The effect of education based on the theory of planned behavior on the health literacy and self-care in patients with type 2 diabetes

sayed hadi, khakzadi and easa, mohammadizeidi and hadi, morshedi (2019) The effect of education based on the theory of planned behavior on the health literacy and self-care in patients with type 2 diabetes. Masters thesis, Qazvin University Of Medical Sciences,Qazvin,Iran.

[img] PDF
Download (439kB)


Abstract Background and Aim: Diabetes is one of the chronic diseases that causes physical and psychological problems. Lowering the quality of life, diabetes can cause personal and social problems. Diabetic patients are prone to blindness, kidney diseases, foot ulcers, amputation, cardiovascular diseases, strokes, infections and oral diseases. Therefore, preventing its complications in patients is of great significance. This study was conducted with the aim of investigating the effect of teaching the Theory of Planned Behavior on the education level and self-care of type-2 diabetic patients in Sowme'eh Sara City. Materials and Methodology: This quasi-experimental study was conducted using multistage sampling on 166 participants from 4 centers of 13 Comprehensive Health Service Centers in Sowme'eh Sara. The samples were randomly divided into experimental and control groups. The data collection tools included the demographic questionnaire and variables, a researcher-made questionnaire to measure the structures of the Theory of Planned Behavior, Health Literacy Questionnaire and Self-Care Questionnaire. The educational program for the experimental group was performed based on the structures of the Theory of Planned Behavior over five sessions of 45 minutes including speeches, questions and answers, demonstrations, videos, pamphlets and educational booklets. The data entered SPSS 23 and was analyzed using independent and paired T-test, chi-square test and one-way ANOVA. The significance level was below 0.05 in this study. Findings: The average age of the research participants was 57.29 ± 9.49 and the average BMI of the patients was 27.51 ± 4.49 before the educational intervention. No significant difference was observed between the experimental and control groups in terms of TPB structures, while after the education, the average TPB structures significantly increased including the attitude score (from 22.45 ± 2.11 to 33.12 ± 1.59, P = 0.001), abstract norms score (from 13.61 ± 1.51 to 20.01 ± 2.16, P = 0.003), perceived behavioral control score (from 14.06 ± 1.25 to 21.30 ± 2.82, P = 0.002), and behavioral intention score (from 11.4 ± 1.48 to 20.21 ± 2.74, P = 0.000) in the experimental group. Moreover, the average score of the following items increased significantly including the health literacy (from 2.25 ± 0.51 to 3.08 ± 0.42, P = 0.001), functional health literacy (from 1.84 ± 0.9 to 2.91 ± 0.8, P = 0.002), communicative health literacy (from 2.31 ± 0.69 to 3.11 ± 0.52, P = 0.001), and critical health literacy (from 2.25 ± 0.51 to 3.08 ± 0.42, P = 0.002) in the experimental group. Furthermore, results showed an improvement in the average self-care behaviors such as sports and physical activities (from 1.8 ± 0.7 to 3.6 ± 0.5, P 0.001), nutrition (from 26.28 ± 3.88 to 41.25 ± 10.17, P = 0.001), foot care (7.14 ± 3.77 to 18.38 ± 2.1, P = 0.004), adherence to medication (from 5.43 ± 0.94 to 10.09 ± 0.4, P = 0.002), and blood sugar control (from 2.4 ± 0.86 to 3.9 ± 0.54, P = 0.001) in the experimental group after the educational intervention. Discussion and Conclusion: Results showed that educational programs based on the Theory of Planned Behavior can finally lead to self-care behaviors in diabetic patients by improving psychological antecedents affecting self-care behavior and increasing the health literacy. Therefore, using behavior change models and highlighting the improvement of health literacy are recommended as the essential parts of health promotion interventions in diabetic patients. Keywords: Theory of Planned Behavior, health literacy, self-care, type 2 diabetes, attitude, educational intervention

Item Type: Thesis (Masters)
Subjects: L Education > LB Theory and practice of education
R Medicine > R Medicine (General)
R Medicine > RN Health
R Medicine > RN Health > RN1001 Public Health
Divisions: University Thesis > Faculty of Health > Public Health
Depositing User: Health School Students
Date Deposited: 30 Jul 2019 07:39
Last Modified: 30 Jul 2019 07:39
URI: http://eprints.qums.ac.ir/id/eprint/8855

Actions (login required)

View Item View Item