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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
2025-03-07

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References

  1. Danpanichkul P. Suparan K. Dutta P. Kaeosri C. Sukphutanan B. Pang Y. Kulthamrongsri N. Jaisa-aad M. Ng C.H. Teng M. Nakano M. Morishita A. Alkhouri N. Yang J.D. Chen V.L. Kim D. Fallon M.B. Diaz L.A. Arab J.P. Mantzoros C.S. Noureddin M. Lazarus J.V. Wijarnpreecha K. Disparities in metabolic dysfunction-associated steatotic liver disease and cardiometabolic conditions in low and lower middle-income countries: A systematic analysis from the global burden of disease study 2019. Metabolism 2024 158 155958 10.1016/j.metabol.2024.155958 38942169
    [Google Scholar]
  2. Ilic I. Ilic M. The burden of type 2 diabetes mellitus in Latin America, 1990–2019: findings from the Global Burden of Disease study. Public Health 2024 233 74 82 10.1016/j.puhe.2024.05.009 38852206
    [Google Scholar]
  3. Tegegne K.D. Gebeyehu N.A. Yirdaw L.T. Yitayew Y.A. Kassaw M.W. Determinants of poor glycemic control among type 2 diabetes in Ethiopia: a systematic review and meta-analysis. Front. Public Health 2024 12 1256024 10.3389/fpubh.2024.1256024 38375333
    [Google Scholar]
  4. International Diabetes Federation, IDF Diabetes Atlas 2021 Available from: https://www.diabetesatlas.org
  5. Cheng L. Sit J.W.H. Choi K. Chair S. Li X. Wu Y. Long J. Tao M. Effectiveness of a patient-centred, empowerment-based intervention programme among patients with poorly controlled type 2 diabetes: A randomised controlled trial. Int. J. Nurs. Stud. 2018 79 43 51 10.1016/j.ijnurstu.2017.10.021 29149618
    [Google Scholar]
  6. Dorvlo G.G.K. Kumah A. Ofosu S.K. Afakorzi S.H. Avorgbedor Y.E. Obot E. Nwogu C.N. Rahman M.A. Ugorji H.O. Aidoo L.A. Dogbedo A.B. Issah A-R. Fuseini A.A. Kanamitie D.T. Boni G. Factors Associated with Antidiabetic Medications and Dietary Recommendation Adherence Among Patients with Type 2 Diabetes. Glob. J. Qual. Saf. Healthc. 2024 10.36401/JQSH‑23‑52
    [Google Scholar]
  7. Owolabi EO Ajayi AI Adherence to medication, dietary and physical activity recommendations: Findings from a multicenter cross-sectional study among adults with diabetes in rural South Africa. J Eval Clin Pract. 2024
    [Google Scholar]
  8. Ferreira P.L. Morais C. Pimenta R. Ribeiro I. Amorim I. Alves S.M. Santiago L. Knowledge about type 2 diabetes: its impact for future management. Front. Public Health 2024 12 1328001 10.3389/fpubh.2024.1328001 38525337
    [Google Scholar]
  9. Malik S.E. Kanwal S. Haider I. Javed J. Yasir Iqbal Bibi S. Comprehension of Lifestyle Modification in Patient with Type 2 Diabetes Mellitus: A Kap Study. Journal of Gandhara Medical and Dental Science 2023 11 1 7 12 10.37762/jgmds.11‑1.521
    [Google Scholar]
  10. Varming A.R. Rasmussen L.B. Husted G.R. Olesen K. Grønnegaard C. Willaing I. Improving empowerment, motivation, and medical adherence in patients with poorly controlled type 2 diabetes: A randomized controlled trial of a patient-centered intervention. Patient Educ. Couns. 2019 102 12 2238 2245 10.1016/j.pec.2019.06.014 31239180
    [Google Scholar]
  11. Badi S. Suliman S.Z. Almahdi R. Aldomah M.A. Marzouq M.E. The Impact of Clinical Pharmacist Diabetes Education on Medication Adherence in Patients with Type 2 Diabetes Mellitus: An Interventional Study from Khartoum, Sudan. J Pers Med. 2024 14 1 74
    [Google Scholar]
  12. Pérez Unanua M.P. Alonso Fernández M. López Simarro F. Soriano Llora T. Peral Martínez I. Mancera Romero J. Adherence to healthy lifestyle behaviours in patients with type 2 diabetes in Spain. Semergen 2021 47 3 161 169 33160855
    [Google Scholar]
  13. Wang M. Hng T.M. HbA1c: More than just a number. Aust. J. Gen. Pract. 2021 50 9 628 632 10.31128/AJGP‑03‑21‑5866 34462769
    [Google Scholar]
  14. Yu Y. Yang J. Tang W. Correlations between glycosylated hemoglobin and glucose levels in Chinese older adults with newly diagnosed type 2 diabetes mellitus. Turk. J. Med. Sci. 2022 52 4 1207 1215 10.55730/1300‑0144.5425 36326358
    [Google Scholar]
  15. Duarte-Díaz A. González-Pacheco H. Rivero-Santana A. Ramallo-Fariña Y. Perestelo-Pérez L. Peñate W. Carrion C. Serrano-Aguilar P. Factors associated with patient empowerment in Spanish adults with type 2 diabetes: A cross-sectional analysis. Health Expect. 2022 25 6 2762 2774 10.1111/hex.13501 36047480
    [Google Scholar]
  16. Gupta V. Gautam S.K. Impact of Knowledge, Attitude and Practice on the Management of Type 2 Diabetes Mellitus in Developing Countries: A Review. Curr. Diabetes Rev. 2022 18 3 e010521189965 10.2174/1573399817666210106104230 33413065
    [Google Scholar]
  17. Krishnakumar S. Govindarajulu Y. Vishwanath U. Nagasubramanian V.R. Palani T. Impact of patient education on KAP, medication adherence and therapeutic outcomes of metformin versus insulin therapy in patients with gestational diabetes: A Hospital based pilot study in South India. Diabetes Metab. Syndr. 2020 14 5 1379 1383 10.1016/j.dsx.2020.07.026 32755838
    [Google Scholar]
  18. Bennich B.B. Munch L. Overgaard D. Konradsen H. Knop F.K. Røder M. Vilsbøll T. Egerod I. Experience of family function, family involvement, and self-management in adult patients with type 2 diabetes: A thematic analysis. J. Adv. Nurs. 2020 76 2 621 631 10.1111/jan.14256 31670404
    [Google Scholar]
  19. Zhang J Chen Z Mediators of the association between educational attainment and type 2 diabetes mellitus: A two-step multivariable Mendelian randomisation study. Diabetologia. 2022 65 8 1364 1374 10.1007/s00125‑022‑05705‑6
    [Google Scholar]
  20. Lambrinou E. Hansen T.B. Beulens J.W.J. Lifestyle factors, self-management and patient empowerment in diabetes care. Eur. J. Prev. Cardiol. 2019 26 2_suppl Suppl. 55 63 10.1177/2047487319885455 31766913
    [Google Scholar]
  21. Vainauskienė V. Vaitkienė R. Enablers of Patient Knowledge Empowerment for Self-Management of Chronic Disease: An Integrative Review. Int. J. Environ. Res. Public Health 2021 18 5 2247 10.3390/ijerph18052247 33668329
    [Google Scholar]
  22. de la Fuente J. Martínez-Vicente J.M. Santos F.H. Sander P. Fadda S. Karagiannopoulou E. Boruchovitch E. Kauffman D.F. Advances on Self-Regulation Models: A New Research Agenda Through the SR vs. ER Behavior Theory in Different Psychology Contexts. Front. Psychol. 2022 13 861493 10.3389/fpsyg.2022.861493 35910968
    [Google Scholar]
  23. Ghoreishi M.S. Vahedian-shahroodi M. Jafari A. Tehranid H. Self-care behaviors in patients with type 2 diabetes: Education intervention base on social cognitive theory. Diabetes Metab. Syndr. 2019 13 3 2049 2056 10.1016/j.dsx.2019.04.045 31235135
    [Google Scholar]
  24. González-Burboa A. Acevedo Cossio C. Vera-Calzaretta A. Villaseca-Silva P. Müller-Ortiz H. Páez Rovira D. Pedreros Rosales C. Mealberquilla Néndez-Asenjo Á. Otero Puime Á. Psychological interventions for patients with type 2 diabetes mellitus. A systematic review and meta-analysis. Rev. Med. Chil. 2019 147 11 1423 1436 32186603
    [Google Scholar]
  25. Bandura A. Self-regulation of motivation through anticipatory and self-reactive mechanisms. Nebr Symp Motiv. 1991 38 69 164
    [Google Scholar]
  26. Bandura A. The Role of Self-efficacy in Goal-based Motivation. New Developments in Goal Setting and Task Performance 2013 147 157
    [Google Scholar]
  27. Sullivan-Bolyai S. Johnson K. Cullen K. Hamm T. Bisordi J. Blaney K. Maguire L. Melkus G. Tried and True. ANS. Adv. Nurs. Sci. 2014 37 4 340 349 10.1097/ANS.0000000000000050 25365286
    [Google Scholar]
  28. Tao Y. Liu T. Hua Y. Lv A. Ni C. Effects of a temporal self-regulation theory-based intervention on self-management in hemodialysis patients: A randomized controlled trial. Patient Educ. Couns. 2024 119 108059 10.1016/j.pec.2023.108059 37976671
    [Google Scholar]
  29. Fitzgerald J.T. Funnell M.M. Anderson R.M. Nwankwo R. Stansfield R.B. Piatt G.A. Validation of the Revised Brief Diabetes Knowledge Test (DKT2). Diabetes Educ. 2016 42 2 178 187 10.1177/0145721715624968 26769757
    [Google Scholar]
  30. Laghousi D. Rezaie F. Alizadeh M. Asghari Jafarabadi M. The eight-item Morisky Medication Adherence Scale: validation of its Persian version in diabetic adults. Caspian J. Intern. Med. 2021 12 1 77 83 33680402
    [Google Scholar]
  31. Moradi A. Alavi S.M. Salimi M. Nouhjah S. Shahvali E.A. The effect of short message service (SMS) on knowledge and preventive behaviors of diabetic foot ulcer in patients with diabetes type 2. Diabetes Metab. Syndr. 2019 13 2 1255 1260 10.1016/j.dsx.2019.01.051 31336474
    [Google Scholar]
  32. Nazir S.U.R. Hassali M.A. Saleem F. Haque N. Medication Management Program: Adherence, Disease-related Knowledge, Health-related Quality of Life, and Glycemic Control for Type 2 Diabetes Mellitus. Altern. Ther. Health Med. 2020 26 S2 4 10 31634877
    [Google Scholar]
  33. Schoenthaler A. Leon M. Butler M. Steinhaeuser K. Wardzinski W. Development and Evaluation of a Tailored Mobile Health Intervention to Improve Medication Adherence in Black Patients With Uncontrolled Hypertension and Type 2 Diabetes: Pilot Randomized Feasibility Trial. JMIR Mhealth Uhealth 2020 8 9 e17135 10.2196/17135 32965230
    [Google Scholar]
  34. Parsai M. Sahbaei F. Hojjati H. Effect of implementing an extended parallel process model on adherence to a medication regimen of the type 2 diabetic elderly. Journal of Caspian Health and Aging. 2020 5 2 56 65
    [Google Scholar]
  35. Raj J.P. Mathews B. Effect of behavioral intervention on medication adherence among elderly with select non-communicable diseases (ENDORSE): Pilot randomized controlled trial. Geriatr. Gerontol. Int. 2020 20 11 1079 1084 10.1111/ggi.14032 32896089
    [Google Scholar]
  36. Hajloo N. Rahimi S. Raouf Saeb A. Sedaghat M. The effectiveness of self-care behaviors training on health-promoting lifestyle and control of hemoglobin A1C in patients with type 2 diabetes. Journal of Modern Psychological Researches. 2022 17 66 91 100
    [Google Scholar]
  37. Seuring T Using peer education to improve diabetes management and outcomes in a low-income setting: A randomized controlled trial. Trials. 2019 20 1 548
    [Google Scholar]
  38. Wong C.K.H. Wong W.C.W. Lam C.L.K. Wan Y.F. Wong W.H.T. Chung K.L. Dai D. Tsui E.L.H. Fong D.Y.T. Effects of Patient Empowerment Programme (PEP) on clinical outcomes and health service utilization in type 2 diabetes mellitus in primary care: an observational matched cohort study. PLoS One 2014 9 5 e95328 10.1371/journal.pone.0095328 24788804
    [Google Scholar]
/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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