Development of a Health Literacy Promotion Program (HeLPP) to Promote Self-Care Behaviors and Quality of Life among Rural Patients with Type ۲ Diabetes: Preliminary Results

  • سال انتشار: 1403
  • محل انتشار: فصلنامه سواد سلامت، دوره: 9، شماره: 2
  • کد COI اختصاصی: JR_JHL-9-2_003
  • زبان مقاله: انگلیسی
  • تعداد مشاهده: 226
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نویسندگان

Hakim Ahmadzadeh

Department of Health Education & Promotion, Tabriz University of Medical Sciences, Tabriz, Iran.

Haleh Heizomi

Department of Health Education & Promotion, Tabriz University of Medical Sciences, Tabriz, Iran.

Haidar Nadrian

Social Determinants of Health Research Center, Department of Health Education & Promotion, Tabriz University of Medical Sciences, Tabriz, Iran

Shayesteh Shirzadi

Department of Public Health, Neyshabur University of Medical Sciences, Neyshabur, Iran.

Kamyar Pirehbabi

Department of Health Education & Promotion, Tabriz University of Medical Sciences, Tabriz, Iran.

Behrouz Fathi

Department of Public Health, Urmia University of Medical Sciences, Urmia, Iran

Sarisa Najafi

Graduate student in Psychology, Islamic Azad University-Sanandaj Branch, Sanandaj, Iran

leila Zhianfar

Faculty of Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran

Towhid Babazadeh

Department of Public Health, Sarab University of Medical Sciences, Sarab, Iran.

چکیده

Background and Objective: We developed a protocol for a health literacy promotion program (HeLPP) to promote self-care behaviors and quality of life (QOL) among T۲DM patients in Chaldoran County, Iran. To develop the educational program, we primarily conducted a behavioral and educational assessment on the pre-test data collected from the participants. In this paper, we report a summary of the protocol and the primary results of the pre-test findings. Materials and Methods: The HeLPP protocol is naturally developed for a randomized controlled trial with Solomon four-group design. Developing the HeLPP, we will conduct it for both test groups. To plan the HeLPP and to find the main predictors of self-care behaviors and QOL, we firstly conducted a cross-sectional study (as a needs assessment phase). So, applying simple random sampling, data on ۱۶۰ patients were collected and analyzed. The validated scales (Health Literacy Questionnaire (HLQ), Self-care activities scale, and Diabetes QOL Brief Clinical Inventory) were used to collect data.Results: The mean age of participants was ۶۱.۰۸ ± ۱۱.۳۵. The most significant determinants of self-care behaviors were understanding (β: ۰.۲۶), reading skills (β: ۰.۲۳), and knowledge (β: -۰.۱۹). Self-care behaviors (β: ۰.۲۹) and decision-making (β: ۰.۲۸) were significant predictors of QOL. Conclusion: Considering the predicting role of understanding, reading skills, and decision-making for self-care behaviors and QOL of the rural T۲DM patients, the focus of HeLPP should be on clear communication, goal-setting, and teach back strategies. The developed protocol seems to be helpful in promoting the outcome variables of the study.

کلیدواژه ها

Health Literacy, Self-care behaviors, Quality of life, Type ۲ diabetes, health promotion

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