Type 2 Diabetes Mellitus (T2DM) Knowledge Among Senior High School Students Before and After a Structured Health Education Intervention at Canossa College – San Pablo City, Inc.

Authors

  • Geofflyn Nichole C. Brucal Canossa College San Pablo, Inc., San Pablo City, Philippines
  • Lance Andrei N. Narvaez Canossa College San Pablo, Inc., San Pablo City, Philippines
  • Gianne Carlo T. Bondad Canossa College San Pablo, Inc., San Pablo City, Philippines
  • Lovely Irish S. Abordo Canossa College San Pablo, Inc., San Pablo City, Philippines
  • Vivian P. Lajara Canossa College San Pablo, Inc., San Pablo City, Philippines
  • Marc Lester F. Quintana Vice President for Research and Extension, Pamantasan ng Lungsod ng San Pablo, San Pablo City, Philippines

Keywords:

Health literacy, Senior High School, Type 2 Diabetes Mellitus (T2DM)

Abstract

Type 2 Diabetes Mellitus is a growing public health concern, often developing gradually due to insulin resistance and remaining undiagnosed until complications arise. This study aimed to enhance senior high school students’ knowledge of Type 2 Diabetes Mellitus (T2DM) and increase preventive awareness, thereby supporting Sustainable Development Goals 3 on good health and well-being, and Goal 4 on quality education and health literacy. Using a quantitative, pre-experimental, one-group pretest-posttest design, 185 students at Canossa College in San Pablo City completed a validated questionnaire assessing their knowledge of Type 2 Diabetes Mellitus (T2DM), including its definition, symptoms, risk factors, complications, and preventive measures. The educational intervention consisted of structured group discussions, take-home pamphlets, and posters displayed in the school canteen, a high-traffic area to ensure repeated exposure. Results showed significant improvements across all domains: knowledge of T2DM diagnosis increased from 35.14% to 73.51% (38.37% improvement, p = 0.048), understanding of risk factors improved from 36.76% to 69.19% (32.43% improvement, p = 0.008), and awareness of complications such as liver involvement rose from 23.24% to 57.84% (34.59% improvement, p = 0.008). These findings indicate that multi-modal school-based health education effectively enhances adolescents’ health literacy and corrects misconceptions related to Type 2 Diabetes Mellitus. However, the study evaluated knowledge outcomes only and did not directly measure behavioral or lifestyle changes. While generalizability is limited to a single institution, the study highlights the value of integrating structured T2DM education into school curricula to improve health knowledge and preventive awareness and support achievement of SDGs 3 and 4.

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References

Abd El-Razik Siam, B.G., Abdou Rizk, S.M., & Mahmoud, S.K.M. (2023). The risk of developing type 2 diabetes mellitus among the students of Hail University, Saudi Arabia. Frontiers in Public Health, 11, 1278103. https://doi.org/10.3389/fpubh.2023.1278103

Ahmed, F., Jones, C., Smith, R., Brown, L., Taylor, M., & Wilson, K. (2020). Vegetable intake and type 2 diabetes risk: Findings from a Swedish cohort study. Journal of Nutritional Science, 9, e58. https://doi.org/10.1017/jns.2020.58

Alamri, O. (2021). Knowledge of diabetes characteristics by students at University of Tabuk. Health, 13, 393–404. https://doi.org/10.4236/health.2021.134032

Alenazi, M.A., Alenezi, S.H., Alharbi, F.S., Alharbi, A.F., Alharbi, S.S., Almutairi, A.H., Almutairi, M.H., Alreshidi, A.M., Alanazi, A.N., & Mahzari, Q.A. (2020). Knowledge and awareness of Diabetes Mellitus among high school students in Saudi Arabia. Open Access Macedonian Journal of Medical Sciences, 8(E), 91–97. https://doi.org/10.3889/oamjms.2020.4194

American Diabetes Association. (2025). Plan your plate for diabetes-friendly eating. https://tinyurl.com/4n6yxsfa

Bondonno, N., Davey, R., Murray, K., Radavelli-Bagatini, S., Bondonno, C., Blekkenhorst, L., Sim, M., Lewis, J., Hodgson, J., Daly, R., Magliano, D., & Shaw, J. (2021). Associations between fruit intake and risk of diabetes in the AusDiab cohort. Journal of Clinical Endocrinology & Metabolism. https://doi.org/10.1210/clinem/dgab335

Cando, L.F., Quebral, E.P., Ong, E., Tan, D.E.G., Peralta, M.R.B., Francisco, C.P.D., Hernandez, J.M., Quinto, M.V.A., & Tantengco, O.A. (2024). Current status of Diabetes Mellitus care and management in the Philippines: A narrative review. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 18, 102951. https://doi.org/10.1016/j.dsx.2024.102951

Carbajal-Carrera, B. (2021). Mapping connections among activism interactional practices and presence in videoconferencing language learning. System, 99, 102527. https://doi.org/10.1016/j.system.2021.102527

Caridade, S.M., Sousa, H.F., & Pimenta Dinis, M.A. (2020). The mediating effect of parental involvement on school climate and behavior problems: School personnel perceptions. Behavioral Sciences, 10(8), 129. https://doi.org/10.3390/bs10080129

Chandrasekaran, P., & Weiskirchen, R. (2024). The role of obesity in type 2 Diabetes Mellitus—An overview. International Journal of Molecular Sciences, 25(3), 1882. https://doi.org/10.3390/ijms25031882

Chikendu, R. (2022). Visual learning style and academic performance of senior secondary school students in Anambra State, Nigeria. African Journal of Educational Management, Teaching and Entrepreneurship Studies, 7(1), 25–36. https://ajemates.org/index.php/ajemates/article/view/128

City Health Office of San Pablo City. (2024). San Pablo City health statistics report 2023. San Pablo City Health Office.

Cleveland Clinic. (2024). Diabetes. https://tinyurl.com/eenzn9m4

Debnath, D., Ray, J., Jah, S.M., & Marimuthu, Y. (2024). Smoking and the risk of type 2 diabetes: A review. Indian Journal of Community Medicine, 49(4), 588–592. https://doi.org/10.4103/ijcm.ijcm_1009_22

Department of Health – Center for Health Development CAR. (2023). Diabetes Awareness Week. https://caro.doh.gov.ph/diabetes-awareness-week/

Diabetes UK. (2023). Type 2 diabetes symptoms. https://tinyurl.com/yaemfsdm

DOST FNRI. (n.d.). Food and Nutrition Research Institute. https://www.fnri.dost.gov.ph/

Erhabor, G.E., Awopeju, O.F., & Oni, A.O. (2023). Psychosocial factors influencing adolescent smoking and vaping: A review. Substance Abuse Treatment, Prevention, and Policy, 18(1), 12.

Galicia-Garcia, U., Benito-Vicente, A., Jebari, S., Larrea-Sebal, A., Siddiqi, H., Uribe, K., Ostolaza, H., & Martín, C. (2020). Pathophysiology of type 2 Diabetes Mellitus. International Journal of Molecular Sciences, 21(17), 6275. https://doi.org/10.3390/ijms21176275

Gatta, L. (2025). Diabetic gastroparesis and its impact. WebMD. https://tinyurl.com/mr2aw6ue

Green, M.J., Gray, L., & Sweeting, H. (2020). Parental smoking and children’s initiation of smoking: Longitudinal evidence from the UK. Nicotine & Tobacco Research, 22(9), 1597–1604. https://doi.org/10.1093/ntr/ntz227

Greenberger, S. (2021). Foundations of quantitative and qualitative research. In Grand Canyon University (Ed.), Foundational Principles of Research Design (1st ed.). Grand Canyon University. https://tinyurl.com/2s3rn5jk

Gyan Sanchay. (2022). Health education methods. https://tinyurl.com/559rmrsz

Holmes, D. (2020). Statistical methods in laboratory medicine. In Clinical Laboratory Medicine (3rd ed., pp. 115–130). McGraw-Hill Education. https://tinyurl.com/4vbxneay

International Diabetes Federation. (n.d.). Type 2 diabetes. https://idf.org/about-diabetes/type-2-diabetes/

Ismail, L., Materwala, H., & Al Kaabi, J. (2021). Association of risk factors with type 2 diabetes: A systematic review. Computational and Structural Biotechnology Journal, 19, 1759–1785. https://doi.org/10.1016/j.csbj.2021.03.003

Jayakumar, S., Venkatesh, A., & Shankar, P.R. (2020). Knowledge and perceptions of adolescents about e-cigarettes: A cross-sectional study. Journal of Preventive Medicine and Hygiene, 61(3), E442–E448.

Kautzky-Willer, A., Leutner, M., & Harreiter, J. (2023). Sex differences in type 2 diabetes. Diabetologia, 66(6), 1036–1049. https://doi.org/10.1007/s00125-023-05891-x

Khan, M.A.B., Hashim, M.J., King, J.K., Govender, R.D., Mustafa, H., & Al Kaabi, J. (2020). Epidemiology of type 2 diabetes: Global burden of disease and forecasted trends. Journal of Epidemiology and Global Health, 10(1), 107–111. https://doi.org/10.2991/jegh.k.191028.001

Kusumawati, N., Agritubella, S. M., Rosy, A., Erlin, F., & Pijl, H. (2024). Challenges in type 2 diabetes prevention among senior high school students: A qualitative study. International Journal of Community Based Nursing and Midwifery, 12(3), 175–187. https://doi.org/10.30476/IJCBNM.2024.101360.2413

Lago, F. (2021). The learning modalities of senior high school students in a vocational and industrial school and its relation to communication skills. International Journal of Arts, Sciences and Education, 1(2), 181–197. https://ijase.org

Li, H., Lv, J., Yu, C., Guo, Y., Bian, Z., Fan, J., Yang, L., Chen, Y., Du, H., Long, H., Zhang, Z., Chen, J., Chen, Z., Huang, T., Li, L., & for the China Kadoorie Biobank Collaborative Group. (2020). The association between age at initiation of alcohol consumption and type 2 Diabetes Mellitus: A cohort study of 0.5 million persons in China. American Journal of Epidemiology, 189(12), 1478–1491. https://doi.org/10.1093/aje/kwaa119

Li, T., Quan, H., Zhang, H., Lin, L., Lin, L., Ou, Q., & Chen, K. (2021). Type 2 diabetes is more predictable in women than men by multiple anthropometric and biochemical measures. Scientific Reports, 11(1), 6062. https://doi.org/10.1038/s41598-021-85581-z

Mayo Clinic. (n.d.). Diabetes and liver disease. https://tinyurl.com/ycxyhykz

Mayo Clinic. (n.d.). Diabetes symptoms: Thirst and frequent urination. https://tinyurl.com/t3eub4eh

Mayo Clinic. (n.d.). Exercise: 7 benefits of regular physical activity. https://tinyurl.com/4eshr7e2

Mayo Clinic. (n.d.). Type 2 diabetes diagnosis and treatment. https://tinyurl.com/39feneuc

Mayo Clinic. (2024). Type 2 diabetes – Symptoms and causes. https://tinyurl.com/3fn67shm

Mohamad, M., Ismail, L.C., Stojanovska, L., Hashim, M., Abdul Kadir, S.Y., Jarrar, A., Saleh, S.T., Abu Jamous, D.O., & Al Dhaheri, A. (2021). The prevalence of diabetes amongst young Emirati female adults in the United Arab Emirates: A cross-sectional study. PLOS One, 16(6), e0252884. https://doi.org/10.1371/journal.pone.0252884

National Institute of Diabetes and Digestive and Kidney Diseases. (n.d.). Diabetic kidney disease. https://tinyurl.com/4r6cy3zz

Nemours Teen Health. (2022). Carbohydrates and diabetes. https://kidshealth.org/en/teens/carbs-diabetes.html

Nikolopoulou, K. (2022). What is purposive sampling? Definition & examples. Scribbr. https://tinyurl.com/35jh2u2t

Pramanik, S., Mondal, S., Palui, R., & Ray, S. (2024). Type 2 diabetes in children and adolescents: Exploring the disease heterogeneity and research gaps to optimum management. World Journal of Clinical Pediatrics, 13(2), 91587. https://doi.org/10.5409/wjcp.v13.i2.91587

Pulimeno, M., Piscitelli, P., Colazzo, S., Colao, A., & Miani, A. (2020). School as ideal setting to promote health and wellbeing among young people. Health Promotion Perspectives, 10(4), 316–324. https://doi.org/10.34172/hpp.2020.50

Rahman, M.M., Arif, M.T., & Zaman, S. (2020). Knowledge, attitudes, and practices related to vaccination among waste collectors in Malaysia. Global Journal of Health Science, 12(7), 117–128. https://tinyurl.com/548zj4jj

Rasheeda, S., Sabana, K., Raifa, A., & Nethra, K. (n.d.). Role of teacher in school health education. Scribd. https://tinyurl.com/yv9rpsr7

Sami, W., Ansari, T., Butt, N.S., & Ab Hamid, M.R. (2022). Effect of diet on type 2 Diabetes Mellitus: A review. Diabetes Therapy, 13(5), 1231–1246.

Shiferaw, W.S., Akalu, T.Y., Desta, M., Petrucka, P., Dessie, G., Aynalem, Y.A., Tadesse, D.B., Alemu, A.S., & Getnet, A. (2021). Effect of educational interventions on knowledge of the disease and glycaemic control in patients with type 2 Diabetes Mellitus: A systematic review and meta-analysis of randomized controlled trials. BMJ Open, 11(12), e049806. https://doi.org/10.1136/bmjopen-2021-049806

Singer, M., Dorrance, K., Oxenreiter, M., Yan, K., & Close, K. (2021). The type 2 diabetes “modern preventable pandemic” and replicable lessons from the COVID-19 crisis. Preventive Medicine Reports, 25, 101636. https://doi.org/10.1016/j.pmedr.2021.101636

Srivastava, S., Kumar, P., Rashmi, et al. (2021). Does substance use by family members and community affect the substance use among adolescent boys? BMC Public Health, 21, 1896. https://doi.org/10.1186/s12889-021-11911-5

University Hospitals. (2023). Can eating too much sugar cause diabetes? University Hospitals Blog. https://tinyurl.com/33jmdyv4

Valaiyapathi, B., Gower, B., & Ashraf, A. (2020). Pathophysiology of type 2 diabetes in children and adolescents. Current Diabetes Reviews, 16(3), 220–229. https://doi.org/10.2174/1573399814666180608074510

Wang, Q., Miao, G., Miao, S., Li, P., & Chen, J. (2025). Knowledge, attitudes, and practices of healthcare professionals regarding diabetes self-management education and support in China: A cross-sectional survey. Scientific Reports, 15(1), 21163. https://doi.org/10.1038/s41598-025-08537-7

Watts, L., Hamza, E.A., Bedewy, D., & Moustafa, A. (2023). A meta-analysis study on peer influence and adolescent substance use. Current Psychology. https://doi.org/10.1007/s12144-023-04944-z

Weber, M.B., Hassan, S., Quarells, R., & Shah, M. (2021). Prevention of type 2 diabetes. Endocrinology and Metabolism Clinics of North America, 50(3), 387–400. https://doi.org/10.1016/j.ecl.2021.05.003

World Health Organization. (2023). Diabetes. WHO Fact Sheet. https://tinyurl.com/ytv928bz

World Health Organization. (n.d.). Diabetes. World Health Organization. https://www.who.int/health-topics/diabetes

World Health Organization. (n.d.). Global Accelerated Action for the Health of Adolescents (AA-HA!): Guidance to support country implementation (2nd ed.). WHO Guidance Document. https://tinyurl.com/yn8s3utz

World Health Organization. (n.d.). The role of teachers in supporting health. WHO Tools – Your Life Your Health. https://tinyurl.com/2t9mrxz3

Xie, J., Wang, M., Long, Z., Fan, X., Pan, R., Ji, L., Liu, J., & Pan, A. (2022). Global burden of type 2 diabetes in adolescents and young adults, 1990–2019: Systematic analysis of the Global Burden of Disease Study 2019. BMJ, 379, e072385. https://doi.org/10.1136/bmj-2022-072385

Yuan, S., Li, X., Liu, Q., Wang, Z., Jiang, X., Burgess, S., & Larsson, S. (2023). Physical activity, sedentary behavior, and type 2 diabetes: Mendelian randomization analysis. Journal of the Endocrine Society, 7(8), bvad090. https://doi.org/10.1210/jendso/bvad090

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Published

2026-03-17

How to Cite

Brucal, G. N., Narvaez, L. A., Bondad, G. C., Abordo, L. I., Lajara, V., & Quintana, M. L. (2026). Type 2 Diabetes Mellitus (T2DM) Knowledge Among Senior High School Students Before and After a Structured Health Education Intervention at Canossa College – San Pablo City, Inc. Journal of Interdisciplinary Perspectives, 4(4), 188–198. Retrieved from https://jippublication.com/index.php/jip/article/view/2527

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