Effectiveness of health education in diabetes self-care: a quasi-experimental study in urban and rural populations
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20251374Keywords:
Self-care management, Type 2 diabetes, Educational interventions, Urban and rural healthAbstract
Background: Diabetes mellitus is a chronic condition caused by insulin deficiency or ineffectiveness, requiring comprehensive self-care management. Effective self-care is essential to prevent complications and manage the disease effectively, particularly in addressing the challenges associated with lifestyle modifications.
Methods: This cross-sectional study assessed the impact of educational interventions on self-care management among urban and rural patients with diabetes. Conducted with 129 urban and 63 rural participants from the field practice areas of S. Nijalinappa Medical College, Bagalkot, data were collected using the diabetes self-management questionnaire. After administering a health education intervention, changes in self-care practices were evaluated.
Results: The study population included predominantly older males, with most participants identifying as Hindu (57% rural, 69% urban), married (85.7% rural, 82.9% urban), unemployed (44% rural, 35.7% urban), and illiterate (46.5% rural, 41.3% urban). Post-intervention, significant improvements were observed in diabetes self-care management in both urban and rural participants.
Conclusions: Educational interventions are instrumental in empowering individuals to adopt effective self-care practices and prevent complications associated with diabetes. Tailored health education programs focusing on self-care management are essential for addressing the unique needs of urban and rural diabetic populations.
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References
World Health Organization. Diabetes mellitus. 2024. Available at: https://www.who.int/news-room/fact-sheets/detail/diabetes. Accessed on 23 January 2025.
Mohan D, Raj D, Shanthirani CS, Datta M, Unwin NC, Kapur A, et al. Awareness and knowledge of diabetes in Chennai - The Chennai Urban Rural Epidemiology Study. J Assoc Physicians India. 2005;53:283-7.
Zucchi P, Ferrari P, Spina ML. Diabetic foot: from diagnosis to therapy. G Ital Nefrol. 2005;22(31):S20-2.
Cooper H, Booth K, Gill G. Patients’ perspectives on diabetes health care education. Health Educ Res. 2003;18(2):191-206. DOI: https://doi.org/10.1093/her/18.2.191
Paterson B, Thorne S. Developmental evolution of expertise in diabetes self-management. Clin Nurs Res. 2000;9(4):402-19. DOI: https://doi.org/10.1177/10547730022158663
Etzwiler DD. Diabetes translation: a blueprint for the future. Diabetes Care. 1994;17(1):1-4.
Bradley C. Handbook of Psychology and Diabetes. Chur, Switzerland: Harwood Academic. 1994.
Johnson SB. Health behavior and health status: concepts, methods and applications. J Pediatr Psychol. 1994;19(2):129-41. DOI: https://doi.org/10.1093/jpepsy/19.2.129
McNabb WL. Adherence in diabetes: can we define it and can we measure it? Diabetes Care. 1997;20(2):215-8. DOI: https://doi.org/10.2337/diacare.20.2.215
Sasi ST, Kodali M, Burra KC, Muppala BS, Gutta P, Bethanbhatla MK. Self-care activities, diabetic distress and other factors which affected the glycaemic control in a tertiary care teaching hospital in South India. J Clin Diagn Res. 2013;7(5):857-60.
Shobhana R, Begum R, Snehalatha C, Vijay V, Ramachandran A. Patients’ adherence to diabetes treatment. J Assoc Physicians India. 1999;47:1173-5.
Arulmozhi S, Mahalakshmi T. Self-care and medication adherence among type 2 diabetics in Puducherry, Southern India: A hospital-based study. J Clin Diagn Res. 2014;8:UC01-3.
Shrivastava SR, Shrivastava PK, Ramaswamy J. Role of self-care in management of diabetes mellitus. J Diabetes Metab Disord. 2013;2. DOI: https://doi.org/10.1186/2251-6581-12-14
Gonzalez JS, Fisher L, Polonsky WH. Depression in diabetes: have we been missing something important? Diabetes Care. 2011;34(1):236-9. DOI: https://doi.org/10.2337/dc10-1970
Deakin T, McShane CE, Cade JE, Williams RD. Group-based training for self-management strategies in people with type 2 diabetes mellitus. Cochrane Database Syst Rev. 2005;(2):CD003417. DOI: https://doi.org/10.1002/14651858.CD003417.pub2
Renders CM, Valk GD, Griffin SJ, Wagner EH, Eijk Van JT, Assendelft WJ. Interventions to improve the management of diabetes in primary care, outpatient, and community settings: a systematic review. Diabetes Care. 2001;24:1821-33. DOI: https://doi.org/10.2337/diacare.24.10.1821
Ratner RE; Diabetes Prevention Program Research. An update on the Diabetes Prevention Program. Endocr Pract. 2006;12(1):20-4. DOI: https://doi.org/10.4158/EP.12.S1.20
Diabetes Prevention Program (DPP) Research Group. The Diabetes Prevention Program (DPP): description of lifestyle intervention. Diabetes Care. 2002;25:2165-71. DOI: https://doi.org/10.2337/diacare.25.12.2165
Powers MA, Bardsley J, Cypress M, Duke A, Funnell MM, Fischl AH, et al. Diabetes self-management education and support in type 2 diabetes. Diabetes Educ. 2017;43(1):42. DOI: https://doi.org/10.1177/0145721716689694
Mohandas A, Bhasin SK, Upadhyay M, Madhu SV. Diabetes self-care activities among adults 20 years and above residing in a resettlement colony in East Delhi. Indian J Public Health. 2018;62(2):104. DOI: https://doi.org/10.4103/ijph.IJPH_249_17
Bukhsh A, Khan TM, Nawaz MS, Ahmed HS, Chan KG, Goh BH. Association of diabetes knowledge with glycemic control and self-care practices among Pakistani people with type 2 diabetes mellitus. Diabetes Metab Syndr Obes. 2019;12:1409. DOI: https://doi.org/10.2147/DMSO.S209711
Devarajooh C, Chinna K. Depression, distress and self-efficacy: The impact on diabetes self-care practices. PLoS One. 2017;12(3):e0175096. DOI: https://doi.org/10.1371/journal.pone.0175096
Dedefo MG, Ejeta BM, Wakjira GB, Mekonen GF, Labata BG. Self-care practices regarding diabetes among diabetic patients in West Ethiopia. BMC Res Notes. 2019;12(1):212. DOI: https://doi.org/10.1186/s13104-019-4258-4
Raithatha SJ, Shankar SU, Dinesh K. Self-care practices among diabetic patients in Anand district of Gujarat. Int Sch Res Notices. 2014;2014. DOI: https://doi.org/10.1155/2014/743791
Dasappa H, Sirisha M, Prasanna SR, Naik S. Prevalence of self-care practices and assessment of their sociodemographic risk factors among diabetics in the urban slums of Bengaluru. J Family Med Prim Care. 2017;6(2):218. DOI: https://doi.org/10.4103/2249-4863.220037
Kalusivalingam N, Bobhate P, Kalaivani A, Karnaboopathy R. Self-reported self-care activities among type 2 diabetic patients in rural areas of Kancheepuram district, Tamil Nadu: a cross-sectional study. Int J Community Med Public Health. 2020;7(2):484-90. DOI: https://doi.org/10.18203/2394-6040.ijcmph20200016
Saleh F, Mumu SJ, Ara F, Hafez MA, Ali L. Non-adherence to self-care practices & medication and health related quality of life among patients with type 2 diabetes: a cross-sectional study. BMC Public Health. 2014;14(1):431. DOI: https://doi.org/10.1186/1471-2458-14-431
Karthik RC, Radhakrishnan A, Vikram A, Arumugam B, Jagadeesh S. Self-care practices among type II diabetics in rural areas of Kancheepuram district, Tamil Nadu. J Fam Med Prim Care. 2020;9(6):2912. DOI: https://doi.org/10.4103/jfmpc.jfmpc_356_20
Kishore J, Kohli C, Gupta N, Kumar N, Sharma PK. Awareness, practices and treatment-seeking behavior of type 2 diabetes mellitus patients in Delhi. Ann Med Health Sci Res. 2015;5(4):266-73. DOI: https://doi.org/10.4103/2141-9248.160184
Goyal N, Gupta SK. Self-care practices among known type 2 diabetic patients in Haldwani, India: a community-based cross-sectional study. Int J Community Med Public Health. 2019;6(4):1740. DOI: https://doi.org/10.18203/2394-6040.ijcmph20191415
Chandrika K, Das BN, Syed S, Challa S. Diabetes self-care activities: a community-based survey in an urban slum in Hyderabad, India. Indian J Community Med. 2020;45:307-10. DOI: https://doi.org/10.4103/ijcm.IJCM_236_19
Salahshouri A, Alavijeh FZ, Mahaki B, Mostafavi F. Effectiveness of educational intervention based on psychological factors on achieving health outcomes in patients with type 2 diabetes. Diabetol Metab Syndr. 2018;10(1):67. DOI: https://doi.org/10.1186/s13098-018-0368-8
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