Generic placeholder image

Current Diabetes Reviews


ISSN (Print): 1573-3998
ISSN (Online): 1875-6417

Systematic Review Article

The Effectiveness of an Educational Intervention Based on Theories and Models on Diabetes Outcomes: A Systematic Review

Author(s): Seyedeh Belin Tavakoly Sany, Gordon A Ferns and Alireza Jafari*

Volume 16, Issue 8, 2020

Page: [859 - 868] Pages: 10

DOI: 10.2174/1573399816666191223110314

Price: $65


Background & Introduction: Patient’s self-management behaviors are essential to control diabetes. Studies have demonstrated that health educational interventions can improve some aspects of glycemic control and clinical outcomes, however, it is unclear which education theories underlying these interventions improve effectiveness. In this review of the literature, we aimed to assess the efficacy of health education and promotion theories, or models, to improve self-care and self- management behaviors among patients with type 2 diabetes (T2D).

Methods & Results: Eight scientific databases (Web of Science, PubMed, Scopus, Magiran, Google Scholar, Medlib, ProQuest and Scientific Information Database) were searched to identify a published academic article from 2010 to 2019. We included quasi-experimental, clinical trial and randomized clinical trial studies. A total of 26 studies including data from 3879 patients with T2D met the inclusion criteria. We found that the PRECEDE (7/26, 26.92%) and Health Belief Models (7/26, 26.92%) were the most common models used to assess the efficacy of health education and health promotion models.

Conclusion: Overall, health promotion and education theories and models have been used as a useful instrument for improving the self-care behaviors and self-management behaviors among patients with T2D.

Keywords: Type 2 diabetes, self-care behaviors, health education and health promotion, models/theories, self-management behaviors, systematic review.

Lindblad AJ, Cleave-Hogg D. Strategies for teaching self-care with type 2 diabetes: focus on adult development theory. Canadian Pharmacists Journal/Revue des Pharmaciens du Canada 2006.139(4): 52-6..
Borhaninejad V, Iranpour A, Shati M, Tahami AN, Yousefzadeh G, Fadayevatan R. Predictors of self-care among the elderly with diabetes type 2: Using Social Cognitive Theory. Diabetes Metab Syndr 2017; 11(3): 163-6.
Roglic G. WHO Global report on diabetes: A summary. International Journal of Noncommunicable Diseases 2016; 1(1): 3-8.
Bayat F, Shojaeezadeh D, Baikpour M, Heshmat R, Baikpour M, Hosseini M. The effects of education based on extended health belief model in type 2 diabetic patients: a randomized controlled trial. J Diabetes Metab Disord 2013; 12(1): 45.
Borji M, Otaghi M, Kazembeigi S. The impact of Orem’s self-care model on the quality of life in patients with type II diabetes. Biomed Pharmacol J 2017; 10(1): 213-20.
Ayele K, Tesfa B, Abebe L, Tilahun T, Girma E. Self care behavior among patients with diabetes in Harari, Eastern Ethiopia: the health belief model perspective. PLoS One 2012; 7(4)e35515
Tavakoly Sany SB, Peyman N, Behzhad F, Esmaeily H, Taghipoor A, Ferns G. Health providers’ communication skills training affects hypertension outcomes. Med Teach 2018; 40(2): 154-63.
Kharazi SS, Peyman N, Esmaily H. Association between maternal health literacy level with pregnancy care and its outcomes. Majallah-i Zanan, Mamai va Nazai-i Iran 2016; 19(37): 40-50.
Najar AV, Tehrani H, Imamian H, Hakak HM, Vahedian-Shahroodi M. Impact of Establishing a Communication Network of Family Physicians on Level of Hba 1c and FBS in Patients With Diabetes: A Randomized Clinical Trial. Iran Red Crescent Med J 2017; 19(11)e14869
Selçuk AA. A Guide for Systematic Reviews: PRISMA. Turk Arch Otorhinolaryngol 2019; 57(1): 57-8.
Nejhaddadgar N, Darabi F, Rohban A, Solhi M. Effectiveness of self-management program for people with type 2 diabetes mellitus based on PRECEDE PROCEED model. Diabetes Metab Syndr 2018; 13.
Borhani M, Rastgarimehr B, Shafieyan Z, Mansourian M, Hoseini SM, Arzaghi SM, et al. Effects of predisposing, reinforcing and enabling factors on self-care behaviors of the patients with diabetes mellitus in the Minoodasht city, Iran. J Diabetes Metab Disord 2015; 14(1): 27.
Azar FE, Solhi M, Darabi F, Rohban A, Abolfathi M, Nejhaddadgar N. Effect of educational intervention based on PRECEDE-PROCEED model combined with self-management theory on self-care behaviors in type 2 diabetic patients. Diabetes Metab Syndr 2018; 12(6): 1075-8.
Dizaji MB, Taghdisi MH, Solhi M, Hoseini SM, Shafieyan Z, Qorbani M, et al. Effects of educational intervention based on PRECEDE model on self care behaviors and control in patients with type 2 diabetes in 2012. J Diabetes Metab Disord 2014; 13(1): 72.
Shabibi P, Zavareh MSA, Sayehmiri K, Qorbani M, Safari O, Rastegarimehr B, et al. Effect of educational intervention based on the Health Belief Model on promoting self-care behaviors of type-2 diabetes patients. Electron Physician 2017; 9(12): 5960.
Sadeghi Goorabi M, Akhoundan M, Shadman Z, Hajifaraji M, Khoshniat Nikoo M. The Effect of Nutritional Education Program Based on Health Belief Model (HBM) on the Knowledge of Fasting Type 2 Diabetic Patients. Nutrition and Food Sciences Research 2017; 4(2): 15-23.
Tavakoli R, Alipouran M, Zarei F. Health Belief Model-Based Education through Telegram Instant Messaging Services on Diabetic Self-Care. Health Education and Health Promotion 2018; 6(3): 91-6.
Baghiani MM, Taheri G, Fallahzadeh H, Parsa M. The effect of instructional designed SMS based on Health Belief Model (HBM) on adoption of self-care behavior of patients with type II diabetes. Modern Care. Scientific Quarterly of Birjand Nursing and Midwifery Faculty 2014; 11(1): 10-8.
Babazadeh T, Banaye Jeddi M, Shariat F, Moradil F, Mokammel A. The Effect of Educational Intervention based on the Extended Theory of Reasoned Action on Self-Care Behaviors in Patients with Type 2 Diabetes. Journal of Health 2017; 8(3): 256-67.
Beiranvand S, Asadizaker M, Fayazi S, Yaralizadeh M. Efficacy of an intervention based on the theory of planned behavior on foot care performance in type II diabetic patients. Jundishapur Journal of Chronic Disease Care 2016; 5(1)e30622
Gavgani RM, Poursharifi H, Aliasgarzadeh A. Effectiveness of Information-Motivation and Behavioral skill (IMB) model in improving self-care behaviors & Hba1c measure in adults with type2 diabetes in Iran-Tabriz. Procedia Soc Behav Sci 2010; 5: 1868-73.
Hejazi S, Peyman N, Tajfard M, Esmaily H. The impact of education based on self-efficacy theory on health literacy, self-efficacy and self-care behaviors in patients with type 2 diabetes. Iranian Journal of Health Education and Health Promotion 2017; 5(4): 296-303.
Lari H, Noroozi A, Tahmasebi R. Comparison of Multimedia and SMS Education on the Physical Activity of Diabetic Patients: An Application of Health Promotion Model. Iran Red Crescent Med J 2018; 20(S1)e59800
Hemmati Maslakpak M, Parizad N, Shahbaz A, Ghafourifard M. Preventing and managing diabetic foot ulcers: application of Orem’s self-care model. Int J Diabetes Dev Ctries 2017; 38: 165-72.
Mahdizadeh M, Peymam N, Taghipour A, Esmaily H, Mahdizadeh SM. Effect of health education program on promoting physical activity among diabetic women in Mashhad, Iran: applying social cognitive theory. J Res Health Sci 2013; 13(1): 90-7.
Salinero-Fort MA, Carrillo-de Santa Pau E, Arrieta-Blanco FJ, Abanades-Herranz JC, Martín-Madrazo C, Rodés-Soldevila B, et al. Effectiveness of PRECEDE model for health education on changes and level of control of HbA1c, blood pressure, lipids, and body mass index in patients with type 2 diabetes mellitus. BMC Public Health 2011; 11(1): 267.
Barasheh N, Shakerinejad G, Nouhjah S, Haghighizadeh MH. The effect of educational program based on the precede-proceed model on improving self-care behaviors in a semi-urban population with type 2 diabetes referred to health centers of Bavi, Iran. Diabetes Metab Syndr 2017; 11: S759-65.
Nejhaddadgar N, Ebadifard Azar F, Solhi M. amani f. Effects of Predisposing, Reinforcing and Enabling Factors on the Self-care Behaviors of Patients with Diabetes Mellitus. Health Education and Health Promotion 2016; 4(3): 37-45.
Jalilian F, Motlagh FZ, Solhi M, Gharibnavaz H. Effectiveness of self-management promotion educational program among diabetic patients based on health belief model. J Educ Health Promot 2014; 3: 14.
Piri A. Effects of education based on health belief model on dietary adherence in diabetic patients. J Diabetes Metab Disord 2010; 9: 15.
Zareban I, Niknami S, Hidarnia A, Rakhshani F, Karimy M, Shamsi M. The effect of education program based on health belief model on decreasing blood sugar levels in diabetic type 2 patients in Zahedan. Health Scope 2013; 2(2): 73-8.
Ebadi Fardaza F, Heidari H, Solhi M. Effect of educational intervention based on locus of control structure of attribution theory on self-care behavior of patients with type II diabetes. Med J Islam Repub Iran 2017; 31: 116.
White KM, Terry DJ, Troup C, Rempel LA, Norman P, Mummery K, et al. An extended theory of planned behavior intervention for older adults with type 2 diabetes and cardiovascular disease. J Aging Phys Act 2012; 20(3): 281-99.
Zhang Y, Chu L. Effectiveness of Systematic Health Education Model for Type 2 Diabetes Patients. International journal of endocrinology 2018 2018.
Osborn CY, Amico KR, Cruz N, O’Connell AA, Perez-Escamilla R, Kalichman SC, et al. A brief culturally tailored intervention for Puerto Ricans with type 2 diabetes. Health Educ Behav 2010; 37(6): 849-62.
Partapsingh VA, Maharaj RG, Rawlins JM. Applying the Stages of Change model to Type 2 diabetes care in Trinidad: A randomised trial. J Negat Results Biomed 2011; 10: 13.
Siuki HA, Peyman N, Vahedian-Shahroodi M, Gholian-Aval M, Tehrani H. Health education intervention on HIV/AIDS prevention behaviors among health volunteers in healthcare centers: An applying the theory of planned behavior. J Soc Serv Res 2019; 45(4): 582-8.
Peyman N, Alipour Anbarani M. The effect of training diabetes prevention behaviors on promotion of knowledge, attitude and practice of students for prevention of diabetes in Mashhad city. nternational Journal of Pediatrics 2015.3(2.2): 501-7..
Ghahremani L, Mousavi Z, Kaveh MH, Ghaem H. Self-care education programs based on a trans-theoretical model in women referring to health centers: Breast self-examination behavior in Iran. Asian Pacific journal of cancer prevention. APJCP 2016; 17(12): 5133.
Doshmangir P, Jahangiry L, Farhangi M, Doshmangir L, Faraji L. The effectiveness of theory-and model-based lifestyle interventions on HbA1c among patients with type 2 diabetes: a systematic review and meta-analysis. Public Health 2018; 155: 133-41.
Bourne JE, Ivanova E, Gainforth HL, Jung ME. Mapping behavior change techniques to characterize a social cognitive theory informed physical activity intervention for adults at risk of type 2 diabetes mellitus. Transl Behav Med 2019.
Adam L, O'Connor C, Garcia AC. Evaluating the Impact of Diabetes Self-Management Education Methods on Knowledge, Attitudes and Behaviours of Adult Patients With Type 2 Diabetes Mellitus. Canadian journal of diabetes 2018.42(5): 470-7. e2..
Calano BJD, Cacal MJB, Cal CB, Calletor KP, Guce FICC, Bongar MVV, et al. Effectiveness of a community‐based health programme on the blood pressure control, adherence and knowledge of adults with hypertension: A PRECEDE‐PROCEED model approach. J Clin Nurs 2019.
Sinopoli A, Saulle R, Marino M, De Belvis A, Federici A, La Torre G. The PRECEDE–PROCEED model as a tool in Public Health screening. European Journal of Public Health 2018.28suppl_4:cky214: 182.
Glanz K, Rimer BK, Viswanath K. Health behavior: Theory, research, and practice. 5th ed. John Wiley & Sons 2015.
Sharma M. Theoretical Foundations of Health Education & Health Promotion. 3rd ed. 2016.
Fisher JD, Fisher WA. The information-motivation-behavioral skills model. Emerging theories in health promotion practice and research: Strategies for improving public health 2002.1: 40-70..
Katherine Renpenning M, Taylor SG. Self-care theory in nursing: Selected papers of Dorothea Orem. Springer publishing company 2003.
Hartweg D. Dorothea Orem: Self-care deficit theory. Sage Publications 1991.
Bandura A. Self-efficacyEncyclopedia of Human Behavior, 4, 71-81. New York: Academic Press 1994.
Schwarzer R. Self-efficacy: Thought control of action. Taylor & Francis 2014.
Parsons MA, Pender NJ, Murdaugh CL. Health promotion in nursing practice.Pearson Higher Ed; 2011.
Norman P, Bennett P. Health locus of control. J Health Psychol 1998; 3(2): 171-80.
[PMID: 22021357]
Wallston KA, Wallston BS. Health locus of control scales. Research with the locus of control construct 1981.1(1): 189-243..

Rights & Permissions Print Export Cite as
© 2023 Bentham Science Publishers | Privacy Policy