Application of the Social Cognitive Theory to Predict Self-Care Behavior among Type 2 Diabetes Patients with Limited Health Literacy | |
| Journal of Health Literacy | |
| مقاله 2، دوره 6، شماره 2 - شماره پیاپی 22، آذر 2021، صفحه 21-32 اصل مقاله (157.08 K) | |
| نوع مقاله: Original Article | |
| شناسه دیجیتال (DOI): 10.22038/jhl.2021.57503.1161 | |
| نویسندگان | |
| Mahnoush Reisi1؛ Hamid Fazeli1؛ Marzieh Mahmoodi2؛ Homamodin Javadzadeh* 3 | |
| 1Department of Health Education and Health Promotion, Faculty of Health, Bushehr University of Medical Sciences, Bushehr, Iran | |
| 2Department of Epidemiology and Bio-Statistics, Faculty of Health, Bushehr University of Medical Sciences, Bushehr, Iran | |
| 3Bushehr University of Medical SciencesDepartment of Health Education and Health Promotion, Faculty of Health, Bushehr University of Medical Sciences, Bushehr, Iran | |
| چکیده | |
| Background and Objective: Although compliance with self-care behaviors is necessary for the successful management of diabetes, patients with diabetes often refuse favorable self-care. This study was conducted to determine the factors influencing self-care behaviors among type-2 diabetic patients who had limited health literacy based on social cognitive theory (SCT). Materials and Methods: A cross-sectional study was conducted among 293 diabetic patients with limited health literacy that was identified by S-TOFHLA. The data were collected using the summary of diabetes self-care activities, diabetes management self-efficacy scale, outcome expectancies questionnaire, and a researcher-made questionnaire for collecting data related to self-regulation and social support constructs. Data were analyzed by SPSS ver.22 using multiple linear regression to determine the predictors of self-care behaviors. Results: In the case of patient’s adherence to self-care tasks, they had the best adherence to medication regime and the worst adherence to physical activity. Employment status (p <0.032, β=3.57), supplementary insurance (p <0.018, β=1.74), and history of participating in diabetes education classes (p <0.044, β=1.63) were predictors of self-care behaviors in the studied patients. Among the SCT constructs, perceived self-efficacy (p <0.001, β=0.21) predicted self-care ability. The mean score of self-care increased around 0.21 by increasing one single unit of self-efficacy. Overall, these factors predicted 67% (R2 = 0.67) of self-care changes. Conclusions: The results of this study showed that self-efficacy and demographic variables are significant predictors to improve self-care ability among diabetic patients with limited health literacy. | |
| کلیدواژهها | |
| Self-Care Behavior؛ health literacy؛ diabetes؛ Social Cognitive Theory | |
| مراجع | |
|
1. Khoshnoodi far M, Arabnezhad Z, Tehrani H, Akbari farmad S. The effect Blended training on comparison with in-person training on self-care behaviors in type 2 diabetes patients. Iranian Journal of Health Education and Health Promotion. 2019;7(4):333-42. https://doi.org/10.29252/ijhehp.7.4.333 |
|
|
|
|
|
2. The International Diabetes Federation (IDF). Diabetes facts & figures 2017 [Available from: https://www.idf.org/aboutdiabetes/what-is-diabetes/facts-figures.html.
|
|
|
|
|
|
3. Bukhsh A, Khan TM, Lee SW, Lee L-H, Chan K-G, Goh B-H. Efficacy of pharmacist based diabetes educational interventions on clinical outcomes of adults with type 2 diabetes mellitus: a network meta-analysis. Frontiers in pharmacology. 2018;9:339. https://doi.org/10.3389/fphar.2018.00339 |
|
|
|
|
|
4. Lael-Monfared E, Tehrani H, Teiho Z, Jafari A. The study of eye care behaviors in patients with type 2 diabetes. Journal of Diabetes & Metabolic Disorders. 2020;19(1):257-63 https://doi.org/10.1007/s40200-020-00499-z |
|
|
|
|
|
5. Pourali R, Aghasi M, Ashragh N, Ravanyar L, Pour MJJorihs. Assessment of self-care practice and its associated factors among diabetic patients in urban area of Urmia, northwest of Iran. 2011;1(1):33-8.
|
|
|
|
|
|
6. Rahaei Z, Mehrjoyan N, Barzegr F, Anbari-Nogyni Z. Is Higher Health Literacy Associated with Better Self-Care in the Elderly? Journal of Health Literacy. 2020;5(3):26-35.
|
|
|
|
|
|
7. Shin KS, Lee EH. Relationships of health literacy to self‐care behaviors in people with diabetes aged 60 and above: Empowerment as a mediator. Journal of advanced nursing. 2018;74(10):2363-72. https://doi.org/10.1111/jan.13738 |
|
|
|
|
|
8. Kooshiar H, Shoorvazi M, Dalir Z, Hosseini M. Health Literacy and Health-Related Quality of Life in Older Adults with Type 2 Diabetes: The Mediating Role of Treatment Regimen Adherence. Journal of Health Literacy. 2021;5(4):31-40.
|
|
|
|
|
|
9. Bandura A. Social cognitive theory of moral thought and action. Handbook of moral behavior and development: Psychology Press; 2014. p. 69-128.
|
|
|
|
|
|
10. Aghdasi Z, Tehrani H, Esmaiely H, Ghavami M, Vahedian-Shahroodi M. Application of social cognitive theory on maternal nutritional behavior for weight of children 6 to 12 months with Failure to thrive (FTT). Iranian Journal of Health Education and Health Promotion. 2021;9(2):145-58. https://doi.org/10.52547/ijhehp.9.2.145 |
|
|
|
|
|
11. Young MD, Plotnikoff R, Collins C, Callister R, Morgan P. Social cognitive theory and physical activity: a systematic review and meta‐analysis. Obesity Reviews. 2014;15(12):983-95. https://doi.org/10.1111/obr.12225 |
|
|
|
|
|
12. Schunk DH, DiBenedetto MK. Motivation and social cognitive theory. Contemporary Educational Psychology. 2020;60:101832.. https://doi.org/10.1016/j.cedpsych.2019.101832 |
|
|
|
|
|
13. Laird Y, Fawkner S, Kelly P, McNamee L, Niven A. The role of social support on physical activity behaviour in adolescent girls: a systematic review and meta-analysis. International Journal of Behavioral Nutrition and Physical Activity. 2016;13(1):1-14. https://doi.org/10.1186/s12966-016-0405-7 |
|
|
|
|
|
14. White SM, Wójcicki TR, McAuley E. Social cognitive influences on physical activity behavior in middle-aged and older adults. Journals of Gerontology Series B: Psychological Sciences and Social Sciences. 2012;67(1):18-26. https://doi.org/10.1093/geronb/gbr064 |
|
|
|
|
|
15. Javadzade H, Sharifirad G, Reisi M, Tavassoli E, Rajati F. Health Literacy among Adults of Isfahan. Iran J Health Syst Res. 2013;9(5):540-9.
|
|
|
|
|
|
16. Haghayegh A, Ghasemi N, Neshatdoost H, Kajbaf M, Khanbani M. Psychometric properties of Diabetes Management Self-Efficacy Scale (DMSES). Iranian Journal of Endocrinology and Metabolism. 2010;12(2):111-95.
|
|
|
|
|
|
17. Skelly AH, Marshall JR, Haughey BP, Davis PJ, Dunford RG. Self-efficacy and confidence in outcomes as determinants of self-care practices in inner-city, African-American women with non-insulin-dependent diabetes. The Diabetes Educator. 1995;21(1):38-46. https://doi.org/10.1177/014572179502100107 |
|
|
|
|
|
18. Toobert DJ, Hampson SE, Glasgow RE. The summary of diabetes self-care activities measure: results from 7 studies and a revised scale. Diabetes care. 2000;23(7):943-50. https://doi.org/10.2337/diacare.23.7.943 |
|
|
|
|
|
19. Reisi M, Mostafavi F, Javadzade H, Mahaki B, Tavassoli E, Sharifirad G. Impact of health literacy, self-efficacy, and outcome expectations on adherence to self-care behaviors in Iranians with type 2 diabetes. Oman medical journal. 2016;31(1):52 https://doi.org/10.5001/omj.2016.10 |
|
|
|
|
|
20. Wu SFV, Courtney M, Edwards H, McDowell J, Shortridge‐Baggett LM, Chang PJ. Self‐efficacy, outcome expectations and self‐care behaviour in people with type 2 diabetes in Taiwan. Journal of clinical nursing. 2007;16(11c):250-7. https://doi.org/10.1111/j.1365-2702.2006.01930.x |
|
|
|
|
|
21. Colberg SR, Sigal RJ, Yardley JE, Riddell MC, Dunstan DW, Dempsey PC, et al. Physical activity/exercise and diabetes: a position statement of the American Diabetes Association. Diabetes care. 2016;39(11):2065-79. https://doi.org/10.2337/dc16-1728 |
|
|
|
|
|
22. Hamadzadeh S, Ezatti ZH, Abedsaeidi ZH, Nasiri N. Coping Styles and Self-Care Behaviors among Diabetic . Iran Journal of Nursing. 2013;25(80):24-33.
|
|
|
|
|
|
23. Taghipour A, Moshki M, Mirzaei N. Determination of effective factors on self-care behaviors in women with diabetes referring to Mashhad health centers. Iranian Journal of Health Education and Health Promotion. 2017;5(4):328-35. https://doi.org/10.30699/acadpub.ijhehp.5.4.320 |
|
|
|
|
|
24. Vosooghikarkazloo N, Abootalebi GH, Farahani B, Mohammadnezhad E, Sajjadi A. The study of self-care agency in patients with diabetes (Ardabil). Modern Care, Scientific Quarterly of Birjand Nursing and Midwifery Faculty. 2012;8(4):197-204.
|
|
|
|
|
|
25. Fatemeh M, Atefeh G, Arsalan S, Ehsan K, Mitra SS, Ezzat P. Study Status Of Self-Care Behaviors And Gender Differences In Patients With Heart Failure. Payavard Salamat. 2014;8(
|
|
|
|
|
|
26. Peña-Purcell NC, Boggess MM, Jimenez N. An empowerment-based diabetes self-management education program for Hispanic/Latinos: a quasi-experimental pilot study. The Diabetes Educator. 2011;37(6):770-9 https://doi.org/10.1177/0145721711423319 |
|
|
|
|
|
27. Reisi M, Javadzede H, Sharifirad G, Mostafavi F, Tavassoli E, Imanzad M. Effects of an Educational Intervention on Self-Care and Metabolic Control in Patients With Type II Diabetes .Journal of Client-Centered Nursing Care. 2017;3(3):205-14. https://doi.org/10.32598/jccnc.3.3.205 |
|
|
|
|
|
28. Razmaraei S, Hemmati M, khalkhali H. The effect of family centered educationon self care in patients with type 2 diabetes. Journal of Nursing and Midwifery Urmia University of Medical Sciences. 2016;14(2):118-27.
|
|
|
|
|
|
29. Parizad N, Hemmati M, Khalkhali H. Promoting self-care in patients with type 2 diabetes: Tele-education. Hakim research journal. 2013;16(3):220-7.
|
|
|
|
|
|
30. barati f, sajjadi m, farhadi a, amiri m, sadeghmoghadam l. Self-care behavior and related factors in older adults with hypertension in Ahvaz City . Journal of Gerontology. 2018;3(1):56-62. https://doi.org/10.29252/joge.3.1.56 |
|
|
|
|
|
31. Nelson KM, Chapko MK, Reiber G, Boyko EJ. The association between health insurance coverage and diabetes care; data from the 2000 Behavioral Risk Factor Surveillance System. Health services research. 2005;40(2):361-72. https://doi.org/10.1111/j.1475-6773.2005.0d362.x |
|
|
|
|
|
32. Gholamaliei B, Karimi-Shahanjarini A, Roshanaei G, Rezapour-Shahkolaei F. Medication Adherence and its Related Factors in Patients with Type II Diabetes .J Journal of Education and Community Health. 2016;2(4):3-12. https://doi.org/10.21859/jech-02042 |
|
|
|
|
|
33. Fallah B, Moshtagh Eshgh Z. The effects of basic conditioning factors on self-care behaviors of patients with type 2 diabetes referred to Yazd Research Center, 2014. SSU_Journals. 2018;25(10):770-9.
|
|
|
|
|
|
34. Xu Y, Pan W, Liu H. Self‐management practices of Chinese Americans with type 2 diabetes. Nursing & health sciences. 2010;12(2):228-34. https://doi.org/10.1111/j.1442-2018.2010.00524.x |
|
|
|
|
|
35. Baumann LC, Dang TTN. Helping patients with chronic conditions overcome barriers to self-care. The Nurse Practitioner. 2012;37(3):32-8. https://doi.org/10.1097/01.NPR.0000411104.12617.64 |
|
|
|
|
|
36. Rahimian Boogar E, Besharat MA, Mohajeri Tehrani M, Talepasand S. Predictive Role of Self-Efficacy, Belief of Treatment Effectiveness and Social Support in Diabetes Mellitus Self-Management %J Iranian Journal of Psychiatry and Clinical Psychology. 2011;17(3):232-40.
|
|
|
|
|
|
37. Didarloo A, Shojaeizadeh D, Asl RG, Habibzadeh H, Niknami S, Pourali R. Prediction of self-management behavior among Iranian women with type 2 diabetes: application of the theory of reasoned action along with self-efficacy (etra). Iranian Red Crescent Medical Journal. 2012;14(2):86.
|
|
|
|
|
|
38. Henrietta H. Influence of selfefficacy and spirituality on self-care behaviors and glycemic control in African Americans with type 2 diabetes [Dissertation]. Barry University. 2006.
|
|
|
|
|
|
39. Wen LK, Shepherd MD, Parchman ML. Family support, diet, and exercise among older Mexican Americans with type 2 diabetes. The Diabetes Educator. 2004;30(6):980-93. https://doi.org/10.1177/014572170403000619 |
|
|
|
|
|
40. Reisi M, Mostafavi F, Javadzade SH, Mahaki B, Sharifirad G. Assessment of Some Predicting Factors of Self-efficacy in Patients with Type 2 Diabetes. Iranian Journal of Endocrinology and Metabolism. 2015;17(1):44-52. https://doi.org/10.5001/omj.2016.10 |
|
|
|
|
|
41. Didarloo A, Shojaeizadeh D, Eftekhar Ardebili H, Niknami S, Hajizadeh E, Alizadeh M. Assessment of factors affecting self-care behavior among women with type 2 diabetes in Khoy City Diabetes Clinic using the extended theory of reasoned action. Journal of School of Public Health and Institute of Public Health Research. 2011;9(2):79-92. https://doi.org/10.4093/dmj.2011.35.5.513 |
|
آمار
تعداد مشاهده مقاله: 911
تعداد دریافت فایل اصل مقاله: 1,660