Elaheh Lael-Monfared1, Hadi Tehrani2, Zahra Esmati Moghaddam3, Gordon A Ferns4, Maryam Tatari5, Alireza Jafari6. 1. Ph.D Student in Health Education and Health Promotion, Student Research Committee, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Electronic address: elm.monfared@gmail.com. 2. Health Education & Health Promotion, Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. Electronic address: Tehranih@mums.ac.ir. 3. Student Research Committee, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran. Electronic address: esmati.z97@gmail.com. 4. Department of Medical Education Brighton and Sussex Medical School, Division of Medical Education, University of Brighton Falmer Campus, Brighton BN1 9PH, UK. Electronic address: g.ferns@bsms.ac.uk. 5. School of Health, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran. Electronic address: maryamtatary@yahoo.com. 6. Social Determinants of Health Research Center, Gonabad University of Medical Sciences, Gonabad, Iran; Social Determinants of Health Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. Electronic address: jafaria962@mums.ac.ir.
Abstract
AIM: This study has been conducted with the aim of determining the relationship between health literacy, knowledge and self-care behaviors to take care of the diabetic foot in low-income individuals, based on the extended parallel process model (EPPM). METHODS: This cross-sectional study was conducted on 400 patients with type II diabetes referred to the Diabetes Clinic, using a random sampling method and using standard questionnaires. In this study, the constructs of knowledge, EPPM (perceived sensitivity, perceived severity, response efficacy, self-efficacy), and health literacy were significantly related to self-care behaviors (p < 0.05). RESULTS: Based on the linear regression results, the constructs of knowledge, health literacy, and constructs of EPPM were able to account for 43% of the variance to perform diabetic foot self-care behaviors. The maximum impact was related to the constructs of health literacy and self-efficacy (p < 0.001). CONCLUSION: Based on these results, levels of knowledge and health literacy of patients were very poor overall, and the self-care behaviors were not appropriate. On the other hand, considering the great impact of health literacy in performing self-care behaviors, it is suggested that educational courses be held in this regard and proper strategies are employed to enhance the health literacy of diabetic patients.
AIM: This study has been conducted with the aim of determining the relationship between health literacy, knowledge and self-care behaviors to take care of the diabetic foot in low-income individuals, based on the extended parallel process model (EPPM). METHODS: This cross-sectional study was conducted on 400 patients with type II diabetes referred to the Diabetes Clinic, using a random sampling method and using standard questionnaires. In this study, the constructs of knowledge, EPPM (perceived sensitivity, perceived severity, response efficacy, self-efficacy), and health literacy were significantly related to self-care behaviors (p < 0.05). RESULTS: Based on the linear regression results, the constructs of knowledge, health literacy, and constructs of EPPM were able to account for 43% of the variance to perform diabetic foot self-care behaviors. The maximum impact was related to the constructs of health literacy and self-efficacy (p < 0.001). CONCLUSION: Based on these results, levels of knowledge and health literacy of patients were very poor overall, and the self-care behaviors were not appropriate. On the other hand, considering the great impact of health literacy in performing self-care behaviors, it is suggested that educational courses be held in this regard and proper strategies are employed to enhance the health literacy of diabeticpatients.
Authors: C D Weller; Victoria Team; Sebastian Probst; Georgina Gethin; Catelyn Richards; Jane Sixsmith; Louise Turnour; Ayoub Bouguettaya Journal: BMJ Open Date: 2021-05-11 Impact factor: 2.692
Authors: Elham Charoghchian Khorasani; Seyedeh Belin Tavakoly Sany; Hadi Tehrani; Hassan Doosti; Nooshin Peyman Journal: Int J Environ Res Public Health Date: 2020-10-16 Impact factor: 3.390