A theory of planned behavior-enhanced intervention to promote health literacy and self-care behaviors of type 2 diabetic patients

Zeidi, Isa Mohammadi; Morshedi, Hadi; Otaghvar, Hamidreza Alizadeh

doi:10.15167/2421-4248/jpmh2020.61.4.1504

Cited by 11 publications

(3 citation statements)

References 48 publications

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“…In other studies in Iran, the positive effect of TPB-based programs on the self-care of patients with different chronic diseases has been mentioned,[ 16 17 18 20 41 ] which aligns with the present study’s findings. Hence, training programs based on TPB seem applicable to improve patients’ self-care behaviors in the Iranian context.…”

Section: Discussionsupporting

confidence: 92%

“…In contrast, those in the experimental group received training based on TPB by a master’s degree nursing student (first researcher). Based on a previous related study conducted in Iran,[ 17 ] five in-person sessions were provided during five consecutive weeks (one session per week). The duration of each session varied from 30 to 60 min based on the patient’s misconceptions and understanding (average time: 45 min).…”

Section: Methodsmentioning

confidence: 99%

“…During these behaviors, individuals utilize their knowledge, abilities, and skills to sustain their health independently. [ 15 ] Up to now, different Randomized Controlled Trials (RCTs) have been performed in Iran to evaluate the applicability of TPB-based training interventions for boosting the self-care behaviors of clients with various chronic conditions such as diabetes,[ 16 17 ] knee osteoarthritis,[ 18 ] cardiovascular diseases,[ 19 ] and hypertension. [ 20 ] Although previous studies were performed with appropriate design, to the best of our knowledge, no trial has yet addressed the self-care behavior of Iranian patients with CVA following the administration of a TPB-based program.…”

Section: Introductionmentioning

confidence: 99%

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The Effect of a Training Program Based on the Theory of Planned Behavior on the Self-Care of Patients with Cerebrovascular Accident: A Randomized Controlled Trial

Salajegheh,

Bagherian,

Rabori

et al. 2024

Iranian Journal of Nursing and Midwifery Research

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Background: Cerebrovascular accident dramatically impacts patients’ lives. However, this chronic disease could be managed by boosting self-care and following healthy behaviors. Accordingly, this trial sought to specify the impact of a training program established on the theory of planned behavior on the self-care of clients with this condition. Materials and Methods: This trial was performed on 80 clients, who were selected using a random numbers table and divided into two equal groups to receive either usual care alone or usual care plus a training program based on the theory of planned behavior (five in-hospital individual sessions for 5 weeks and weekly phone follow-ups for 2 months after discharge). Self-care and the dimensions of the theory of planned behavior were investigated at baseline and 2 months after the last in-hospital session using the standardized Shah version of the modified Barthel index and a researcher-made questionnaire, respectively. Results: The mean score of self-care was significantly higher in the experimental arm at the posttest (Mann–Whitney = 506.00, p = 0.005). Also, the increase in mean change of self-care from baseline to posttest was significantly more in the experimental arm (t78= −6.6, p < 0.001). Such findings were also found for all dimensions of the theory of planned behavior. Conclusions: Based on results, nurses and health policymakers can incorporate training based on the theory of planned behavior into routine care programs for patients with cerebrovascular accident to boost their self-care. The implemented intervention also could be reproduced in other contexts. Hence, further trials are requested to specify the sustainability of the findings.

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Section: Discussionsupporting

confidence: 92%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Effect of a Training Program Based on the Theory of Planned Behavior on the Self-Care of Patients with Cerebrovascular Accident: A Randomized Controlled Trial

Salajegheh,

Bagherian,

Rabori

et al. 2024

Iranian Journal of Nursing and Midwifery Research

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Factors affecting T2DM patients’ behaviors associated with integrated treatment and prevention services in China

Zhao,

Zhang,

Wang

et al. 2023

Int J Equity Health

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Objective To explore the relationship between type 2 diabetes mellitus (T2DM) patients’ attitude, subjective norms (SN), perceived behavioral control (PBC), behavioral intention (BI) and behavior associated with integrated treatment and preventive (ITP) services. Methods A convenient sampling method was employed at a community health center in Nanjing, China between January and July 2022. The collected data were processed using Epidata 3.1, SPSS 26.0, and AMOS 24.0. Descriptive statistics and a structural equation model based on the theory of planned behavior (TPB) were used to explore the correlation between the study variables. Results 430 participants were eventually included, with a response rate of 98.6%. The mean age was 72.50 ± 5.69 years. The TPB model proved to be suitable and explained 41% of the variance in the BI. Attitude (β = 0.289, P < 0.001), SN (β = 0.314, P < 0.001) and PBC (β = 0.261, P < 0.001) were the main predictors of BI, and the SN was the strongest. BI (β = 0.452, P < 0.001) and PBC (β = 0.452, P < 0.001) had similar direct effects on patients’ behavior. Conclusion The TPB model explained the behavioral variations associated with ITP services and provided a framework for developing targeted interventions and improving community-based ITP services for T2DM. To encourage patients to engage in desirable behaviors, interventions should focus on modifying patients’ SN towards behavior associated with ITP services by promoting peer pressure and increasing the family’s emphasis on health.

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Development and psychometric analysis of a new tool to assess food literacy in diabetic patients

2022

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Background One of the factors affecting self-care in diabetic patients is food literacy, which helps said patients in following a healthy diet. Thus, it is crucial to analyze food literacy in diabetic patients through suitable and reliable instruments. Objective The current study aimed to design a questionnaire for food literacy assessment in diabetic patients and analyze its psychometric features. Method The present study was a cross-sectional descriptive analysis carried out in 2021. Firstly, the concepts of food literacy in diabetic patients were identified and the questionnaire was deigned based on them. Secondly, its face and content validities and its reliability were analyzed. Finally, the construct validity was analyzed by exploratory factor analysis. The study was carried out on 300 diabetic participants chosen at random via stratified cluster sampling from Health service centers. The exploratory factor analysis was carried out by extracting the main factors and using varimax rotation with eigenvalue values more than 1. Results A five-pronged structure accounted for 52.745% of food literacy variance. This included the ability to read food facts, practical ability to group foods, the ability to identify the caloric content of different foods, the ability to understand the effect of food on health, and the ability to prepare a healthy meal. Items with an impact score below 1.5 were discarded. Additionally, items with CVR scores below 0.62 and CVI scores below 0.79 were deleted too. The Kaiser-Meyer-Okin measurement was 0.836 (p < 0.001). Alpha Cronbach Scale dimension was 0.610–0.951. Conclusion The results of this study showed that the exploratory dimensions of the current study were consistent with health literacy measurements, such as functional, interactive, and critical food literacy. This scale has acceptable reliability and validity. Health professionals can use this scale to analyze and improve food literacy in diabetic patients. This is a new instrument and thus far no questionnaire has been made to evaluate food literacy in diabetic patients.

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A theory of planned behavior-enhanced intervention to promote health literacy and self-care behaviors of type 2 diabetic patients

Cited by 11 publications

References 48 publications

The Effect of a Training Program Based on the Theory of Planned Behavior on the Self-Care of Patients with Cerebrovascular Accident: A Randomized Controlled Trial

The Effect of a Training Program Based on the Theory of Planned Behavior on the Self-Care of Patients with Cerebrovascular Accident: A Randomized Controlled Trial

Factors affecting T2DM patients’ behaviors associated with integrated treatment and prevention services in China

Development and psychometric analysis of a new tool to assess food literacy in diabetic patients

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