Skip to main content
Top
Published in: Journal of Diabetes & Metabolic Disorders 1/2020

01-06-2020 | Care | Research article

The study of eye care behaviors in patients with type 2 diabetes

Authors: Elaheh Lael- Monfared, Hadi Tehrani, Zahra Teiho, Alireza Jafari

Published in: Journal of Diabetes & Metabolic Disorders | Issue 1/2020

Login to get access

Abstract

Introduction

The purpose of present study was to investigate eye care behaviors based on the BASNEF model and Health Locus of Control (HLOC) in patients with type 2 diabetes(T2D).

Methods

This cross-sectional analytical study was carried out on 150 patients with T2D in Iran in 2019. The subjects were selected using simple random sampling. The data collection tools included demographic, eye self-care behavior inventory based on BASNEF model and health locus of control whose validity and reliability were confirmed. Data analysis was carried out using Independent samples-t test ANOVA, and linear regression in SPSS ver. 24.

Result

The results of linear regression showed that knowledge, attitude, subjective norms, enabling factors, internal HLOC, chance HLOC and external HLOC were able to predict 17% of intention to eye self-care behaviors (P < 0.001) and attitude was the strongest construct in predicting intention of eye care behavior in patients with T2D (P < 0.05). In this study, most people had internal HLOC and mean (± SD) of their internal construct was 27.42(± 2.73). Also, the enabling factors construct showed a significant correlation with the internal HLOC (r = 0.283) and behavioral intention (r = 0.348) (P < 0.001).

Conclusion

The results of this study showed that attitude and enabling factors are effective constructs in predicting the intention to perform preventive behaviors of ocular complications in T2D patients. Therefore, it is recommended to organize training classes, access resources, and educational information, facilitate access to physicians for eye examinations, create new skills for care and prevention of ocular complications.
Literature
4.
go back to reference Flaxman SR, Bourne RR, Resnikoff S, Ackland P, Braithwaite T, Cicinelli MV, et al. Global causes of blindness and distance vision impairment 1990–2020: a systematic review and meta-analysis. Lancet Glob Health. 2017;5(12):e1221–e34.CrossRef Flaxman SR, Bourne RR, Resnikoff S, Ackland P, Braithwaite T, Cicinelli MV, et al. Global causes of blindness and distance vision impairment 1990–2020: a systematic review and meta-analysis. Lancet Glob Health. 2017;5(12):e1221–e34.CrossRef
5.
go back to reference Cho N, Shaw J, Karuranga S, Huang Y, da Rocha FJ, Ohlrogge A, et al. IDF diabetes atlas: global estimates of diabetes prevalence for 2017 and projections for 2045. Diabetes Res Clin Pract. 2018;138:271–81.CrossRef Cho N, Shaw J, Karuranga S, Huang Y, da Rocha FJ, Ohlrogge A, et al. IDF diabetes atlas: global estimates of diabetes prevalence for 2017 and projections for 2045. Diabetes Res Clin Pract. 2018;138:271–81.CrossRef
6.
go back to reference Azar FE, Solhi M, Darabi F, Rohban A, Abolfathi M, Nejhaddadgar N. Effect of educational intervention based on PRECEDE-PROCEED model combined with self-management theory on self-care behaviors in type 2 diabetic patients. Diabetes Metab Syndr. 2018;12(6):1075-8.CrossRef Azar FE, Solhi M, Darabi F, Rohban A, Abolfathi M, Nejhaddadgar N. Effect of educational intervention based on PRECEDE-PROCEED model combined with self-management theory on self-care behaviors in type 2 diabetic patients. Diabetes Metab Syndr. 2018;12(6):1075-8.CrossRef
11.
go back to reference Zhang G, Chen H, Chen W, Zhang M. Prevalence and risk factors for diabetic retinopathy in China: a multi-hospital-based cross-sectional study. Br J Ophthalmol. 2017;101(12):1591–5.CrossRef Zhang G, Chen H, Chen W, Zhang M. Prevalence and risk factors for diabetic retinopathy in China: a multi-hospital-based cross-sectional study. Br J Ophthalmol. 2017;101(12):1591–5.CrossRef
12.
go back to reference Yang J, Wang E, Zhao X, Xia S, Yuan M, Chen H, et al. Optical coherence tomography angiography analysis of the choriocapillary layer in treatment-naïve diabetic eyes. Graefes Arch Clin Exp Ophthalmol. 2019;257(7):1393–9.CrossRef Yang J, Wang E, Zhao X, Xia S, Yuan M, Chen H, et al. Optical coherence tomography angiography analysis of the choriocapillary layer in treatment-naïve diabetic eyes. Graefes Arch Clin Exp Ophthalmol. 2019;257(7):1393–9.CrossRef
14.
go back to reference Yang Q-H, Zhang Y, Zhang X-M, Li X-R. Prevalence of diabetic retinopathy, proliferative diabetic retinopathy and non-proliferative diabetic retinopathy in Asian T2DM patients: a systematic review and meta-analysis. Int J Ophthalmol. 2019;12(2):302–11.PubMedPubMedCentral Yang Q-H, Zhang Y, Zhang X-M, Li X-R. Prevalence of diabetic retinopathy, proliferative diabetic retinopathy and non-proliferative diabetic retinopathy in Asian T2DM patients: a systematic review and meta-analysis. Int J Ophthalmol. 2019;12(2):302–11.PubMedPubMedCentral
15.
go back to reference Liu Y, Song Y, Tao L, Qiu W, Lv H, Jiang X, et al. Prevalence of diabetic retinopathy among 13473 patients with diabetes mellitus in China: a cross-sectional epidemiological survey in six provinces. BMJ Open. 2017;7(1):e013199.CrossRef Liu Y, Song Y, Tao L, Qiu W, Lv H, Jiang X, et al. Prevalence of diabetic retinopathy among 13473 patients with diabetes mellitus in China: a cross-sectional epidemiological survey in six provinces. BMJ Open. 2017;7(1):e013199.CrossRef
18.
go back to reference Nathaniel GI, Adio O. Awareness and attitude of diabetic patients on diabetic eye complications in Port Harcourt, Niger J Med. 2015;24(3):252-5.PubMed Nathaniel GI, Adio O. Awareness and attitude of diabetic patients on diabetic eye complications in Port Harcourt, Niger J Med. 2015;24(3):252-5.PubMed
20.
go back to reference Rahaman KS, Majdzadeh R, Naieni KH, Raza O. Knowledge, attitude and practices (KAP) regarding chronic complications of diabetes among patients with type 2 diabetes in Dhaka. Int J Endocrinol Metab. 2017;15(3). Rahaman KS, Majdzadeh R, Naieni KH, Raza O. Knowledge, attitude and practices (KAP) regarding chronic complications of diabetes among patients with type 2 diabetes in Dhaka. Int J Endocrinol Metab. 2017;15(3).
22.
go back to reference Hazavehei SM, Khani Jeihooni A, Hasanzadeh A, Amini S. The effect of educational program based on BASNEF model for eye care in non-insulin dependent diabetic patients. J Res Health Sci. 2010;10(2):81–90.PubMed Hazavehei SM, Khani Jeihooni A, Hasanzadeh A, Amini S. The effect of educational program based on BASNEF model for eye care in non-insulin dependent diabetic patients. J Res Health Sci. 2010;10(2):81–90.PubMed
23.
go back to reference Kumar S, Behmani RK. Health locus of control, peer pressure, and cognitive triad among adolescents. Indian Journal of Health & Wellbeing. 2017;8(1):75-81. Kumar S, Behmani RK. Health locus of control, peer pressure, and cognitive triad among adolescents. Indian Journal of Health & Wellbeing. 2017;8(1):75-81.
24.
go back to reference Kordi M, Heravan MB, Asgharipour N, Akhlaghi F, Mazloum SR. Does maternal and fetal health locus of control predict self-care behaviors among women with gestational diabetes? J Educ Health Promot. 2017;6. Kordi M, Heravan MB, Asgharipour N, Akhlaghi F, Mazloum SR. Does maternal and fetal health locus of control predict self-care behaviors among women with gestational diabetes? J Educ Health Promot. 2017;6.
25.
go back to reference Fardaza FE, Heidari H, Solhi M. Effect of educational intervention based on locus of control structure of attribution theory on self-care behavior of patients with type II diabetes. Med J Islam Repub Iran. 2017;31:116. Fardaza FE, Heidari H, Solhi M. Effect of educational intervention based on locus of control structure of attribution theory on self-care behavior of patients with type II diabetes. Med J Islam Repub Iran. 2017;31:116.
26.
go back to reference Mirzania M, Khajavi A, Moshki M. Validity and reliability of form C of the multidimensional health locus of control scale in pregnant women. Iran J Med Sci. 2019. Mirzania M, Khajavi A, Moshki M. Validity and reliability of form C of the multidimensional health locus of control scale in pregnant women. Iran J Med Sci. 2019.
27.
go back to reference White KM, Terry DJ, Troup C, Rempel LA, Norman P, Mummery K, et al. An extended theory of planned behavior intervention for older adults with type 2 diabetes and cardiovascular disease. J Aging Phys Act. 2012;20(3):281–99.CrossRef White KM, Terry DJ, Troup C, Rempel LA, Norman P, Mummery K, et al. An extended theory of planned behavior intervention for older adults with type 2 diabetes and cardiovascular disease. J Aging Phys Act. 2012;20(3):281–99.CrossRef
28.
go back to reference Asadi ZS, Hosseini VM, Hashemian M, Akaberi A. Application of BASNEF model in prediction of intimate partner violence (IPV) against women. Asian Women. 2013;29(1):27–45. Asadi ZS, Hosseini VM, Hashemian M, Akaberi A. Application of BASNEF model in prediction of intimate partner violence (IPV) against women. Asian Women. 2013;29(1):27–45.
29.
go back to reference Plotnikoff RC, Courneya KS, Trinh L, Karunamuni N, Sigal RJ. Aerobic physical activity and resistance training: an application of the theory of planned behavior among adults with type 2 diabetes in a random, national sample of Canadians. Int J Behav Nutr Phys Act. 2008;5(1):61.CrossRef Plotnikoff RC, Courneya KS, Trinh L, Karunamuni N, Sigal RJ. Aerobic physical activity and resistance training: an application of the theory of planned behavior among adults with type 2 diabetes in a random, national sample of Canadians. Int J Behav Nutr Phys Act. 2008;5(1):61.CrossRef
30.
go back to reference Hrisos S, Eccles MP, Francis JJ, Bosch M, Dijkstra R, Johnston M, et al. Using psychological theory to understand the clinical management of type 2 diabetes in primary care: a comparison across two European countries. BMC Health Serv Res. 2009;9(1):140.CrossRef Hrisos S, Eccles MP, Francis JJ, Bosch M, Dijkstra R, Johnston M, et al. Using psychological theory to understand the clinical management of type 2 diabetes in primary care: a comparison across two European countries. BMC Health Serv Res. 2009;9(1):140.CrossRef
31.
go back to reference Ajzen I, Fishbein M. The Influence of Attitudes on Behavior. New Jersey: Lawrence Erlbaum AssociatesEditors: Mahwah; 2005. p. 173-221. Ajzen I, Fishbein M. The Influence of Attitudes on Behavior. New Jersey: Lawrence Erlbaum AssociatesEditors: Mahwah; 2005. p. 173-221.
32.
go back to reference Trikkalinou A, Papazafiropoulou AK, Melidonis A. Type 2 diabetes and quality of life. World J Diabetes. 2017;8(4):120–9.CrossRef Trikkalinou A, Papazafiropoulou AK, Melidonis A. Type 2 diabetes and quality of life. World J Diabetes. 2017;8(4):120–9.CrossRef
33.
go back to reference Jing X, Chen J, Dong Y, Han D, Zhao H, Wang X, et al. Related factors of quality of life of type 2 diabetes patients: a systematic review and meta-analysis. Health Qual Life Outcomes. 2018;16(1):189.CrossRef Jing X, Chen J, Dong Y, Han D, Zhao H, Wang X, et al. Related factors of quality of life of type 2 diabetes patients: a systematic review and meta-analysis. Health Qual Life Outcomes. 2018;16(1):189.CrossRef
34.
go back to reference Shawon MSR, Hossain FB, Adhikary G, Gupta RD, Hashan MR, Rabbi MF, et al. Attitude towards diabetes and social and family support among type 2 diabetes patients attending a tertiary-care hospital in Bangladesh: a cross-sectional study. BMC Res Notes. 2016;9(1):286.CrossRef Shawon MSR, Hossain FB, Adhikary G, Gupta RD, Hashan MR, Rabbi MF, et al. Attitude towards diabetes and social and family support among type 2 diabetes patients attending a tertiary-care hospital in Bangladesh: a cross-sectional study. BMC Res Notes. 2016;9(1):286.CrossRef
35.
go back to reference Glanz K, Rimer BK, Viswanath K. Health behavior: theory, research, and practice: Wiley; 2015. Glanz K, Rimer BK, Viswanath K. Health behavior: theory, research, and practice: Wiley; 2015.
36.
go back to reference Merghati SZ, Hemmati Maslak Pak M, Didarloo A, Ghareh Aghaji R. Assessment of the effect of basnef model based education on the attitudes, subjective norms, behavioral intention and enabling factors regarding healthy lifestyle in patients with heart failure. The J Urmia Nurs Midwifery Fac. 2017;14(10):822–9. Merghati SZ, Hemmati Maslak Pak M, Didarloo A, Ghareh Aghaji R. Assessment of the effect of basnef model based education on the attitudes, subjective norms, behavioral intention and enabling factors regarding healthy lifestyle in patients with heart failure. The J Urmia Nurs Midwifery Fac. 2017;14(10):822–9.
37.
go back to reference Przybylski M. Health locus of control theory in diabetes: a worthwhile approach in managing diabetic foot ulcers? J Wound Care. 2010;19(6):228–33.CrossRef Przybylski M. Health locus of control theory in diabetes: a worthwhile approach in managing diabetic foot ulcers? J Wound Care. 2010;19(6):228–33.CrossRef
38.
go back to reference Pourhoseinzadeh M, Gheibizadeh M, Moradikalboland M. The relationship between health locus of control and health behaviors in emergencymedicine personnel. Int J Community Based Nurs Midwifery. 2017;5(4):397-407. Pourhoseinzadeh M, Gheibizadeh M, Moradikalboland M. The relationship between health locus of control and health behaviors in emergencymedicine personnel. Int J Community Based Nurs Midwifery. 2017;5(4):397-407.
39.
go back to reference Besen DB, Günüşen N, Sürücü HA, Koşar C. Predictor effect of locus of control (LOC) on self-care activities and metabolic control in individuals with type 2 diabetes. PeerJ. 2016;4:e2722.CrossRef Besen DB, Günüşen N, Sürücü HA, Koşar C. Predictor effect of locus of control (LOC) on self-care activities and metabolic control in individuals with type 2 diabetes. PeerJ. 2016;4:e2722.CrossRef
40.
go back to reference Hazavehei S, Faghih solaimani P, Moeini B, Soltanian A. Factors Affecting Nutritional Behaviors of ageing population based on BASNEF Model: Sanandaj, Iran. Journal of Geriatric Nursing. 2016;2(2):61-70. Hazavehei S, Faghih solaimani P, Moeini B, Soltanian A. Factors Affecting Nutritional Behaviors of ageing population based on BASNEF Model: Sanandaj, Iran. Journal of Geriatric Nursing. 2016;2(2):61-70.
41.
go back to reference Zomahoun HTV, Moisan J, Lauzier S, Guillaumie L, Grégoire J-P, Guénette L. Predicting noninsulin antidiabetic drug adherence using a theoretical framework based on the theory of planned behavior in adults with type 2 diabetes: a prospective study. Medicine. 2016;95(15). Zomahoun HTV, Moisan J, Lauzier S, Guillaumie L, Grégoire J-P, Guénette L. Predicting noninsulin antidiabetic drug adherence using a theoretical framework based on the theory of planned behavior in adults with type 2 diabetes: a prospective study. Medicine. 2016;95(15).
42.
go back to reference Lajunen T, Räsänen M. Can social psychological models be used to promote bicycle helmet use among teenagers? A comparison of the health belief model, theory of planned behavior and the locus of control. J Saf Res. 2004;35(1):115–23.CrossRef Lajunen T, Räsänen M. Can social psychological models be used to promote bicycle helmet use among teenagers? A comparison of the health belief model, theory of planned behavior and the locus of control. J Saf Res. 2004;35(1):115–23.CrossRef
Metadata
Title
The study of eye care behaviors in patients with type 2 diabetes
Authors
Elaheh Lael- Monfared
Hadi Tehrani
Zahra Teiho
Alireza Jafari
Publication date
01-06-2020
Publisher
Springer International Publishing
Published in
Journal of Diabetes & Metabolic Disorders / Issue 1/2020
Electronic ISSN: 2251-6581
DOI
https://doi.org/10.1007/s40200-020-00499-z

Other articles of this Issue 1/2020

Journal of Diabetes & Metabolic Disorders 1/2020 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.