Integrated Education to Improve Treatment Adherence for Type 2 Diabetes Mellitus Patients in Makassar
DOI:
https://doi.org/10.61099/jpmei.v3i1.172Keywords:
Community education, Integrated education, Treatment adherence, Type 2 diabetes mellitus, Patient knowledgeAbstract
Treatment adherence remains a major challenge in the management of Type 2 Diabetes Mellitus (T2DM), particularly in community and primary health care settings. In Makassar, Indonesia, inadequate patient knowledge, negative attitudes toward long-term therapy, and fragmented health education contribute to suboptimal adherence and increase the risk of diabetes-related complications. This community service program aimed to improve treatment adherence among patients with T2DM through an integrated education approach. The program was implemented using a structured, participatory method involving five stages: situational analysis and coordination, participant recruitment and baseline assessment, integrated education intervention, mentoring and reinforcement, and evaluation and reflection. A total of 30 adult patients with T2DM participated in the program. Educational activities were delivered through interactive lectures, group discussions, practical demonstrations, and individualized counseling, focusing on medication adherence, dosage and administration, nutritional support, supplement safety, and the role of micronutrients in diabetes management. Program effectiveness was evaluated using pre- and post-intervention assessments of participants’ knowledge and adherence-related understanding. The results demonstrated a substantial improvement in knowledge across all assessed domains following the intervention. These findings indicate that integrated education is an effective strategy for strengthening patient understanding and supporting improved treatment adherence among individuals with Type 2 Diabetes Mellitus at the community level
Downloads
References
Abbas, U., Kumar, H., Hussain, N., Ahmed, I., Laghari, R. N., Tanveer, M., Hadif, M., Fatima, K., Khalid, M. U., Anwar, K., & Khan, M. (2025). Immune dysregulation in type 2 diabetes mellitus: Implications for tuberculosis, COVID-19, and HIV/AIDS. Infectious Medicine, 4(4), 100211. https://doi.org/10.1016/j.imj.2025.100211
Alam, A. S., Samiasih, A., Mubin, M. F., Pranata, S., & Dhamanik, R. (2024). Types of Nursing Intervention on Improving Quality of Life among Patients with Diabetes Mellitus: A Systematic Review. Current Diabetes Reviews, 20(3). https://doi.org/10.2174/1573399820666230829103016
Alotaibi, H. M., Alotaibi, A. F., AlMuqawed, A. N. Q., Alotaibi, S. M., Alkubaidan, R. N., Altaymani, T. M., Alruwaili, M., Alrowily, M. J., Alzahrani, M., & Alzahrani, A. (2025). Evaluation of depressive symptoms and their association with diabetes self-care among patients with Type 2 Diabetes Mellitus in Jouf Region, Saudi Arabia. Endocrine and Metabolic Science, 19, 100278. https://doi.org/10.1016/j.endmts.2025.100278
Caballero Mateos, I., Morales Portillo, C., Lainez López, M., & Vilches-Arenas, Á. (2025). Efficacy of a Digital Educational Intervention for Patients With Type 2 Diabetes Mellitus: Multicenter, Randomized, Prospective, 6-Month Follow-Up Study. Journal of Medical Internet Research, 27, e60758. https://doi.org/10.2196/60758
Chong, C. J., Makmor-Bakry, M., Hatah, E., Mohd Tahir, N. A., Mustafa, N., Capule, F. R., & Hermansyah, A. (2025). A qualitative study of type 2 diabetes mellitus outpatients’ perspectives on readiness, acceptance and barriers of mobile apps for medication adherence. Patient Education and Counseling, 131, 108547. https://doi.org/10.1016/j.pec.2024.108547
Debnath, S., Purohit, S., Singh, A. K., Pal, P., Rajotiya, S., Mishra, S., Nakesh, P., Kumar, S., Paul, S., Sharma, A., Singh, M., Nathiya, D., & Tomar, B. S. (2025). Uncovering the Predictors of Nonadherence to Insulin Therapy Among Patients with Type 1 and Type 2 Diabetes Attending an Endocrinology Outpatient Clinic of a Tertiary Care Hospital. AACE Endocrinology and Diabetes. https://doi.org/10.1016/j.aed.2025.12.011
Garg, P., & Yanadaiah, P. (2025). Assessment of quality of life among type 2 diabetes mellitus and hypertensive patients in Punjab region: A WHOQoL-BREF based hospital study. Obesity Medicine, 58, 100651. https://doi.org/10.1016/j.obmed.2025.100651
Gieroba, B., Kryska, A., & Sroka-Bartnicka, A. (2025). Type 2 diabetes mellitus – conventional therapies and future perspectives in innovative treatment. Biochemistry and Biophysics Reports, 42, 102037. https://doi.org/10.1016/j.bbrep.2025.102037
Jang, M. K., Cho, Y. K., Moon, J. Y., Min, S. H., Hwang, J. H., & Jung, C. H. (2025). Impact of smart watch mobile application on the risk treatment of type 2 diabetes mellitus (iSMART-DM). Primary Care Diabetes. https://doi.org/10.1016/j.pcd.2025.10.008
Kumari, S., Patil, R., & Tubaki, B. R. (2025). Efficacy of integrated Ayurveda treatment protocol in uncontrolled type 2 diabetes mellitus: A randomized controlled study. European Journal of Integrative Medicine, 73, 102424. https://doi.org/10.1016/j.eujim.2024.102424
Li, F., Cao, Y., Li, M., Guo, S., Zhang, Q., & Liang, Q. (2025). Effectiveness of health education based on Behavior Change Wheel theory combined with teach-back method for self-management of community-dwelling empty nesters with hypertension combined with type 2 diabetes mellitus: a randomized controlled trial. Geriatric Nursing, 65, 103458. https://doi.org/10.1016/j.gerinurse.2025.103458
Mukonka, L. C., Chironda, G., & Mtshali, N. G. (2026). Lifestyle modification programs for the prevention of diabetes mellitus type 2 in Sub-Saharan Africa: A scoping review. International Journal of Africa Nursing Sciences, 24, 100968. https://doi.org/10.1016/j.ijans.2025.100968
Paudel, G., Vandelanotte, C., Dahal, P. K., Shrestha, A., Karmacharya, B., Sugishita, T., & Rawal, L. (2025). Physical activity, diet, medication adherence, blood glucose monitoring and foot care in people with type 2 diabetes in Nepal. SSM - Health Systems, 5, 100083. https://doi.org/10.1016/j.ssmhs.2025.100083
Peinado Ruíz, M., Rodríguez Jiménez, B., Rodríguez de Vera Gómez, P., Lafuente Robles, N., Palomares Ortega, R., Sánchez-Laguna, F. J., Vázquez Cruz, I., Mayoral Sánchez, E., Sanchez-Alvarez, M. J., Fernandez-Delgado, C., Muñoz Martínez, I., & Martínez-Brocca, M. A. (2025). Outcomes of a population-based flash glucose monitoring program in adults with type 2 diabetes mellitus on intensive insulin therapy in Andalusia. Endocrinología, Diabetes y Nutrición, 501661. https://doi.org/10.1016/j.endinu.2025.501661
Qiu, Y., Tang, Y., Li, Y., Cheng, L., Wang, X., Du, B., & Bai, R. (2025). The effect of online health management on type 2 diabetes mellitus: A systematic review and meta-analysis. Primary Care Diabetes, 19(6), 561–576. https://doi.org/10.1016/j.pcd.2025.08.010
Sharma, B., Neupane, D. K., Thapa, R. B., Shakya, R., Shrestha, R. K., & Rimal, P. (2025). Assessment of insulin pen injection practices and the effectiveness of pharmacist interventions in improving injection technique among patients with diabetes mellitus. Exploratory Research in Clinical and Social Pharmacy, 20, 100671. https://doi.org/10.1016/j.rcsop.2025.100671
Skaria, G., Reshmi, B., K M, S., Shetty, S., & Lakshmi R, V. (2024). Development and Testing of an Electronic Diabetes Diary Integrated With a Hospital Information System for Individuals With Type 2 Diabetes Mellitus: Protocol for a Mixed Methods Study. JMIR Research Protocols, 13, e50732. https://doi.org/10.2196/50732
Syaharuddin, S., Suprapto, S., Arda, D., & Menga, M. K. (2025). Effect of health education on self-care behavior in patients with type 2 diabetes mellitus. Jurnal Ilmiah Kesehatan Sandi Husada, 14(2), 351–359. https://doi.org/10.35816/jiskh.v14i2.1323
T?nmaz, G., & Altunda?, S. (2025). The effect of diabetes education given to children with type 1 diabetes mellitus with digital games and video animation on quality of life. Journal of Pediatric Nursing, 81, 142–154. https://doi.org/10.1016/j.pedn.2025.01.023
Wibowo, W., Suprapto, S., Kamaruddin, M. I., Nurlina, N., & Mangaya Takke, J. A. (2025). Disease Perception and Duration of Suffering with Self-Care Management in Patients with Diabetes Mellitus. Jurnal Ilmiah Kesehatan Sandi Husada, 14(1), 64–72. https://doi.org/10.35816/jiskh.v14i1.1248
Wijayanti, Y. T., Nurhanifah, D., Asmi, A. S., Suprapto, S., Rahagia, R., & Millati, R. (2025). Perception of Nursing Students on Clinical Teaching and Learning of Public Health Nurses: A Descriptive Qualitative Approach. Malaysian Journal of Nursing, 16(04), 142–151. https://doi.org/10.31674/mjn.2025.v16i04.014
Yao, T., Sun, J., Jiang, Q., Wang, H., Zhang, J., Zhang, F., Cao, H., Li, D., Yan, J., Yang, J., Wang, Y., & Ruijuan Zhuang. (2025). The mediating role of expectations regarding aging between diabetes distress and self-management behaviors in older adults with type 2 diabetes mellitus. Geriatric Nursing, 63, 362–369. https://doi.org/10.1016/j.gerinurse.2025.03.033
Yeh, Y.-K., Yen, F.-S., Wei, J. C.-C., Tsai, Y.-T., Lin, H.-J., Shih, Y.-H., Hsu, C.-C., & Hwu, C.-M. (2025). The impact of pay-for-performance programs on hospitalization risks in subjects with type 1 diabetes mellitus: A nationwide cohort study. Primary Care Diabetes. https://doi.org/10.1016/j.pcd.2025.11.011
Yuceer, B., & Cinar, F. I. (2025). Multidimensional factors associated with treatment adherence in Type II diabetes: The roles of spiritual well-being and mindfulness. Complementary Therapies in Medicine, 94, 103251. https://doi.org/10.1016/j.ctim.2025.103251
Zulfiah, Z., Kadang, Y., & Suprapto, S. (2025). Correlation Between Knowledge and Attitude Toward Treatment Adherence Among Patients with Type 2 Diabetes Mellitus in Makassar, Indonesia. Media Kesehatan Politeknik Kesehatan Makassar, 20(2), 304–309. https://doi.org/10.32382/medkes.v20i2.1709
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Suprapto Suprapto, Yohan Trayanus Lasarus Djaha, Kaharto Kaharto

This work is licensed under a Creative Commons Attribution 4.0 International License.
Most read articles by the same author(s)
- Suprapto Suprapto, Chaedyr Iqbal, Qalbia Muhammad Nur, Optimization of public health through counseling on diabetes mellitus , Jurnal Pengabdian Masyarakat Edukasi Indonesia : Vol. 1 No. 1 (2024): Volume 1 Number 1 February 2024
- Suprapto Suprapto, Darmi Arda, Maria Kurni Menga, Lamria Situmeang, Community empowerment in an effort towards quality health , Jurnal Pengabdian Masyarakat Edukasi Indonesia : Vol. 1 No. 2 (2024): Volume 1 Number 2 June 2024
- Lumastari Ajeng Wijayanti, Hijrah Hijrah, Rida Millati, M. Khalid Fredy Saputra, Suprapto Suprapto, Yoga Tri Wijayanti, Improving nurse competence in health centers through practice-based training , Jurnal Pengabdian Masyarakat Edukasi Indonesia : Vol. 2 No. 1 (2025): Volume 2 Number 1 February 2025
- Zusana A. Sasarari, Rasi Rahagia, Suprapto Suprapto, M. Khalid Fredy Saputra, Self-care management education for diabetes mellitus patients based on disease perception and length of suffering , Jurnal Pengabdian Masyarakat Edukasi Indonesia : Vol. 2 No. 3 (2025): Volume 2 Number 3 Oktober 2025
- Wa Ode Novi Angraeni, Suprapto Suprapto, Trimaya Cahya Mulat, Maria Kurni Menga, Improving the academic writing capacity of nursing students as a means of contributing to scholarly work , Jurnal Pengabdian Masyarakat Edukasi Indonesia : Vol. 2 No. 2 (2025): Volume 2 Number 2 June 2025
- Suprapto Suprapto, Darmi Arda, Maria Kurni Menga, Hartaty Hartaty, Abdul Halis, Bayu Adji, Increasing public awareness through education and the implementation of routine blood donations , Jurnal Pengabdian Masyarakat Edukasi Indonesia : Vol. 1 No. 3 (2024): Volume 1 Number 3 Oktober 2024
- Syaharuddin Syaharuddin, Suprapto Suprapto, Maria Kurni Menga, Yuriatson Yuriatson, Optimizing the Role of Primary Health Workers in the Implementation of Stunting Policies at the Village Level , Jurnal Pengabdian Masyarakat Edukasi Indonesia : Vol. 3 No. 2 (2026): Volume 3 Number 2 June 2026
Similar Articles
- Zusana A. Sasarari, Rasi Rahagia, Suprapto Suprapto, M. Khalid Fredy Saputra, Self-care management education for diabetes mellitus patients based on disease perception and length of suffering , Jurnal Pengabdian Masyarakat Edukasi Indonesia : Vol. 2 No. 3 (2025): Volume 2 Number 3 Oktober 2025
- Suprapto Suprapto, Chaedyr Iqbal, Qalbia Muhammad Nur, Optimization of public health through counseling on diabetes mellitus , Jurnal Pengabdian Masyarakat Edukasi Indonesia : Vol. 1 No. 1 (2024): Volume 1 Number 1 February 2024
- Anita Lontaan, Darmi Arda, Wahyudi Hardi, Implementation of the Community Nursing Model in Improving Postoperative Care Compliance for Postoperative Patients at Home , Jurnal Pengabdian Masyarakat Edukasi Indonesia : Vol. 3 No. 2 (2026): Volume 3 Number 2 June 2026
- Samsinar Samsinar, Indrawat Aris Tyarini, Gustini Gustini, A. Wardah Muzfah, Matilda Martha Paseno, Empowering Health Cadres in Reproductive Health Education through a Community Midwifery Approach , Jurnal Pengabdian Masyarakat Edukasi Indonesia : Vol. 3 No. 2 (2026): Volume 3 Number 2 June 2026
- A. Wardah Muzfah, Trimaya Cahya Mulat, Darmi Arda, Maria Kurni Menga, Clinical pharmacists’ education on nutritional supplements for community-based stunting prevention , Jurnal Pengabdian Masyarakat Edukasi Indonesia : Vol. 3 No. 1 (2026): Volume 3 Number 1 February 2026
- Tri Damayanty Syamsul, Asma Juita Syam, Ridwan Ridwan, Kasmawati Kasmawati, Sudirman Sudirman, Cataract awareness program: improving cataract prevention knowledge and behavior in the elderly , Jurnal Pengabdian Masyarakat Edukasi Indonesia : Vol. 3 No. 1 (2026): Volume 3 Number 1 February 2026
- Gustini Gustini, Sumiyati Sumiyati, A.Syamsinar Asmi Asmi, Nordianiwati Nordianiwati, Hendrik Hendrik, Increased knowledge about clean and healthy living behavior in an effort to prevent diarrhea , Jurnal Pengabdian Masyarakat Edukasi Indonesia : Vol. 1 No. 2 (2024): Volume 1 Number 2 June 2024
- Gustini Gustini, Asridawati Akib, Nordianiwati Nordianiwati, Increasing Pregnant Women's Knowledge of Pregnancy Care through Community Based Health Education , Jurnal Pengabdian Masyarakat Edukasi Indonesia : Vol. 2 No. 2 (2025): Volume 2 Number 2 June 2025
- Indrawati Aris Tyarini, Trimaya Cahya Mulat, Optimization of the role of community midwives in maternal nutrition education to prevent stunting during the first 1000 days of life , Jurnal Pengabdian Masyarakat Edukasi Indonesia : Vol. 2 No. 3 (2025): Volume 2 Number 3 Oktober 2025
- Syaharuddin Syaharuddin, Zusana A. Sasarari, Gustini Gustini, Anita Lontaan, Pulmonary TB Prevention Through Information and Education to the Community , Jurnal Pengabdian Masyarakat Edukasi Indonesia : Vol. 2 No. 1 (2025): Volume 2 Number 1 February 2025
You may also start an advanced similarity search for this article.













