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      Effect of educational intervention based on the Health Belief Model on promoting self-care behaviors of type-2 diabetes patients

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          Abstract

          Background and Objective

          Diabetes is a chronic disease in which patients require lifelong self-care behaviors. The present study offset to determine the effect of educational intervention based on the Health Belief Model (HBM) on promoting self-care behaviors of type 2 diabetes patients in Ilam, Iran 2014.

          Methods

          A quasi-experimental research was conducted based on HBM in which 70 type 2 diabetic patients from Ilam, western Iran in 2014 were selected by multi-stage random sampling. A self-designed questionnaire was used, and pre-test was administered, subsequently, the educational intervention sessions were provided in the form of presentation, questions and answers, group discussion, and practical demonstrations in four sessions over a period of one month. Two months after the intervention, the post-tests were administered. The data were analyzed via SPSS 20 applying independent samples t-test, paired samples t-test, and univariate and multivariate regressions at a significance level of less than 0.05.

          Results

          The mean scores of susceptibility, severity, perceived benefits and barriers, self-efficacy, and self-care behaviors were at average and lower levels before the intervention; nonetheless, after the educational intervention, the mean score of each HBM construct and the self-care behaviors significantly increased (p<0.001).

          Conclusion

          Health education through HBM promotes the self-care behaviors of patients with type 2 diabetes.

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          Most cited references38

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          Social learning theory and the Health Belief Model.

          The Health Belief Model, social learning theory (recently relabelled social cognitive theory), self-efficacy, and locus of control have all been applied with varying success to problems of explaining, predicting, and influencing behavior. Yet, there is conceptual confusion among researchers and practitioners about the interrelationships of these theories and variables. This article attempts to show how these explanatory factors may be related, and in so doing, posits a revised explanatory model which incorporates self-efficacy into the Health Belief Model. Specifically, self-efficacy is proposed as a separate independent variable along with the traditional health belief variables of perceived susceptibility, severity, benefits, and barriers. Incentive to behave (health motivation) is also a component of the model. Locus of control is not included explicitly because it is believed to be incorporated within other elements of the model. It is predicted that the new formulation will more fully account for health-related behavior than did earlier formulations, and will suggest more effective behavioral interventions than have hitherto been available to health educators.
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            The Health belief model and personal health behavior

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              Diabetes self-management education.

              S. Clement (1995)
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                Author and article information

                Journal
                Electron Physician
                Electron Physician
                Electronic physician
                Electronic Physician
                Electronic physician
                2008-5842
                December 2017
                25 December 2017
                : 9
                : 12
                : 5960-5968
                Affiliations
                [1 ]M.Sc. of Health Education and Promotion, Student Research Committee, Ilam University of Medical Sciences, Ilam, Iran
                [2 ]Ph.D. of Health Education and Promotion, Assistant Professor, Public Health Department, Ilam University of Medical Sciences, Ilam, Iran
                [3 ]Ph.D. of Biostatistics, Associate Professor, Department of Epidemiology, Ilam University of Medical Sciences, Ilam, Iran
                [4 ]Ph.D. of Epidemiology, Assistant Professor, Non-communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran
                [5 ]Non-communicable Diseases Research Center, Endocrinology and Metabolism Population, Tehran University of Medical Sciences, Tehran, Iran
                [6 ]Pediatrician, Assistant Professor, Departments of Pediatrics, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
                [7 ]M.Sc., Abadan School of Medical Sciences, Abadan, Iran
                [8 ]Ph.D. of Health Education and Promotion, Assistant Professor, Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
                [9 ]Department of Health Education and Promotion, School of Health, Iran University of Medical Sciences, Tehran, Iran
                Author notes
                Corresponding author: Assistant Professor Dr. Morteza Mansourian, Iran University of Medical Sciences, Tehran, Iran. Tel: +98.2188775409, Fax: +98.2188775410, Email: manssourian55@ 123456gmail.com
                Article
                epj-09-5960
                10.19082/5960
                5843422
                29560148
                49263ab3-c296-45c8-9c1d-c5359f7636a5
                © 2017 The Authors

                This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

                History
                : 05 October 2016
                : 11 September 2017
                Categories
                Original Article

                self-care,educational intervention,diabetes type 2
                self-care, educational intervention, diabetes type 2

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