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

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

doi:10.1186/2251-6581-13-72

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

J Diabetes Metab Disord. 2014 Jul 16:13:72. doi: 10.1186/2251-6581-13-72. eCollection 2014.

Authors

Mahboobeh Borhani Dizaji¹, Mohammad Hosein Taghdisi², Mahnaz Solhi², Seyed Mojtaba Hoseini³, Zahra Shafieyan⁴, Mostafa Qorbani⁵, Morteza Mansourian⁶, Abdurrahman Charkazi⁷, Aziz Rezapoor⁸

Affiliations

¹ PhD student in health education and promotion, Tehran University of Medical Sciences, Tehran, Iran.
² Associate Professor, Department of Health Education and Health promotion, Iran University of Medical Sciences, Tehran, Iran.
³ PhD student in Exercise Physiology, Mazandaran University of Physical Education and Sport Sciences, Babolsar, Iran.
⁴ DVM; Hospital management research center, Iran University of Medical Sciences, Tehran, Iran.
⁵ Assistant Professor, Department of Public Health, Alborz University of Medical Sciences, Karaj, Iran and Non-Communicable Diseases Research Center, Endocrinology and Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
⁶ Assistant Professor, public Health department, Ilam University of Medical Sciences, Ilam, Iran.
⁷ Assistant Professor, public Health department, Golestan University of Medical Sciences, Gorgan, Iran.
⁸ Assistant Professor, Department of Economic Health, school of health management and information sciences and Health management and economic research center, Iran University of Medical Sciences, Tehran, Iran.

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.

Keywords: Educational intervention; PRECEDE Model; Self-care; Type 2 diabetes.