[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 5, Issue 4 (Winter-2018 2018) ::
Iran J Health Educ Health Promot 2018, 5(4): 296-303 Back to browse issues page
The Impact of Education Based on Self-efficacy Theory on Health Literacy, Self-efficacy and Self-care Behaviors in Patients With Type 2 Diabetes
Soghra Hejazi * , Nooshin Peyman , Mohammad Tajfard , Habibollah Esmaily
Abstract:   (14918 Views)

Background and Objective: Type 2 diabetes is one of the most important public health challenges. Self-efficacy and health literacy play a key role in self-care for diabetic patients. The aim of this study was to determine the effect of training based on self-efficacy theory on health literacy, self-care behaviors and self-efficacy in patients with type 2 diabetes.
 
Methods: This quasi-experimental study was conducted on 70 patients with type 2 diabetes that were randomly divided into two groups of experimental and control. Data were evaluated with standard questionnaires including TOHFLA, SDSCA, CIDS. The educational programs were implemented for the experimental group, then after the intervention, the results were analyzed by SPSS16 software.
Results: Before the intervention, the two groups did not show a significant different in terms of mean scores for self-efficacy (t=0.29, P=0.77), self-care behavior (t=0.42, p= 0.67) and health literacy scores (t=0.38, p=0.69). However, after the educational intervention, the mean scores of the test group increased and both groups indicated a significant difference in mean scores of self-efficacy (t=0.099, p=0.001), self-care behavior (t=3.13, p=0.003) and health literacy scores (t=2.66, p=0.01).
Conclusion: The results of this study showed that educational intervention based on self-efficacy theory is effective to improve self-efficacy and health literacy in diabetic patients. Therefore, the use of self-efficacy strategies is recommended for control programs in health care among diabetic people. 

Keywords: Health education, self-efficacy, self-care, health literacy, type 2 diabetes
Full-Text [PDF 893 kb]   (4478 Downloads)    
Type of Study: Research |
Received: 2017/05/12 | Accepted: 2017/08/21
References
1. Busetto L, Luijkx KG, Vrijhoef HJ. Implementation of integrated care for type 2 diabetes: a protocol for mixed methods research. Int J Integr Care 2014; 14:e033 [DOI] [PubMed]
2. Shaw JE, Sicree RA, Zimmet PZ. Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Res Clin Pract 2010; 87(1): 4-14. [DOI] [PubMed]
3. Yang SH, Dou KF, Song WJ. Prevalence of diabetes among men and women in China. N Engl J Med 2010;362(25): 2425-6. [DOI] [PubMed]
4. Sincree R SJ, Zimmet P. The Global Burden, Diabetes and Impaired Glucose Tolerance. 2010. Available from: URL: https://www.idf.org/sites/default/files/Diabetes
5. International Diabetes Federation. DIABETES ATLAS 2013. sixth edition: Available from: URL: http://www.idf.org/diabetesatlas/introduction.
6. Morowati sharif abad M, RouhanitonekaboniN. Perceived self efficacy in self care behaviors among diabetic patients referring toYazd Diabetes Research Center. J Birjand Uni Med Sci 2008;15(4): 91-100.
7. Agha Molaei T, Eftekhar H, Mohammad k, Application of health Persian belief model to behavior change of diabetic pataints. Payesh 2005;4(4): 263 - 9.
8. Landim CA, Zanetti ML, Santos MA, Andrade TA, Teixeira CR. Self-care competence in the case of Brazilian patients with diabetes mellitus in a multi professional educational programme. J clin nurs 2011; 20(23): 3394-403. [DOI] [PubMed]
9. Funnell MM, Anderson RM, Arnold MS, Barr PA, Donnelly M, Johnson PD, et al. Empowerment: an idea whose time has come in diabetes education. Diabetes Educ 1991; 17(1): 37-41. [DOI] [PubMed]
10. Bashirian S, Haidarnian A, Allahverdipour H, Hajizadeh E. Application of Theory of Planned Behavior in Predicting Factors of Substance Abuse in Adolescents. J Fasa Uni Med Sci 2012; 2(2):156-62.
11. Ratzan SC, Selden CR, Zorn M, Parker RM. National Library of Medicine Current Bibliographies in Medicine: Health Literacy. Pub. No. CBM 2000-1.
12. Morgan C, Currie C, Scott N, et.al. The prevalence of multiple diabetes-related complications. Diabet Med 2000; 17(2):146-51 [DOI] [PubMed]
13. Doweny La,Vonne A, Zun Leslie S. Assessing adult health literacy in urban health care settings.JNati Med Assoc 2008;100(11):1304-8 [Article] [DOI]
14. Marmot M, Frial S, Bell R, Houwelig TA, Taylor S. Closing the gap in a generation: health equity through action on the social determinants of health. J Lancet 2008; 372(9650): 1661-9. [DOI] [PubMed]
15. Reisi M, Mostafavi F, Hasanzadeh A, SharifiradGH.The relationship between health literacy, health status and healthy behaviors among elderly in Isfahan. J Educ Health Promot 2012;1(1):31. [DOI] [PubMed]
16. Sarkar U, Fisher L, Schilinger D. Is self efficacy associated with diabetes self management across Race/Athinicity and health literacy? J Diabetes car 2006; 29(4): 823-29. [PubMed]
17. Bandura A. Self efficacy mechanism in human agency. The American Psychologist 1982; 37(2):122-47. [Article] [DOI]
18. Wahba H, Chang YF. Factors associated with glycemic control in patients with type 2 diabetes mellitus in rural areas of the United States. J Insulin 2007; 2(4): 134-41. [DOI]
19. Fu D, Fu H, McGowan P, Shen YE, Zhu L, Yang H, et al. Implementation and quantitative evaluation of chronic disease self management programme in Shanghai China: randomized Controlled trial. Bulletin WHO 2003;81(3):174-182. [PubMed]
20. Van der Bijl JJ, Shortridge Baggett LM. The theory and measurement of self-efficacy construct. SchInq Nurs Pract 2001;15(3):189-207. [PubMed]
21. Tol A, Pourreza A, RahimiForoshani A, Tavassoli E. Assessing the effect of educational program based on small group on promoting knowledge and health literacy among women withtype2 diabetes. J Razi 2013; 19(104):10-18. [Article]
22. Dehghan H, Khankeh HR, Mohammadi F,soltani R.The study of the effect of educational intervention based on the self-efficacy theory on diabetes management among patients who attained in Diabetes clinic of AqQala City. J Prev& Health, 2015; 1(1): 1-10.
23. 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] [PubMed]
24. Kim S,Love F,Quistberg DA,Shea JA. Association of health literacy with self-management behavior in patients with diabetes. Diabetes Care 2004;27(12):2980-2. [DOI] [PubMed]
25. Reisi M, Mostafavi F, Javadzade H, Mahaki B, Tavassoli E, Sharifirad GH. Communicative and critical healh literracy and self-care behavior in patients with type 2 diabetes. IJ Diabetes and Metabolism 2015; 14(3):199-208. [Article]
26. Van DerVan NC. The confidence in diabetes self care scale: Psychometric properties of a new measure of diabetes specific self efficacy in Duch and US patients with type I diabetes. Diabetes Care 2003; 26(3): 713-18. [DOI] [PubMed]
27. Javadzade H, Sharifirad Gh, Reisi M, Tavassoli F. Health Literacy among Adults of Isfahan, Iran. J Health Syst Res 2013; 9(5): 540-9.
28. Barasteh S, Seyedoshohadaee M, Jalalinia F, Eghbali M, Nezami M. The relationship between health literacy and self-care behaviors in patients with type 2 diabetes. J Nurs Res 2015;10(4):43-51. [Article]
29. Shi Q, Ostwald SK, Wang S. Improving glycaemic control self-efficacy and glycaemic control behaviour in Chinese patients with Type 2 diabetes mellitus: randomized controlled trial. J Clin Nurs 2010; 19(3-4):398-404. [DOI] [PubMed]
30. Niknami S, Rakhshani F. The effect of self efficacy education program on reducing blood sugar levels in patients with type 2 diabetes. J HE&HP 2013; 1(1): 67-79.
31. Ha M, Hu J, Petrini MA, McCoy TP. The effects of an educational self-efficacy intervention on osteoporosis prevention and diabetes self-management among adults with type 2 diabetes mellitus. Biol Res Nurs 2014; 16(4):357-67. [DOI] [PubMed]
32. Kandula NR, Nsiah-Kumi PA, Makoul G, Sager J, Zei CP, Glass S, et al. The relationship between health literacy and knowledge improvement after a multimedia type 2 diabetes education program. Patient Educ Couns 2009;75(3):321-327. [DOI] [PubMed]
33. Sharp L, Martin S. Lipsk y. The Short -Term Impact of a Continuing Medical Education Program on providers’ Attitudes toward treating diabetes. Diabetes Care 1999; 22(2): 1929–32. [DOI] [PubMed]
34. Cavanaugh K, Wallston KA, GebretsadikT, Shintani A, Huizinga MM, Davis D, et al. Addressing Literacy and Numeracy to Improve Diabetes Care Two randomized controlled trials. Diabetes Care 2009; 32 (12): 2149-55 [DOI] [PubMed]
35. Rakhshandehro S, GHaffari M, Heydari A, Rajab A. The effectiveness of educational interventions on metabolic control in diabetic patients referred to Iranian Diabetes Society. I Jem 2011;14(9):64-57
36. Rahmati F, Jonaidi N, Jafari M. The Effectiveness of Social Cognitive Theory (SCT) Workshop Educational Intervention for HIV/AIDS Risk Reduction in Non-Medical University Students. J Health 2016;1(2):95-103
37. Nasrabadi T, Goodarzi N, Shahrjerdi A, Hamta D. The Effect of Education on Life Style Among Patients Suffering from Ischemic Heart Disease. J Mazan Univ Med Sci 2010;20(79):72-79
Send email to the article author

Add your comments about this article
Your username or Email:

CAPTCHA



XML   Persian Abstract   Print


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

Hejazi S, Peyman N, Tajfard M, Esmaily H. The Impact of Education Based on Self-efficacy Theory on Health Literacy, Self-efficacy and Self-care Behaviors in Patients With Type 2 Diabetes. Iran J Health Educ Health Promot 2018; 5 (4) :296-303
URL: http://journal.ihepsa.ir/article-1-784-en.html


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Volume 5, Issue 4 (Winter-2018 2018) 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 42 queries by YEKTAWEB 4660