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image of The Effect of a Health Education Program on Knowledge, Medication Adherence, and Glycosylated Hemoglobin in Rural Patients with Type 2 Diabetes

Abstract

Background

Improving medication adherence plays a crucial role in preventing adverse complications of type 2 diabetes.

Objectives

This study aimed to determine the effect of a health education program on knowledge, medication adherence, and HbA1c in rural patients with type 2 diabetes.

Methods

This experimental study was conducted in Ilam County, Iran. Participants were selected multistage cluster sampling and randomly assigned to either the intervention group (n=43) or the control group (n=42). The intervention group underwent a one-month educational program based on self-regulation theory, consisting of 12 sessions, while the control group received no educational intervention. Data were collected at baseline, three months, and six months using a diabetes knowledge test (DKT), the Iranian version of the Morisky Medication Adherence Scale-8 (IVMMAS-8), and laboratory measurements of HbA1c. Statistical analysis was performed using SPSS version 16, employing chi-square tests, independent sample t-tests, repeated-measures ANOVA, and Bonferroni correction at a significance level of 0.05.

Results

After 3 and 6 months, the intervention group showed significant improvements in diabetes knowledge and medication adherence and a significant reduction in HbA1c levels compared to the control group (<0.001). No significant changes were observed in the control group over time (>0.05).

Conclusion

This study demonstrated that health education based on self-regulation theory can effectively increase knowledge, improve treatment adherence, and decrease HbA1c levels in rural patients with type 2 diabetes.

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/content/journals/cdr/10.2174/0115733998332358240923112144
2024-11-29
2025-01-22

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/content/journals/cdr/10.2174/0115733998332358240923112144
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The Effect of a Health Education Program on Knowledge, Medication Adherence, and Glycosylated Hemoglobin in Rural Patients with Type 2 Diabetes
Bentham Science Publishers ; https://doi.org/10.2174/0115733998332358240923112144
/content/journals/cdr/10.2174/0115733998332358240923112144
/content/journals/cdr/10.2174/0115733998332358240923112144
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  • Article Type:     Research Article
Keywords: HbA1c ; self-regulation theory ; diabetes management ; type 2 diabetes ; Health education ; medication adherence ; rural health

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