Title of article
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
Author/Authors
Golboni ، Farzaneh Ministry of Health and Medical Education (MOHME) , Ahmadzadeh ، Hakim Department of Health Education and Promotion - Faculty of Health - Tabriz University of Medical Sciences , Nadrian ، Haidar Social Determinants of Health Research Center - Tabriz University of Medical Sciences , Babazadeh ، Towhid Department of Public Health - Sarab University of Medical Sciences , Najafi ، Sarisa Department of Psychology - Islamic Azad University, Sanandaj Branch , Ghahremaninasab ، Parvaneh Department of Gerontology - Faculty of Health, Student Research Committee - Tabriz University of Medical Sciences , Pirehbabi ، Kamyar Department of Health Education and Promotion - Faculty of Health - Tabriz University of Medical Sciences , Heizomi ، Haleh Department of Public Health - Tabriz University of Medical Sciences , Mahmoodi ، Hassan Department of Public Health - Kurdistan University of Medical Sciences
From page
175
To page
184
Abstract
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. Pre-tests 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). 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) 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.
Keywords
Type 2 diabetes mellitus , Health literacy , Quality of life , Self , care
Journal title
Health Promotion Perspectives (HPP)
Journal title
Health Promotion Perspectives (HPP)
Record number
2763929
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