Transcultural-based health education model on families with diabetes mellitus

Dewa Ayu Rismayanti, Nursalam, Yulis Setiya Dewi, Ida Bagus Wirawan, Ni Luh Putu Inca Buntari Agustini, Ni Wayan Suniyadewi, I. Made Sundayana

Research output: Contribution to journalArticlepeer-review


Objective: To develop a transcultural-based health education model to increase family abilities to care for type 2 diabetes patients. Methods: A cross-sectional observational analytical study was conducted from May-June 2021. The study population comprised of the families of patients with diabetes in Buleleng who were included using the rule of thumb (n=180) by cluster random sampling. The variables in this study were cultural, patient, and family factors, family health functions, health education, and family abilities as measured by using a questionnaire. Data were analysed using Structural Equation Modeling-Partial Least Squares (SEM-PLS). Results: The results showed that the model was capable and relevant to be applied with ability 73%. Cultural factors towards family health functions (T statistics = 2.344; p= 0.020), family factors (T statistics = 6.962; p= 0.000) and, patient factors (T statistics = 1.974; p= 0.049), had a signifcant infuence on family health function which, in turn, affected family abilities through health education (T statistics = 22.165; p= 0.000). Family factors (T statistics = 5.387; p= 0.000), and health education (T statistics = 5.127; p= 0.000) also had direct infuence on family abilities. Conclusion: The education model was developed through cultural, family factors and family health functions, which could improve the ability of families to provide care. This model can be a reference to increase diabetes self-management in public health centres.

Original languageEnglish
Pages (from-to)S21-S25
JournalJPMA. The Journal of the Pakistan Medical Association
Issue number2
Publication statusPublished - Feb 2023


  • Heuristics
  • diabetes Mellitus
  • public health


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