Effects of a Short-time health literacy promotion program (HeLPP) on biochemical factors, self-care and quality of life among rural patients with type-2 diabetes: A field trial with Solomon four-group design

被引：1

作者：

Golboni, Farzaneh ^{[1
]}

Ahmadzadeh, Hakim ^{[2
]}

Nadrian, Haidar ^{[3
]}

Babazadeh, Towhid ^{[4
]}

Najafi, Sarisa ^{[5
]}

Ghahremaninasab, Parvaneh ^{[6
,7
]}

Pirehbabi, Kamyar ^{[2
]}

Heizomi, Haleh ^{[8
]}

Mahmoodi, Hassan ^{[9
]}

机构：

[1] Minist Hlth & Med Educ MOHME, Tehran, Iran

[2] Tabriz Univ Med Sci, Fac Hlth, Dept Hlth Educ & Promot, Tabriz, Iran

[3] Tabriz Univ Med Sci, Social Determinants Hlth Res Ctr, Tabriz, Iran

[4] Sarab Univ Med Sci, Dept Publ Hlth, Sarab, Iran

[5] Islamic Azad Univ, Dept Psychol, Sanandaj Branch, Sanandaj, Iran

[6] Tabriz Univ Med Sci, Fac Hlth, Dept Gerontol, Tabriz, Iran

[7] Tabriz Univ Med Sci, Student Res Comm, Tabriz, Iran

[8] Tabriz Univ Med Sci, Dept Publ Hlth, Sarab, Iran

[9] Kurdistan Univ Med Sci, Dept Publ Hlth, Sanandaj, Iran

来源：

HEALTH PROMOTION PERSPECTIVES | 2024年 / 14卷 / 02期

关键词：

Type 2 diabetes mellitus; Health; literacy; Quality of life; Self-care; COMMUNITY-BASED INTERVENTION; EDUCATIONAL INTERVENTION; MANAGEMENT; KNOWLEDGE; IMPACT;

D O I：

10.34172/hpp.42787

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background: Current evidence suggests that health literacy (HL) impacts self-care behaviors and quality of life (QOL) in patients with type 2 diabetes mellitus (T2DM). This study aimed to evaluate the impact of a short-time health literacy promotion program (HeLPP) on self-care behaviors and QOL in rural patients with type 2 diabetes. Methods: Conducted from 2018 to 2019 in Chaldoran county, Iran, this randomized controlled trial followed the Solomon four-group design. Participants included 160 rural individuals with T2DM, who were divided into two intervention (A and C) and two control (B and D) groups. Pretests were conducted for intervention group A and control group B, with post-tests administered to all groups at three and six months. Interventions, consisting of five training sessions lasting 45 to 55 minutes, were planned and executed based on pre-test analyses. Primary outcomes were QOL and self-care behaviors, and secondary outcomes were glycated hemoglobin (HbA1c), HL and patients' awareness of the disease. Results: Prior to the intervention, there was no significant difference in awareness, HL, self- care behaviors, HbA1c, and QOL between intervention group A and control group B (P>0.05). P >0.05). However, at three and six months after the educational program, intervention group A exhibited significantly increased average scores in awareness, HL, self-care behaviors, and QOL, along with reduced HbA1c levels (P<0.05) P <0.05) compared to control group B. No interaction was detected between the pre-test and the primary and secondary outcome scores after intervention. Conclusion: Implementing intervention programs like HeLPP focusing on enhancing practical HL and empowering T2DM patients seems to be promising in improving patients' self-care behaviors and QOL, while reducing their HbA1c levels. Trial Registration: Identifier: IRCT20131116015422N7; https://irct.behdasht.gov.ir/trial/35569.

引用

页码：175 / 184

页数：10

共 42 条

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