title: Effectiveness of self-management promotion educational program among diabetic patients based on health belief model.
abstract: BACKGROUND
  Diabetes is a chronic disease; it can cause serious complications. Diabetes self-management is essential for prevention of disease complications. This study was conducted to evaluate self-management promotion educational program intervention efficiency among diabetic patients in Iran and health belief model (HBM) was applied as a theoretical framework.
  
  
  METHODS
  Overall, 120 Type 2 diabetic patients referred to rural health centers in Gachsaran, Iran participated in this study as randomly divided into intervention and control group. This was a longitudinal randomized pre- and post-test series control group design panel study to implement a behavior modification based intervention to promotion self-management among diabetic patients. Cross-tabulation and t-test by using SPSS statistical package, version 16 was used for the statistical analysis.
  
  
  RESULTS
  Mean age was 55.07 years (SD = 9.94, range: 30-70). Our result shows significant improvements in average response for susceptibility, severity, benefit and self-management among intervention group. Additionally, after intervention, average response of the barrier to self-management was decreased among intervention group.
  
  
  CONCLUSIONS
  Our result showed education program based on HBM was improve of self-management and seems implementing these programs can be effective in the and prevention of diabetes complications.
authors.affiliation: Clinical Research Development Center, Imam Khomeini Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
authors.forename: Farzad
authors.initials: F
authors.lastname: Jalilian
authors.affiliation: Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran.
authors.forename: Fazel Zinat
authors.initials: FZ
authors.lastname: Motlagh
authors.affiliation: Departments of Health Education and Promotion, Iran University of Medical Science, Tehran, Iran.
authors.forename: Mahnaz
authors.initials: M
authors.lastname: Solhi
authors.affiliation: Departments of Epidemiology, Iran University of Medical Science, Tehran, Iran.
authors.forename: Hasan
authors.initials: H
authors.lastname: Gharibnavaz
keywords: Health belief model; Type 2 diabetic's patient; self-management
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