Comparison Effect of Physical Health Training and Psychological Training of the Theory of Reasoned Action (TRA) model on the Life Quality of Patient with Diabetes in Tehran, Iran: Utilization of Message Texting

Abstract

Background and Purpose: Providing physical health and mental health training promotion is necessary for a sustainable change in patients with diabetes attitude and way of life. The present study was conducted with the aim of comparison effect of physical health training and psychological training of the theory of reasoned action (TRA) model on thelife quality of patients with diabetes. Methods: This experimental study was conducted with two intervention groups and one control group in 2022 on 129 diabetic patients referred to Imam Khomeini Hospital in Tehran. During one month, each person in first group was sent 15 text messages on physical health and second group received 15 psychological text messages on the TRA. The data collection tool was the "Audit of Diabetes-Dependent Quality of Life (ADDQoL)" questionnaire, which was completed by the participants before and after the intervention. The data were analyzed using SPSS version 16 software at a statistical level of 0.05. Results: After the intervention, in first group, life quality score average was 8.51 units (P<0.001) and second group was 19.25 units (P<0.001) more than the control group. The psychological training group had a 17.62 units (P<0.05) lower average fasting blood sugar (FBS) and a 10.74 units (P<0.001) higher average quality of life than the physical training group. Conclusion: The effectiveness of psychological training of TRA model in improving the life quality and reducing FBS in patient with diabetes is more than physical health training. Future plans to develop mental health education in these patients are recommended.

Improving Adherence to Treatment in Patients With Diabetes: Practical Strategies

“…In this regard, one of the most important ways to increase compliance with treatment is to increase the level of awareness of the patient, family and society about the nature, control and transmission of this disease. Educational interventions to improve the level of health literacy, based on educational strategies, including lectures, audio and video media, interviews, the use of mobile phone software programs, social networks, as well as low-cost and accessible education such as the use of SMS By raising the level of understanding and knowledge, it can lead to continuous adherence to treatment and increase the patient's self-confidence in enjoying their normal life [2,8].…”

“…Diabetes is one of the most common metabolic diseases worldwide [1,2]. In addition to complications such as retinopathy, nephropathy, neuropathy, repeated infections or even limb amputation, lack of continuous blood sugar control can cause economic problems and disruption in the progress of prescribed treatments for patients [3].…”

“…In other words, any decision regarding how to implement the treatment protocol should be made with the patient, not instead of the patient. Creating a broad behavioural change and adherence to a new care and treatment regimen to control diabetes requires a targeted and efficient effort from the patient and the treatment team [2]. Forcing the patient to make these changes jeopardises the healing process and, subsequently, compliance with the adherence to treatment.…”