title: Effects of predisposing, reinforcing and enabling factors on self-care behaviors of the patients with diabetes mellitus in the Minoodasht city, Iran.
abstract: BACKGROUND
  To control diabetes mellitus (DM) it is necessary to make overall changes in the life style of the patients. The aim of this study was to determine the effects of predisposing, reinforcing and enabling factors on self-care behaviors of the patients with DM in the Minoodasht city, Iran in 2012.
  
  
  METHODS
  In this quasi-experimental study, 78 people with DM were selected by convenience sampling method. In the first stage of study, the educational program was compiled and executed on six information sessions. To present the informative content, a video projector and different lecturing methods including questions and answers, dynamic group discussion and different educational materials such as pamphlets and CDs were employed. After one month, the efficiency of the educational program was determined by using the same questioner. Data were analyzed using paired sample T-test and McNemar test.
  
  
  RESULTS
  The mean age of participants was 49 (SD: 3.27.) years old, 87.2% were married, and 19.2% were illiterate. The results showed that the enabling factors like adopting to go on a diet and the educational classes facilitated by the staff had significant effects on health care behavior of the patients. Furthermore 69.2% of the participants adopted to go on a diet before the educational sessions; that figure increased to 94.9% after the educational sessions. According to the results the mean scores for the knowledge, attitude, and behavior, reinforcement factors and enabling factors increased significantly after of the educational intervention (p- value >0.001).
  
  
  CONCLUSIONS
  Predisposing, enabling and reinforcement factors affected in taking self-care behavior in the patient with DM.
authors.affiliation: Health Education and Promotion Department, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Mahboobeh
authors.initials: M
authors.lastname: Borhani
authors.affiliation: Abadan School of Medical Sciences, Abadan, Iran.
authors.forename: Babak
authors.initials: B
authors.lastname: Rastgarimehr
authors.affiliation: Student Research Committee, Ilam University of Medical Sciences, Ilam, Iran.
authors.forename: Zahra
authors.initials: Z
authors.lastname: Shafieyan
authors.affiliation: Public Health Department, Ilam University of Medical Sciences, Ilam, Iran.
authors.forename: Morteza
authors.initials: M
authors.lastname: Mansourian
authors.affiliation: Phd Student in Exercise Physiology, Mazandaran University of Physical Education and Sport Sciences, Babolsar, Iran.
authors.forename: Seyed Mojtaba
authors.initials: SM
authors.lastname: Hoseini
authors.affiliation: Elderly Health Research Center, Endocrinology and Metabolism Population Science Institute, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Seyed Masoud
authors.initials: SM
authors.lastname: Arzaghi
authors.affiliation: Departments of Community Medicine, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran.|Non-Communicable Diseases Research Center, Endocrinology and Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Mostafa
authors.initials: M
authors.lastname: Qorbani
authors.affiliation: Department of Health Economics, School of Health Management and Information Sciences and Health Management & Economics Research Center, Iran University of Medical Sciences, Tehran, Iran.
authors.forename: Aziz
authors.initials: A
authors.lastname: Rezapoor
authors.affiliation: Department of Medical Emergencies, Qom University of Medical Sciences, Qom, Iran.
authors.forename: Hamid
authors.initials: H
authors.lastname: Asayesh
authors.affiliation: Department of Public Health, Golestan University of Medical Sciences, Gorgan, Iran.
authors.forename: Abdurrahman
authors.initials: A
authors.lastname: Charkazi
authors.affiliation: Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.
authors.forename: Hossein
authors.initials: H
authors.lastname: Ansari
keywords: Diabetes mellitus; Enabling factors; Predisposing factors; Reinforcing factors; Self-care behaviors