Challenges in Type 2 Diabetes Prevention among Senior High School Students: A Qualitative Study

Document Type : Original Article

Authors

1 Department of Nursing, Faculty of Health Sciences, Universitas Pahlawan Tuanku Tambusai, Riau Province, Indonesia;

2 Indonesian Diabetes Center, Universitas Pahlawan Tuanku Tambusai, Riau Province, Indonesia;

3 Department of Nursing, Poltekkes Kemenkes Riau, Riau Province, Indonesia;

4 Department of Nursing, Institut Kesehatan Payung Negeri, Riau Province, Indonesia;

5 Leiden University Medical Center, Faculty of Internal Medicine, Leiden, the Netherlands

10.30476/ijcbnm.2024.101360.2413

Abstract

Background: Schools, a place where students spend much more time than home, play an important
role in preventing the nation’s future generation from type 2 diabetes mellitus (T2DM). This study
aimed to explore challenges in T2DM prevention among senior high school students.
Methods: The study was conducted in Riau Province, Indonesia, from June to August 2023 using
a qualitative content analysis. 31 respondents, determined by data saturation, were recruited using
purposeful sampling. They were public senior high schools’ principals, vice principals, school health
services staff, school canteen tenants, students, parents, and primary health care personnel in six
districts. Data were collected through semi-structured face-to-face interviews and document review.
Graneheim and Lundman’s content analysis method was used to analyze the data in Nvivo version 11
software. The Lincoln and Guba Qualitative research criteria for trustworthiness were used to ensure
the rigor of the study.
Results: The main concepts obtained from the data were classified into three themes entitled,
“Nonoptimal existing diabetes prevention programs in schools”, “Inadequate knowledge of school
community on T2DM”, and “Inadequate policies to prevent diabetes in schools”
Conclusion: An evidence-based, well-organized, and systematic school-based diabetes prevention
program is fundamental to help overcome challenges and prevent future T2DM incidence. It requires
relevant stakeholders’ high level of awareness, strong collaborations with the school community, and
effective school policies.

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