Skip to main content
Top
Published in: Journal of Diabetes & Metabolic Disorders 1/2014

Open Access 01-12-2014 | Research article

Effects of educational intervention based on PRECEDE model on self care behaviors and control in patients with type 2 diabetes in 2012

Authors: Mahboobeh Borhani Dizaji, Mohammad Hosein Taghdisi, Mahnaz Solhi, Seyed Mojtaba Hoseini, Zahra Shafieyan, Mostafa Qorbani, Morteza Mansourian, Abdurrahman Charkazi, Aziz Rezapoor

Published in: Journal of Diabetes & Metabolic Disorders | Issue 1/2014

Login to get access

Abstract

Background

Diabetes is a chronic disease and its control requires essential change in patients' life style. The aim of this study was survey of effects of educational intervention based on PRECEDE Model on self care behaviors and control in patients with type 2 diabetes.

Methods

This was a quasi-experimental study carried out in 78 patients with type 2 diabetes who have referred to Minoodasht clinic of diabetes. The educational program has been designed according to the PRECEDE Model. Prior to perform the educational intervention, the patients filled a questionnaire which was designed according to the structure of PRECEDE Model for type 2 diabetes patients. The diabetes education program was performed on three target groups (patients, their families and Health care personnel). After four weeks, the effects of the educational program have been evaluated through the same questionnaire. The findings were analyzed by SPSS version 16 and p-value less than 0.05 was taken as statistically significant.

Results

The mean age of participants was 49 years, 87.2% were married and 19.2% was illiterate. The rate of income of 44.9% was low. 66% had a family history of diabetes and 64% had been afflicted with diabetes more than 5 years. The Chi-square test showed a significant relationship between formation of a file in diabetes clinic and on-time presence to receive services and participation in the educational classes with the marital status variable. The results also showed that there is a significant relationship between observing food diet and job. The mean scores of knowledge, attitude, practice, reinforcing factors and enabling factors has increased after educational intervention. The Chi-square test shows a significant difference before and after of education intervention in stages of the model.

Conclusion

The obtained results based on PRECEDE Model would support the positive effect of the educational intervention and its major elements (predisposing, enabling and reinforcing factors) on diabetes self-care behaviors.
Literature
1.
go back to reference Tuomilehto J, Lindström J, Eriksson J, Valle T: Finnish Diabetes Prevention Study Group. Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Engl J Med 2001, 344(18):1350–1343.CrossRef Tuomilehto J, Lindström J, Eriksson J, Valle T: Finnish Diabetes Prevention Study Group. Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Engl J Med 2001, 344(18):1350–1343.CrossRef
2.
go back to reference Meneilly GS, Tessier D: Diabetes in elderly adults. J Gerontol Series Biol Sci Med Sci 2001, 56(1):5–13. 10.1093/gerona/56.1.M5CrossRef Meneilly GS, Tessier D: Diabetes in elderly adults. J Gerontol Series Biol Sci Med Sci 2001, 56(1):5–13. 10.1093/gerona/56.1.M5CrossRef
3.
go back to reference Rakhshanderou S, Heydarian AR, Rajab A: The Effect of Health Education on Quality of Life in Diabetic Patients Referring to Iran Diabetes Association. Daneshvar J 2006, 13(63):15–20. Rakhshanderou S, Heydarian AR, Rajab A: The Effect of Health Education on Quality of Life in Diabetic Patients Referring to Iran Diabetes Association. Daneshvar J 2006, 13(63):15–20.
5.
go back to reference Mollaoglu M, Beyazıt E: Influence of diabetic education on patient metabolic control. Appl Nurs Res 2009, 22(3):190–183.CrossRef Mollaoglu M, Beyazıt E: Influence of diabetic education on patient metabolic control. Appl Nurs Res 2009, 22(3):190–183.CrossRef
6.
go back to reference Safari M, Shojaeizadeh D: Theories Models and methods of health education and promotion. 1st edition. Asar-e Sobhan publishing; 2009:22–24. Safari M, Shojaeizadeh D: Theories Models and methods of health education and promotion. 1st edition. Asar-e Sobhan publishing; 2009:22–24.
7.
go back to reference Green L, Kreuter M: Health promotion planning: An educational and environmental approach. 2nd edition. London: Mayfield Publishing Co; 1991:478–507. Green L, Kreuter M: Health promotion planning: An educational and environmental approach. 2nd edition. London: Mayfield Publishing Co; 1991:478–507.
8.
go back to reference Rahman S: A nutritional profile of non-pregnant women from the slums of Dinajpur Bangladesh. Trop Dr 1999, 29(4):221–224. Rahman S: A nutritional profile of non-pregnant women from the slums of Dinajpur Bangladesh. Trop Dr 1999, 29(4):221–224.
9.
go back to reference Deyirmenjian M, Karam N, Salameh P: Preoperative patient education for open-heart patients A source of anxiety. Patient Educ Counsel 2006, 62: 111–117. 10.1016/j.pec.2005.06.014CrossRef Deyirmenjian M, Karam N, Salameh P: Preoperative patient education for open-heart patients A source of anxiety. Patient Educ Counsel 2006, 62: 111–117. 10.1016/j.pec.2005.06.014CrossRef
10.
go back to reference Jackson C: Behavioral science theory and principles for practice in health education. Health Educ Res 1997, 12(2):143–150.CrossRef Jackson C: Behavioral science theory and principles for practice in health education. Health Educ Res 1997, 12(2):143–150.CrossRef
11.
go back to reference Jalili Z: Application of the educational PRECEDE model to do a causative analyze of preventive behaviors of mothers in iron deficiency anemia of 1–5 year children. J Kerman Univ Med Sci 2010, 9(2):93–102. Jalili Z: Application of the educational PRECEDE model to do a causative analyze of preventive behaviors of mothers in iron deficiency anemia of 1–5 year children. J Kerman Univ Med Sci 2010, 9(2):93–102.
12.
go back to reference Hislop TG, Deschamps M, Teh C, Jackson C, Tu SP, Yasui Y, Schwartz SM, Kuniyuki A, Taylor V: Facilitators and barriers to cervical cancer screening among Chinese Canadian women. J Public Health 2003, 94(1):73–68. Hislop TG, Deschamps M, Teh C, Jackson C, Tu SP, Yasui Y, Schwartz SM, Kuniyuki A, Taylor V: Facilitators and barriers to cervical cancer screening among Chinese Canadian women. J Public Health 2003, 94(1):73–68.
13.
go back to reference Hawthorne K: Effect of culturally appropriate health education on glycaemic control and knowledge of diabetes in British Pakistani women with type 2 diabetes mellitus. Health Educ Res J 2001, 16(3):381–373. Hawthorne K: Effect of culturally appropriate health education on glycaemic control and knowledge of diabetes in British Pakistani women with type 2 diabetes mellitus. Health Educ Res J 2001, 16(3):381–373.
14.
go back to reference Hazavehei M, Khani Jyhouni A, Hasanzadeh A, Sahrifi M: The effect of educational program based on BASNEF model on diabetic (Type II) eyes care in Kazemi's clinic,(Shiraz). Iran J Endocrinol Metab 2008, 10(2):154–145. Hazavehei M, Khani Jyhouni A, Hasanzadeh A, Sahrifi M: The effect of educational program based on BASNEF model on diabetic (Type II) eyes care in Kazemi's clinic,(Shiraz). Iran J Endocrinol Metab 2008, 10(2):154–145.
15.
go back to reference Rezaei N, Tahbaz F, Kimyagar M, Alavi Majd H: The effect of nutrition education on knowledge, attitude and practice of type 1 diabetic patients from Aligoodarz. J Shahrekord Univ Med Sci 2006, 8(2):52–59. Rezaei N, Tahbaz F, Kimyagar M, Alavi Majd H: The effect of nutrition education on knowledge, attitude and practice of type 1 diabetic patients from Aligoodarz. J Shahrekord Univ Med Sci 2006, 8(2):52–59.
16.
go back to reference Aghamolaei T, Eftekhar Ardebili H: Effects of a health education program on behavior, hbA1c and health related quality of life in diabetic patients. Acta Medica Iranica 2005, 43(2):94–89. Aghamolaei T, Eftekhar Ardebili H: Effects of a health education program on behavior, hbA1c and health related quality of life in diabetic patients. Acta Medica Iranica 2005, 43(2):94–89.
17.
go back to reference Shabbidar S, Fathi B: Effects of nutrition education on knowledge and attitudes of type 2 diabetic patients. J Birjand Univ Med Sci 2007, 1(14):31–36. Shabbidar S, Fathi B: Effects of nutrition education on knowledge and attitudes of type 2 diabetic patients. J Birjand Univ Med Sci 2007, 1(14):31–36.
18.
go back to reference Heidari GH, Moslemi S, Montazerifar F, Haghanifar S: The effect of nutrition education on the knowledge, attitude and practice of type 2 diabetic patients. Tabibe Shargh 2002, 4(4):207–213. Heidari GH, Moslemi S, Montazerifar F, Haghanifar S: The effect of nutrition education on the knowledge, attitude and practice of type 2 diabetic patients. Tabibe Shargh 2002, 4(4):207–213.
19.
go back to reference Ghazanfari Z, Ghofranipour F, Tavafian SS, Asadolah R, Ahmadi F: Lifestyle education and diabetes mellitus type 2: a non-randomized control trial. Iran J Public Health 2007, 36(2):68–72. Ghazanfari Z, Ghofranipour F, Tavafian SS, Asadolah R, Ahmadi F: Lifestyle education and diabetes mellitus type 2: a non-randomized control trial. Iran J Public Health 2007, 36(2):68–72.
20.
go back to reference Milenkovic T, Gavrilovic S, Percan V, Petroveski G: Influence of diabetic education on patient well-being and metabolic control. Diabetol Croat 2004, 33(3):95–91. Milenkovic T, Gavrilovic S, Percan V, Petroveski G: Influence of diabetic education on patient well-being and metabolic control. Diabetol Croat 2004, 33(3):95–91.
21.
go back to reference Sharifirad G, Kamran A, Entezari MH: Effect of dietary regulation education on fast blood glucose and body mass index of type 2 diabetic patients. J Ardebil Univ Med Sci 2007, 7(4):380–375. Sharifirad G, Kamran A, Entezari MH: Effect of dietary regulation education on fast blood glucose and body mass index of type 2 diabetic patients. J Ardebil Univ Med Sci 2007, 7(4):380–375.
22.
go back to reference Tankova T, Dakovaska G, Koev D: Education of diabetic patients a one year experience. Patient Educ Couns 2001, 43(2):145–139.CrossRef Tankova T, Dakovaska G, Koev D: Education of diabetic patients a one year experience. Patient Educ Couns 2001, 43(2):145–139.CrossRef
23.
go back to reference Larijani B, Fakhrzadeh H: A comparative study of the impact of education through holding group meetings and educational booklets on the rate of knowledge and practice among the patients referring to Lipid Clinic. J Diab Lipid Iran 2003, 3(1):89–98. Larijani B, Fakhrzadeh H: A comparative study of the impact of education through holding group meetings and educational booklets on the rate of knowledge and practice among the patients referring to Lipid Clinic. J Diab Lipid Iran 2003, 3(1):89–98.
24.
go back to reference Tyszecka G: Analysis of reasons for discontinuation of treatment for dyslipidemia in secondary prevention of coronary heart disease. Przegla lekarski 1995, 56(11):709–716. Tyszecka G: Analysis of reasons for discontinuation of treatment for dyslipidemia in secondary prevention of coronary heart disease. Przegla lekarski 1995, 56(11):709–716.
25.
go back to reference Sharifirad GH, Entezari MH, Kamran A, Azadbakht L: The effectiveness of education of nutrition on diabetic patients type 2: The application of the model of health belief. J Diab Lipid Iran 2008, 7(4):379–386. Sharifirad GH, Entezari MH, Kamran A, Azadbakht L: The effectiveness of education of nutrition on diabetic patients type 2: The application of the model of health belief. J Diab Lipid Iran 2008, 7(4):379–386.
26.
go back to reference Sun W, Sangweni B: Effects of a community-based nutrition education program on the dietary behavior of Chinese-American College students. Health Educ Int 1999, 14(3):241–249. Sun W, Sangweni B: Effects of a community-based nutrition education program on the dietary behavior of Chinese-American College students. Health Educ Int 1999, 14(3):241–249.
27.
go back to reference Agha Molayee T, Eftekhar H: Application of the model of health belief in changing the behavior of diabetic patients. Payesh J 2005, 4(4):263–269. Agha Molayee T, Eftekhar H: Application of the model of health belief in changing the behavior of diabetic patients. Payesh J 2005, 4(4):263–269.
28.
go back to reference Asgari SM, Alavi S: A study of the causes for the prevalence of diabetes in some rural regions of Kashan city. J Tehran Univ Med Sci 1995, 12(2):80–89. Asgari SM, Alavi S: A study of the causes for the prevalence of diabetes in some rural regions of Kashan city. J Tehran Univ Med Sci 1995, 12(2):80–89.
29.
go back to reference Shakoori S, Sharifi Rad G: The impact of educational program of healthy based on PRECEDE model on the control of iron deficiency anemia in the female students at high schools of Talesh city. Arak Univ Med Sci J 2009, 3: 48–57. Shakoori S, Sharifi Rad G: The impact of educational program of healthy based on PRECEDE model on the control of iron deficiency anemia in the female students at high schools of Talesh city. Arak Univ Med Sci J 2009, 3: 48–57.
Metadata
Title
Effects of educational intervention based on PRECEDE model on self care behaviors and control in patients with type 2 diabetes in 2012
Authors
Mahboobeh Borhani Dizaji
Mohammad Hosein Taghdisi
Mahnaz Solhi
Seyed Mojtaba Hoseini
Zahra Shafieyan
Mostafa Qorbani
Morteza Mansourian
Abdurrahman Charkazi
Aziz Rezapoor
Publication date
01-12-2014
Publisher
BioMed Central
Published in
Journal of Diabetes & Metabolic Disorders / Issue 1/2014
Electronic ISSN: 2251-6581
DOI
https://doi.org/10.1186/2251-6581-13-72

Other articles of this Issue 1/2014

Journal of Diabetes & Metabolic Disorders 1/2014 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