Please use this identifier to cite or link to this item:
https://ptsldigital.ukm.my/jspui/handle/123456789/519842Full metadata record
| DC Field | Value | Language |
|---|---|---|
| dc.contributor.advisor | Norimah A. Karim, Professor Dr. | - |
| dc.contributor.author | Mohammadi Shooka (P67241) | - |
| dc.date.accessioned | 2023-10-17T09:30:30Z | - |
| dc.date.available | 2023-10-17T09:30:30Z | - |
| dc.date.issued | 2017-10-04 | - |
| dc.identifier.other | ukmvital:84275 | - |
| dc.identifier.uri | https://ptsldigital.ukm.my/jspui/handle/123456789/519842 | - |
| dc.description | Type 2 diabetes is a chronic illness which can be managed by patients' commitment to self-care and self-efficacy behaviors. Knowledge of different aspects of this disease especially diet therapy is very important for these patients. A needs assessment study (cross-sectional) was carried out prior to intervention study to determine factors to be included in the educational package within the scope of nutritional status for improvement of metabolic profile and quality of life among Iranian patients with type 2 diabetes who were referred to the Diabetes Clinic in Ahvaz, Iran. It was revealed that overall quality of life, knowledge, attitude and practices of patients was not satisfactory. Intervention study as a matched-pair design randomized controlled study was conducted to develop educational package based on Health Belief Model (HBM). The protocol of the intervention was based on the Generalized Model and it was designed for a 12-week educational sessions with a 24-week post-intervention follow-up visit. A total of 240 participants were randomly assigned to either the intervention group (n=120) who received educational booklet or control group (n=120) who received conventional diet counseling (CDC). The outcomes of the study were evaluated at baseline, week 12 and 36. The primary outcomes measurements were glycemic control assessed by glycated hemoglobin A1c (HbA1c), fasting blood glucose (FBS), lipid profile and anthropometric measurements. The secondary outcome measures were improvement in quality of life, nutrition knowledge and health belief. At 12th week, 223 participants completed the study with a dropout rate of 7.1 % (intervention group = 7; control=10). Baseline data showed no statistically significant difference between the two groups for all measured variables (p > 0.05). Using two-way repeated measure ANOVA and adjustment for baseline value where appropriate, subjects in the intervention group had significantly reduced FBS (Δ I= -1.137± 0.84; Δ CDC = -0.55± 0.55 mmol/L, p <0.001), HbA1c (Δ I= -0.35 ± 0.33; Δ CDC = -0.23 ± 0.27%, p<0.001), LDL(Δ I= -0.38 ± 0.30 ; Δ CDC = -0.05± 0.34 mmol/L, p<0.001), TG (Δ I= -0.22± 0.25; Δ CDC=+0.03±0.16 mmol/L, p<0.001) , TC (Δ I= -0.36± 0.26; Δ CDC = -0.04± 0.42 mmol/L, p<0.001) and BMI (Δ I= - 0.49 ±0.97; Δ CDC = +0.35 ± 0.47 kg/m2, p<0.001) at week 12 compared to the control group. Knowledge score had increased significantly after the intervention among the intervention group compared to control group (P <0.001). At week 36 of post-intervention, 200 subjects remained in the study and total dropout rate was 16.6 % (Intervention group= 13, control= 10). At week 36, subjects in the intervention group had significantly reduced FBS (Δ I= -2.07± 1.55; Δ CDC = -0.80± 1.04 mmol/L, p <0.001), HbA1c (Δ I= - 0.67 ± 0.50; Δ CDC = -0.21 ± 0.39%, p<0.001), LDL (Δ I= -0.89±0.36; Δ CDC = -0.03 ± 0.41 mmol/L, p<0.001), TG (Δ I= -0.37 ±0.27; Δ CDC = 0.01± 0.20 mmol/L, p<0.001), TC (Δ I= -0.93± 0.38; Δ CDC = - 0.07± 0.55 mmol/L, p<0.001) and BMI (Δ I= -1.42±1.13; Δ CDC=+0.26±0.52 kg/m2, p<0.001) compared to control group. In conclusion, 12 weeks intensive educational programme and 24weeks follow-up demonstrated a clinically relevant significant improvement of metabolic profiles, quality of life and a trend of improvement in HbA1c, lipid profile, in the intervention groups compared to the control group; there were better improvements in intervention group. These positive changes of the main outcomes were sustained even at week 36, indicating that the intervention had an impact on the self-care behaviors of intervention group than controls. These findings emphasize the importance of improving knowledge and awareness related to diabetes.,Doktor Falsafah (Dietetik) | - |
| dc.language.iso | eng | - |
| dc.publisher | UKM, Kuala Lumpur | - |
| dc.relation | Faculty of Health Sciences / Fakulti Sains Kesihatan | - |
| dc.rights | UKM | - |
| dc.subject | Type 2 diabetes | - |
| dc.subject | Health Belief Model (HBM) | - |
| dc.subject | Dissertations, Academic -- Malaysia | - |
| dc.title | Effectiveness of self-management educational package based on health belief model on metabolic profile and quality of life among Iranian patients with type 2 diabetes | - |
| dc.type | Theses | - |
| dc.format.pages | 384 | - |
| dc.identifier.callno | WA20.5.M697e 2017 9 | - |
| Appears in Collections: | Faculty of Health Sciences / Fakulti Sains Kesihatan | |
Files in This Item:
| File | Description | Size | Format | |
|---|---|---|---|---|
| ukmvital_84275+Source01+Source010.PDF Restricted Access | 519.41 kB | Adobe PDF |  View/Open |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.