Farbod Ebadifard Azar1, Mahnaz Solhi2, Fatemeh Darabi3, Alireza Rohban4, Mitra Abolfathi5, Nazila Nejhaddadgar6. 1. Department of Health Services and Health Education, School of Health, Iran University of Medical Sciences, Tehran, Iran. Electronic address: dr_febadi@yahoo.com. 2. Department of Health Services and Health Education, School of Health, Iran University of Medical Sciences, Tehran, Iran. Electronic address: solhi.m@iums.ac.ir. 3. Department of Public Health, Asadabad School of Medical Sciences, Asadabad, Iran. Electronic address: fatemedarabi43@yahoo.com. 4. Department of Rehabilitation Management, School of Rehabilitation, Iran University of Medical Sciences, Tehran, Iran. Electronic address: Rohban.a@gmail.com. 5. Department of Health Services and Health Education, School of Health, Iran University of Medical Sciences, Tehran, Iran. Electronic address: Mabolfathi74@yahoo.com. 6. Department of Health Services and Health Education, School of Health, Iran University of Medical Sciences, Tehran, Iran. Electronic address: n.dadgar@arums.ac.ir.
Abstract
AIMS: Diabetes mellitus is a chronic and progressive disease which requires ongoing medical care as well as patient's self-care skills to prevent acute complications. The purpose of this study is to determine the effect of the PRECEDE-PROCEED model combined with self-management theory on self-care behaviors in type 2 diabetic patients. METHODS: In this semi-experimental study, 86 type 2 diabetic patients referred to the diabetes clinic of Ardabil were randomly selected and divided into two groups (n = 43). Patients in group 1 received educations based on PRECEDE-PROCEED model combined with self-management theory while patients in group 2 received only educations based on PRECEDE-PROCEED model. The self-made questionnaire was used to measure demographic information and PRECEDE-PROCEED model variables at baseline and one month after the intervention. RESULTS: The mean scores of knowledge, attitude, self-efficacy (p = 0.001), self-care (p = 0.001), enabling factors, and reinforcing factors had significant differences in both groups before and after the intervention (p < 0.05). In addition, one month after the intervention, the mean scores of attitude, self-efficacy, self-care, and reinforcing factors were significantly higher in group 1 compared to group 2. CONCLUSION: The results indicate the effectiveness of an educational intervention based on PRECEDE-PROCEED model combined with self-management theory to improve self-care behaviors in patients with type 2 diabetes.
RCT Entities:
AIMS: Diabetes mellitus is a chronic and progressive disease which requires ongoing medical care as well as patient's self-care skills to prevent acute complications. The purpose of this study is to determine the effect of the PRECEDE-PROCEED model combined with self-management theory on self-care behaviors in type 2 diabeticpatients. METHODS: In this semi-experimental study, 86 type 2 diabeticpatients referred to the diabetes clinic of Ardabil were randomly selected and divided into two groups (n = 43). Patients in group 1 received educations based on PRECEDE-PROCEED model combined with self-management theory while patients in group 2 received only educations based on PRECEDE-PROCEED model. The self-made questionnaire was used to measure demographic information and PRECEDE-PROCEED model variables at baseline and one month after the intervention. RESULTS: The mean scores of knowledge, attitude, self-efficacy (p = 0.001), self-care (p = 0.001), enabling factors, and reinforcing factors had significant differences in both groups before and after the intervention (p < 0.05). In addition, one month after the intervention, the mean scores of attitude, self-efficacy, self-care, and reinforcing factors were significantly higher in group 1 compared to group 2. CONCLUSION: The results indicate the effectiveness of an educational intervention based on PRECEDE-PROCEED model combined with self-management theory to improve self-care behaviors in patients with type 2 diabetes.