[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
Main Menu
Home::
Journal Information::
Articles archive::
For Authors::
Publication Ethics::
Editorial policy::
Contact us::
Site Facilities::
Reviewe::
::
Citation Impact
..
Search in website

Advanced Search
..
Receive site information
Enter your Email in the following box to receive the site news and information.
..
COPE Membership

AWT IMAGE

..
Creative Commons Licence
..
Open access
..
:: Volume 13, Issue 2 (4-2025) ::
Iran J Health Educ Health Promot 2025, 13(2): 173-188 Back to browse issues page
The Effect of Educational Intervention Based on Social Cognitive Theory on Self-care Behavior of Patients with Diabetes Referring to Comprehensive Health Service Centers in Fasa
Laleh Hassani , Asiyeh Yari * , Shokrollah Mohseni
Abstract:   (326 Views)
Background and objectives: Diabetes is the most common chronic metabolic disease in the world. The present study was conducted with the aim of determining the effect of an educational program based on social cognitive theory on the self-care behaviors of patients with type 2 diabetes in Fasa city.

Materials and Methods: This semi-experimental study was conducted in 2018 on 106 patients with type 2 diabetes referring to comprehensive health service centers in Fasa city. The samples were randomly divided into two intervention groups (53 people) and control (53 people). The data was collected by the standard questionnaire of self-care behavior and the researcher-made questionnaire of social cognitive theory, which was completed by both intervention and control groups before and 3 months after the educational intervention. The educational intervention was held during 12 sessions of 60-90 minutes using lecture methods, providing an automatic disk program for the intervention group. The data were analyzed by SPSS software version 23 and descriptive statistical tests, chi-square, independent t and paired t. The significance level (p < 0.05) was considered.

Results: The average age of patients in the intervention group was 48.81±8.56 years and the control group was 49.37±8.60 years. After the educational intervention, the average scores of awareness and all constructs of social cognitive theory and self-care behavior in the test group increased significantly compared to the control group (p<0.05). Also, Hemoglobin A1C and Fast Blood Sugar decreased after the intervention in the test group compared to the control group (p<0.05).

Conclusion: According to the results of the present study, self-care increased in the patients of the intervention group compared to the control group after the educational intervention, so social cognitive theory can be a suitable framework for designing educational interventions to promote self-care behaviors in patients with diabetes.

Open Access Policy: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. To view a copy of this license, visit https://creativecommons.org/licenses/by/4.0/
Keywords: Education, Social Cognitive Theory, Self-care Behavior, Type 2 Diabetes, Fasa
Full-Text [PDF 330 kb]   (124 Downloads)    
Type of Study: Research | Subject: Health Promotion Interventions
Received: 2024/09/10 | Accepted: 2025/01/12
References
1. Aalaa M, Sanjari M, Shahbazi S, Shayeganmehr Z, Abooeirad M, Amini MR, et al. Diabetic foot workshop: Improving technical and educational skills for nurses. Medical journal of the Islamic Republic of Iran. 2017;31:8. [DOI:10.18869/mjiri.31.8] [PMID] []
2. Schaarup C, Pape-Haugaard L, Jensen MH, Laursen AC, Bermark S, Hejlesen OK. Probing community nurses' professional basis: a situational case study in diabetic foot ulcer treatment. British journal of community nursing. 2017;22(Sup3):S46-S52. [DOI:10.12968/bjcn.2017.22.Sup3.S46] [PMID]
3. Jaacks LM, Siegel KR, Gujral UP, Narayan KV. Type 2 diabetes: A 21st century epidemic. Best Practice & Research Clinical Endocrinology & Metabolism. 2016;30(3):331-43. [DOI:10.1016/j.beem.2016.05.003] [PMID]
4. Sackey A, Barnes N, Amoaku W. Quality of life in Ghanaian children and adolescents with type 1 diabetes mellitus compared with non diabetic controls and caregivers' report. 2023.
5. Jalilian H, Heydari S, Imani A, Salimi M, Mir N, Najafipour F. Economic burden of type 2 diabetes in Iran: A cost‐of‐illness study. Health Science Reports. 2023;6(2):e1120. [DOI:10.1002/hsr2.1120] [PMID] []
6. Alijani M, Siavash M, Abazari P. Describing the Process and Outcome of Diabetes Self-Management Education and Support in Comprehensive Health Service Centers and Diabetes Clinics in Isfahan Province. Iranian Journal of Diabetes and Metabolism. 2023;23(5):282-96.
7. Alavi Nia M, Ghotbi M, Mahdavi-Hezaveh A, Kermanchy J, Nasli-Esfahani E, Yarahmadi S. The national program to prevent and control type 2 diabetes. Implemented in Urban areas, Spring. 2012:22-9.
8. Shi L, Shu X-O, Li H, Cai H, Liu Q, Zheng W, et al. Physical activity, smoking, and alcohol consumption in association with incidence of type 2 diabetes among middle-aged and elderly Chinese men. PloS one. 2013;8(11):e77919. [DOI:10.1371/journal.pone.0077919] [PMID] []
9. Cloete L. Diabetes mellitus: an overview of the types, symptoms, complications and management. Nursing Standard (Royal College of Nursing (Great Britain): 1987). 2021;37(1):61-6. [DOI:10.7748/ns.2021.e11709] [PMID]
10. Dehvan F, Nasif FQ, Dalvand S, Ausili D, Dehkordi AH, Gheshlagh RG. Self-care in Iranian patients with diabetes: A systematic review and meta-analysis. Primary care diabetes. 2021;15(1):80-7. [DOI:10.1016/j.pcd.2020.08.013] [PMID]
11. Suryasa IW, Rodríguez-Gámez M, Koldoris T. Health and treatment of diabetes mellitus. International journal of health sciences. 2021;5(1):1-5. [DOI:10.53730/ijhs.v5n1.2864]
12. Špernjak A, Šorgo A. The worldview of pre-service and in-service teachers about health education. Journal of Elementary Education/Revija za Elementarno Izobraževanje. 2020;13(2). [DOI:10.18690/rei.13.2.193-214.2020]
13. Azimi H, Ghorbani H. Effect of the Control Mechanism on Orientation (Case Study: Managers and Deputies of Esfahan Social Security Organization). International Journal of Scientific Management & Development. 2016;4(6).
14. Safari M, Shojaei-Zadeh D, Ghofranipour F, Heydarnia A, Pakpur A. Theories, models and methods of health education and health promotion. Tehran: Asaresobhan. 2009:64-75.
15. Babazadeh T, Mokammel A, Moradil F, Shariat F, Banaye Jeddi M. The effect of educational intervention based on the extended theory of reasoned action on self-care behaviors in patients with type 2 diabetes. Journal of Health. 2017;8(3):256-67.
16. Toobert DJ, Hampson SE, Glasgow RE. The summary of diabetes self-care activities measure: results from 7 studies and a revised scale. Diabetes care. 2000;23(7):943-50. [DOI:10.2337/diacare.23.7.943] [PMID]
17. MOHAMADZADEH S, Ezatti Z, Abedsaeidi Z, Nasiri N. Coping styles and self-care behaviors among diabetic patients. 2013.
18. Shojaeezadeh D, Tol A, Sharifirad G, Alhani F. Effect of education program based on empowerment model in promoting self-care among type 2 diabetic patients in Isfahan. 2013.
19. Izadirad H, Masoudi GR, Zareban I, Shahraki Poor M, Jadgal K. The Effect of Educational Program Based on BASNEF Model on Women's Blood Pressure with Hypertension. Journal of Torbat Heydariyeh University of Medical Sciences. 2013;1(2):22-31.
20. Jalilian F, Zinat Motlagh F, Solhi M. Effectiveness of education program on increasing self management among patients with type II diabetes. Journal of Ilam University of Medical Sciences. 2012;20(1):26-34.
21. Oshvandi K, Jokar M, Khatiban M, Keyani J, Yousefzadeh MR, Sultanian AR. The effect of self care education based on teach back method on promotion of self care behaviors in type ii diabetic patients: a clinical trial study. Iranian journal of Diabetes and Metabolism. 2014;13(2):131-43.
22. Daghio M, Fattori G, Ciardullo A. Use of pictorial advice to promote compliance to diet and drugs among illiterate and migrant patients. Journal of Diabetology. 2010;1(3):4. [DOI:10.4103/2078-7685.197567]
23. Heinrich E, Schaper NC, de Vries NK. Self-management interventions for type 2 diabetes: a systematic review. European Diabetes Nursing. 2010;7(2):71-6. [DOI:10.1002/edn.160]
24. Currie SL. Applying the Theory of Planned Behaviour to persons with prediabetes and diabetes: An examination of intention and behaviour for healthy eating and physical activity: Dalhousie University Halifax, Nova Scotia, Canada; 2010.
25. Park Y-H, Song M, Cho B-l, Lim J-y, Song W, Kim S-h. The effects of an integrated health education and exercise program in community-dwelling older adults with hypertension: A randomized controlled trial. Patient education and counseling. 2011;82(1):133-7. [DOI:10.1016/j.pec.2010.04.002] [PMID]
26. Jordan DN, Jordan JL. Foot self-care practices among Filipino American women with type 2 diabetes mellitus. Diabetes Therapy. 2011;2:1-8. [DOI:10.1007/s13300-010-0016-2] [PMID] []
27. GHANEI R, Golkar F, Aminpoor E. Foot care in depressed and non-depressed diabetic patients. 2013.
28. Kolb H, Kempf K, Martin S, Stumvoll M, Landgraf R. On what evidence-base do we recommend self-monitoring of blood glucose? Diabetes research and clinical practice. 2010;87(2):150-6. [DOI:10.1016/j.diabres.2009.10.014] [PMID]
29. Mashrouteh M, Khanjani N, Gozashti MH. Evaluation of compliance with drug regimens in diabetic patients referred to the endocrinology clinic of Afzalipour Hospital, Kerman, Iran. Health and Development Journal. 2012;1(3):182-92.
30. Gholamaliei B, Karimi-Shahanjarini A, Roshanaei G, Rezapour-Shahkolaei F. Medication adherence and its related factors in patients with type II diabetes. Journal of Education and Community Health. 2016;2(4):3-12. [DOI:10.21859/jech-02042]
31. Kordi M, Banaei M, Asgharipour N, Mazloum SR, Akhlaghi F. Prediction of self-care behaviors of women with gestational diabetes based on Belief of Person in own ability (self-efficacy). The Iranian Journal of Obstetrics, Gynecology and Infertility. 2016;19(13):6-17.
32. Esmaeily H, Peyman N, Taghipour A, KHorashadizadeh F, Mahdizadeh M. A structural equation model to predict the social-cognitive determinants related to physical activity in Iranian women with diabetes mellitus. Journal of research in health sciences. 2014;14(4):296-302.
33. Bandura A. Health promotion by social cognitive means. Health education & behavior. 2004;31(2):143-64. [DOI:10.1177/1090198104263660] [PMID]
34. Plotnikoff RC, Lippke S, Courneya KS, Birkett N, Sigal RJ. Physical activity and social cognitive theory: a test in a population sample of adults with type 1 or type 2 diabetes. Applied Psychology. 2008;57(4):628-43. [DOI:10.1111/j.1464-0597.2008.00344.x]
35. Mohebbi S, Azadbakht L, Feyzi A, Sharifirad G, Hozoori M. An assessment of the correlation between nutritional self-management and health promotion model constructs in women with metabolic syndrome, 2012. 2013.
36. Farinaz A, Nasrin O, Dolly B, Bahrain R, Elham S, Baran H. Effect of a school-based intervention based on social cognitive theory on fruit and vegetable consumption in middle school students in Tehran. 2012.
37. Nasri S, Amani J, Safavi G, Ghazinoory S. How does the problem-oriented innovation system (PIS) help in the management of cardiovascular diseases? Frontiers in Public Health. 2024;12:1362716. [DOI:10.3389/fpubh.2024.1362716] [PMID] []
38. Jalily M, Barati M, Bashirian S. Using social cognitive theory to determine factors predicting nutritional behaviors in pregnant women visiting health centers in Tabriz, Iran. Journal of Education and Community Health. 2015;1(4):11-21. [DOI:10.20286/jech-010411]
39. Khani Jeihooni A, Hidarnia A, Kaveh MH, Hajizadeh E, Gholami T. Survey of osteoporosis preventive behaviors among women in Fasa: The Application of the Health Belief Model and Social Cognitive Theory. Iranian South Medical Journal. 2016;19(1):48-62.
40. Park M, Kim S, Cho E, Park S, Kang H. A study on the development of a self-regulated exercise maintenance program for osteoporotic elderly women: Using intervention mapping protocol. J Korean Gerontological Society. 2013;33(2).
41. Mohebi B, Sadeghi R, Tol A, Yaseri M. The effect of educational intervention based on Social Cognitive Theory on self-care and self-management in rational use of antibiotics. Journal of Nursing Education. 2018;7(1):38-47.
42. Najimi A, Ghaffari M, Alidousti M. Social cognitive correlates of fruit and vegetables consumption among students: a cross-sectional research. Pajoohandeh Journal. 2012;17(2):81-6.
43. Tibbs T, Haire-Joshu D, Schechtman KB, Brownson RC, Nanney MS, Houston C, et al. The relationship between parental modeling, eating patterns, and dietary intake among African-American parents. Journal of the American Dietetic Association. 2001;101(5):535-41. [DOI:10.1016/S0002-8223(01)00134-1] [PMID]
44. Madden MH, Tomsik P, Terchek J, Navracruz L, Reichsman A, demons Clark T, et al. Keys to successful diabetes self-management for uninsured patients: social support, observational learning, and turning points: a safety net providers' strategic alliance study. Journal of the National Medical Association. 2011;103(3):257-64. [DOI:10.1016/S0027-9684(15)30292-3] [PMID]
45. Keogh KM, Smith SM, White P, McGilloway S, Kelly A, Gibney J, et al. Psychological family intervention for poorly controlled type 2 diabetes. The American journal of managed care. 2011;17(2):105-13.
46. Ghoreishi M-S, Vahedian-Shahroodi M, Esmaily H, Tehrani H. Predictive factors related to self-care behaviors among type2 diabetic patients by using social cognitive model. Iranian Journal of Health Education and Health Promotion. 2018;6(3):241-50. [DOI:10.30699/acadpub.ijhehp.6.3.241]
47. Karimi-Shahanjarini A, Sharifi M, Bashirian S, Moghimbeigi A, Pour N. Determinants of healthy snacks choice by mothers of 1-5 years old children in Hamadan based on social cognitive theory (SCT). 2015.
48. Kashfi S, Hatami M. Evaluation of the effects of educating about nutrition and jogging on the blood sugar of type II diabetic patients of a clinic in Shiraz, Iran. Hakim Journal. 2009;12(3):54-60.
49. Yousefipoor P, Tadibi V, Behpoor N, Parnow A, Delbari M, Rashidi S. Effects of aerobic exercise on glucose control and cardiovascular risk factor in type 2 diabetes patients. Medical Journal of Mashhad University of Medical Sciences. 2015;57(9):976-84.
Send email to the article author

Add your comments about this article
Your username or Email:

CAPTCHA

Ethics code: IR.HUMS.REC.1398.031



XML   Persian Abstract   Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Hassani L, Yari A, Mohseni S. The Effect of Educational Intervention Based on Social Cognitive Theory on Self-care Behavior of Patients with Diabetes Referring to Comprehensive Health Service Centers in Fasa. Iran J Health Educ Health Promot 2025; 13 (2) :173-188
URL: http://journal.ihepsa.ir/article-1-2917-en.html


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 13, Issue 2 (4-2025) Back to browse issues page
فصلنامه آموزش بهداشت و ارتقاء سلامت ایران Iranian Journal of Health Education and Health Promotion
Persian site map - English site map - Created in 0.06 seconds with 44 queries by YEKTAWEB 4689