Theater Performing Arts (TPA): Community Empowerment to Improve Blood Glucose Control Behavior in Yogyakarta

Int J Endocrinol Metab. 2020 October; 18(4):e103106.
Published online 2020 November 17.
doi: 10.5812/ijem.103106.
Research Article
Theater Performing Arts (TPA): Community Empowerment to
Improve Blood Glucose Control Behavior in Yogyakarta
Mahendro Prasetyo Kusumo 1, 2, *, Julita Hendrartini 3, Zaenal Muttaqien Sufro 4 and Fatwa Sari Tetra
Dewi Dewi 5
1 Faculty of Medicine, Public Health, and Nursing, Gadjah Mada University, Yogyakarta, Indonesia
2 Masters of Hospital Administration Programe, Postgraduete Universitas Muhammadiyah Yogyakarta, Indonesia
3 Department of Health Policy and Management, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
4 Departement of Physiology, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
5 Department of Health Behaviour, Environment, and Social Medicine, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia
* Corresponding author: Master of Hospital Administration Programe, Postgraduete Universitas Muhammadiyah Yogyakarta, Indonesia. Tel: +62-8112954200, Email:
mahendro_prasetyo@umy.ac.id
Received 2020 April 13; Revised 2020 October 04; Accepted 2020 November 10.
Abstract
Background: Poor self-management behavior is one of the causes of the high number of patients with type 2 diabetes mellitus
(T2DM) in Indonesia.
Objectives: The aim of this study was to measure the effectiveness of TPA-based community empowerment as a form of education
in improving the blood glucose control practices of patients with T2DM in Yogyakarta.
Methods: This study used quantitative methods with a quasi-experimental non-equivalent pre-posttest control group design. The
subjects of this study were “Prolanis member” patients with T2DM in the four primary health care centers in Sleman, Yogyakarta,
Indonesia. Purposive sampling was done at four primary care in Sleman, Yogyakarta, Indonesia. From 138 T2DM patients, only 102
were eligible to become respondents. The questionnaires were adapted to the recommendations of endocrine experts’ associations
to measure the level of T2DM patients’ knowledge, attitude and practices. Intervention was done for three months, from October
to December 2019. Measurements were made before and after the TPA.
Results: Attitude and behavior scores showed a significant increase (P < 0.05) after TPA intervention. Meanwhile, the average score
of knowledge after the TPA intervention showed no significant increase (P > 0.05). Good self-management behavior in patients
with T2DM was observed in Sleman Regency. Education through TPA based community empowerment should be considered as an
appropriate intervention to improve DM management practice. Patients can receive material that is delivered easily because of the
relaxed and pleasant environment during TPA.
Conclusions: TPA-based community empowerment can create a relaxed and pleasant environment to improve blood glucose con-
trol practices in patients with T2DM.
Keywords: Diabetes Mellitus, Empowerment, Education, Arts, Behavior