 122-133. DOI: https://doi.org/10.1016/j.pcd.2018.10.001
Ernawati U, Wihastuti TA, Utami YW. Effectiveness of Diabetes Self-Management Education (DSME) in type 2 diabetes mellitus patients: Systematic literature review. J Public Health Res 2021; 10(2): 2240. DOI: https://doi.org/10.4081/jphr.2021.2240
Rismayani D, Amiruddin R, Jafar N, et al. Effectiveness of Diabetes Self-Management Education (DSME) and family-based interventions on quality of life in people with type 2 diabetes. J Health Transl Med 2025; 28(1): 59-65. Available from: https://jummec.um.edu.my/index.php/ jummec/article/view/49109 (jummec.um.edu.my)
Alharbi TAF, Alhumaidi B, Alharbi MN, et al. Diabetes education self-management intervention in improving self-efficacy for people with type 2 diabetes in the Gulf Cooperation Council countries: A systematic review. Diabetes Metab Syndr Clin Res Rev 2023; 17(12): 102906. DOI: https://doi.org/10.1016/j.dsx.2023.102906
Heise M, Heidemann C, Baumert J, et al. Structured diabetes self-management education and its association with perceived diabetes knowledge, information, and disease distress: Results of a nationwide population-based study. Prim Care Diabetes 2022; 16(3): 387-394. DOI: https://doi.org/10.1016/j.pcd.2022.03.016
Fahardianto F, Rosyid FN. Pengaruh Diabetes Self-Management Education (DSME) terhadap self-care penderita diabetes melitus tipe 2. Malahayati Nurs J 2023; 5(12): 4132-4142. DOI: https://doi.org/10.33024/mnj.v5i12.10130
Chrvala CA, Sherr D, Lipman RD. Diabetes self-management education for adults with type 2 diabetes mellitus: A systematic review of the effect on glycemic control. Patient Educ Couns 2016; 99(6): 926-943. DOI: https://doi.org/10.1016/j.pec.2015.11.003
Etlidawati E, Romdhoni MF, Yulistika D, et al. Self-management education pada pasien diabetes melitus. Faletehan Health J 2024; 11(1): 45-50. DOI: https://doi.org/10.33746/fhj.v11i01.679
Lalani B, Maruthur NM, Arnold E, et al. Effect of diabetes self-management education and support on long-term glycemic control. Diabetes Epidemiol Manag 2026; 21: 100312. DOI: https://doi.org/10.1016/j.deman.2026.100312
Tanaka R, Shibayama T, Sugimoto K, et al. Diabetes self-management education and support for adults with newly diagnosed type 2 diabetes mellitus: A systematic review and meta-analysis of randomized controlled trials. Diabetes Res Clin Pract 2020; 169: 108480. DOI: https://doi.org/10.1016/j.diabres.2020.108480
Oluchina S. The effectiveness of an education intervention based on a self-care model on diabetes self-management behaviors and glycemic control. Int J Afr Nurs Sci 2022; 17: 100505. DOI: https://doi.org/10.1016/j.ijans.2022.100505
Alnahdi H, Alghamdi R, Alyamani S, et al. Diabetes management: Self-management education and support program evaluations in Jeddah, KSA. J Taibah Univ Med Sci 2025; 20(4): 507-516. DOI: https://doi.org/10.1016/j.jtumed.2025.07.005
Kartika, Ismuntania, Karmila, et al. Effectiveness of variations of Diabetes Self-Management Education (DSME) on self-care behavior in type 2 diabetes mellitus patients in Tengku Chik Ditiro Hospital. J Health Promot Behav 2022; 7(1): 77-85. DOI: https://doi.org/10.26911/thejhpb.2021.07.01.08
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Policy for Journals/Articles with Open Access
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are permitted and encouraged to post links to their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work
Policy for Journals / Manuscript with Paid Access
Authors who publish with this journal agree to the following terms:
- Publisher retain copyright .
- Authors are permitted and encouraged to post links to their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work .
