Affiliation: | 1. Department of Health Services and Health Education, School of Health, Iran University of Medical Sciences, Tehran, Iran;2. Department of Public Health, Asadabad School of Medical Sciences, Asadabad, Iran;3. Department of Rehabilitation Management, School of Rehabilitation, Iran University of Medical Sciences, Tehran, Iran |
Abstract: | AimsDiabetes 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.MethodsIn 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.ResultsThe 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.ConclusionThe 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. |