EduDiab-Online: Uses Peer support to Improve Health Literacy in Type 2 Diabetes Patients

Nopriadi Nopriadi; Yuda Irawan; Emy Leonita

doi:10.14710/jpki.21.3.223-230

DOI: https://doi.org/10.14710/jpki.21.3.223-230

EduDiab-Online: Uses Peer support to Improve Health Literacy in Type 2 Diabetes Patients

*Nopriadi Nopriadi - Department of Public Health, Faculty of Medicine, Universitas Riau, Pekanbaru, Indonesia, Indonesia

Yuda Irawan - Department of Computer Science, Faculty of Computer Science, Universitas Hang Tuah Pekanbaru, Pekanbaru, Indonesia, Indonesia

Emy Leonita - Master of Public Health Department, Faculty of Postgraduate Studies, Universitas Hang Tuah Pekanbaru, Pekanbaru, Indonesia, Indonesia

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

BibTex Citation Data :

@article{JPKI86545,
    author = {Nopriadi Nopriadi and Yuda Irawan and Emy Leonita},
    title = {EduDiab-Online: Uses Peer support to Improve Health Literacy in Type 2 Diabetes Patients},
    journal = {Jurnal Promosi Kesehatan Indonesia},
  volume = {21},
    number = {3},
    year = {2026},
    keywords = {Diabetes mellitus type 2, Web-based health education, Peer support, Health literacy, Community intervention},
    abstract = {   Background:      Type 2 Diabetes Mellitus (T2DM) remains a leading contributor to premature mortality and long-term complications, particularly in Indonesia, where health literacy levels are alarmingly low. This study aims to evaluate the effectiveness of EduDiab-Online, a web-based diabetes education model integrated with a peer-support approach, in improving health literacy and clinical outcomes among patients with type 2 diabetes mellitus (T2DM) in community settings.        Method:    A quasi-experimental pretest-posttest design with a control group was employed by involving 120 T2DM patients from two primary healthcare centers in Pekanbaru, Indonesia, divided equally into intervention and control groups. The intervention consisted of six weekly online educational modules combined with peer-support forums facilitated by trained peer mentors. Data were collected over four months using validated instruments assessing health literacy, self-efficacy, HbA1c, body mass index (BMI), and blood pressure. Statistical analyses, including paired and independent t-tests, were performed using SPSS version 25.        Result:    Compared with the control group, the intervention group demonstrated significantly greater improvements in health literacy (N-Gain = 0.61 vs. 0.08, p < 0.001), accompanied by a significantly greater increase in self-efficacy and greater reductions in HbA1c, BMI, and blood pressure (all p < 0.05). Furthermore, 88% of participants actively engaged in peer-support activities, indicating high adherence to the program. These findings suggest that EduDiab-Online is an effective and scalable community-based diabetes education model that integrates digital learning with peer support to improve both behavioral and clinical outcomes. Further studies are recommended to evaluate its long-term effectiveness and applicability to other chronic disease management programs.    },
   issn = {2620-4053},   pages = {223--230}  doi = {10.14710/jpki.21.3.223-230},
    url = {https://ejournal.undip.ac.id/index.php/jpki/article/view/86545}
}

Citation Format:

Abstract

Background: Type 2 Diabetes Mellitus (T2DM) remains a leading contributor to premature mortality and long-term complications, particularly in Indonesia, where health literacy levels are alarmingly low. This study aims to evaluate the effectiveness of EduDiab-Online, a web-based diabetes education model integrated with a peer-support approach, in improving health literacy and clinical outcomes among patients with type 2 diabetes mellitus (T2DM) in community settings.

Method: A quasi-experimental pretest-posttest design with a control group was employed by involving 120 T2DM patients from two primary healthcare centers in Pekanbaru, Indonesia, divided equally into intervention and control groups. The intervention consisted of six weekly online educational modules combined with peer-support forums facilitated by trained peer mentors. Data were collected over four months using validated instruments assessing health literacy, self-efficacy, HbA1c, body mass index (BMI), and blood pressure. Statistical analyses, including paired and independent t-tests, were performed using SPSS version 25.

Result: Compared with the control group, the intervention group demonstrated significantly greater improvements in health literacy (N-Gain = 0.61 vs. 0.08, p < 0.001), accompanied by a significantly greater increase in self-efficacy and greater reductions in HbA1c, BMI, and blood pressure (all p < 0.05). Furthermore, 88% of participants actively engaged in peer-support activities, indicating high adherence to the program. These findings suggest that EduDiab-Online is an effective and scalable community-based diabetes education model that integrates digital learning with peer support to improve both behavioral and clinical outcomes. Further studies are recommended to evaluate its long-term effectiveness and applicability to other chronic disease management programs.

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Keywords: Diabetes mellitus type 2, Web-based health education, Peer support, Health literacy, Community intervention

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Section: Research Article

Language : EN

In Vol 21 No 3: July 2026

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