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

Abstract

BackgroundDiabetes 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.MethodsThis 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.ResultsThe 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.ConclusionThe 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.

Effect of Self-Regulated Learning for Improving Dietary Management and Quality of Life in Patients with Type-2 Diabetes Mellitus at Dr. Ramelan Naval Hospital, Surabaya, Indonesia

“…The results of this study agree with those reported by Dizaji et al, 10 showing an improvement in the know ledge score of patients with diabetes after the implementation of an educational intervention program. Therefore, it can be concluded that there was a positive impact on the knowledge of patients with diabetes.…”

“…Behavioral change was one of the most difficult steps in the edu cational process, despite providing educational intervention to people for three months. 10 A study by Skarbek, 11 also mentioned that family support would help people with type-2 DM increase their self-efficacy in self-managing actions. A study by Mayberry and Osborn mentioned that instrumental support was the most common form of family support.…”

Effect of educational intervention based on the PRECEDE-PROCEED model on preventive behaviors of cutaneous leishmaniasis among housewives

“…In a study by Matin et al, education based on the PRECEDE model had promoted the elderly's attitudes 33 . The findings of this study are consistent with those of other studies 34,35,36,37 .…”

Effect of Education Intervention on Lifestyle of Patients with Hypertension among the Rural Population of Lorestan Province

“…Given that one of the basic tools in changing a patient’s lifestyle is the presence of patient education programs as a part of the care system [14,15], ongoing training is regarded as an essential part of the monitoring and treatment of high blood pressure and might need to be repeated or modified in order to address changing circumstances and patient conditions [3,16]. The importance of training programs depends on their effectiveness; however, in the presence of appropriate theoretical support along with basic health needs, the effectiveness of these programs is greater [17].…”