Health Education and Health Promotion

Aims: Complication of diabetes mellitus (DM) is the most important impediment resulted from uncontrolled blood sugar. The patients should be educated on controlling their blood sugar and promoting their preventive behaviors, in order to reduce complications. The aim of the present study is to determine the effects of the BASNEF Model-based educational programs on Blood sugar Control (Diabetes Type 2), in Nader Kazemi Clinic, Shiraz-Iran.rnMethods and Materials: This is a perspective and quasi-experimental intervention study, the research population is type 2 diabetics of 40-65 years diagnosed over 5 years. 100 patients fulfilling the inclusion criteria participated in the study. They were randomly divided into experimental and control groups. The instruments for data collection were: a questionnaire established based on the BASNEF Model (Belief, Attitude, Subjective Norm and Enabling Factors), a self reporting checklist related to the patient practice and a checklist for recording the patients' HbA1c and Fasting Blood Sugar (FBS) levels. Content validity method was used to evaluate the questionnaire's scientific validity. The questionnaires were completed by 20 type 2 diabetics to measure reliability (other than those who participated in the study). The faulty ones were removed and the results checked with %95 reliability (Cronbach's ά Coefficient was 84%).rnBoth groups completed the questionnaires and checklists; the results were documented before and three months after intervention.rnThe patients of the experimental group participated in 6- session educational classes in the first month of intervention and once more two months after, with 2-session meeting classes as the intervention follow up. Data analysis was conducted using SPSS software, chi square-test, T-test for independent samples, matched T-test, and repeated measures ANOVA.rnFindings: concerning the mean scores of age, T-test for independent samples showed no significant difference between the experimental group (SD=7.52, Mean=54.40) and control group (SD=6.72, Mean=54.24).rnThe findings indicated that the mean scores of BASNEF Model variables were significantly increased in the experimental group compared to the control group, after intervention. Also, behavioral control of blood sugar, HbA1c rate (8.65% before intervention and 7.47% after three months) and FBS levels (207.08 before intervention and 124.2 after three months) improved significantly among the experimental group, compared to control group.rnConclusions: Applying the BASNEF Model is very effective in developing an educational program for diabetics, in order to control their blood sugar and enhance behavioral controlling blood sugar. Besides, follow up education on controlling and monitoring is highly recommended.

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