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Yari A, Hassani L, Ziapour A, Toghroli R, Mohammadkhah R, Yazdi F. Prediction of self-care behaviors among diabetic patients based on social cognitive theory. J Public Health Res 2023; 12:22799036221150330. [PMID: 36755578 PMCID: PMC9899954 DOI: 10.1177/22799036221150330] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Accepted: 12/22/2022] [Indexed: 02/05/2023] Open
Abstract
Background Diabetes is a global health issue and the most prevalent chronic metabolic disease, which requires lifelong self-care behaviors. Thus, the present study was conducted with the aim of predicting the factors of self-care behaviors based on social cognitive theory in diabetic patients referred to comprehensive health service centers in Fasa. Methods This cross-sectional research comprised 106 type 2 diabetes patients who were referred to Fasa service providers to determine the optimal solution. Outcomes were assessed using an existing demographic questionnaire, the diabetic self-care questionnaire, and a unique questionnaire to assess social cognitive theory, the validity and reliability of which were estimated. SPSS21 software with a Chi license was used for data analysis, and Spearman correlations, independent t-tests, and one-way ANOVA were performed. Results The age range of patients was between 33 and 67 years. There was a significant relationship between gender, education, and type of treatment with self-care. According to the findings, the variables of self-efficacy (r = 0.200), self-efficacy of overcoming obstacles (r = 0.285), environmental factors (r = 0.334), observational learning ability (r = 0.148), situational perception (r = 0.297), emotional adaptation (r = 0.051), outcome assessment (r = 0.114) and outcome expectation (r = 0.082) had a positive and significant correlation with self-care behaviors. Also, the self-efficacy variable (Beta coefficient = 0.340) had the highest predictive value. Conclusion In designing and implementing educational interventions for self-care of diabetic patients, the theory of social cognition can be used as a framework to promote and maintain public health in patients.
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Affiliation(s)
- Asiyeh Yari
- School of Health, Hormozgan University
of Medical Sciences, Bandar Abbas, Iran
| | - Laleh Hassani
- Mother and Child Welfare Research
Center, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
| | - Arash Ziapour
- Cardiovascular Research Center, Health
Institute, Imam-Ali hospital, Kermanshah University of Medical Sciences, Kermanshah,
Iran,Arash Ziapour, Cardiovascular Research
Center, Health Institute, Imam-Ali hospital, Kermanshah University of Medical
Sciences, Kermanshah 6715847141, Iran.
| | - Razie Toghroli
- Social Determinants in Health Promotion
Research Center, Hormozgan Health Institute, Hormozgan University of Medical
Sciences, Bandar Abbas, Iran
| | - Razie Mohammadkhah
- Nursing Care Research Center, Health
Research Center, Babol University of Medical Sciences, Babol, Iran
| | - Fateme Yazdi
- School of Nursing and Midwifery, Dezful
University of Medical Sciences, Dezful, Iran
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El-Ammari A, El Kazdouh H, Bouftini S, El Fakir S, El Achhab Y. Suggestions and Preferences for Interventions to Promote Adolescents’ Health: Insights from Focus Groups. AMERICAN JOURNAL OF HEALTH EDUCATION 2020. [DOI: 10.1080/19325037.2020.1715903] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
| | | | | | | | - Youness El Achhab
- University Sidi Mohamed Ben Abdellah
- Regional Center for Careers Education and Training
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El Achhab Y, El Ammari A, El Kazdouh H, Najdi A, Berraho M, Tachfouti N, Lamri D, El Fakir S, Nejjari C. Health risk behaviours amongst school adolescents: protocol for a mixed methods study. BMC Public Health 2016; 16:1209. [PMID: 27899098 PMCID: PMC5129596 DOI: 10.1186/s12889-016-3873-4] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2016] [Accepted: 11/24/2016] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Determining risky behaviours of adolescents provides valuable information for designing appropriate intervention programmes for advancing adolescent's health. However, these behaviours are not fully addressed by researchers in a comprehensive approach. We report the protocol of a mixed methods study designed to investigate the health risk behaviours of Moroccan adolescents with the goal of identifying suitable strategies to address their health concerns. METHODS We used a sequential two-phase explanatory mixed method study design. The approach begins with the collection of quantitative data, followed by the collection of qualitative data to explain and enrich the quantitative findings. In the first phase, the global school-based student health survey (GSHS) was administered to 800 students who were between 14 and 19 years of age. The second phase engaged adolescents, parents and teachers in focus groups and assessed education documents to explore the level of coverage of health education in the programme learnt in the middle school. To obtain opinions about strategies to reduce Moroccan adolescents' health risk behaviours, a nominal group technique will be used. DISCUSSION The findings of this mixed methods sequential explanatory study provide insights into the risk behaviours that need to be considered if intervention programmes and preventive strategies are to be designed to promote adolescent's health in the Moroccan school.
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Affiliation(s)
- Youness El Achhab
- Laboratory of Epidemiology, Clinical Research and Community Health, Faculty of Medicine and Pharmacy of Fez, B.P 1893, Km 2.2 Route Sidi Harazem, Fez, 30000, Morocco. .,Regional Centre for Careers Education and Training of Taza, Taza, Morocco.
| | - Abdelghaffar El Ammari
- Laboratory of Epidemiology, Clinical Research and Community Health, Faculty of Medicine and Pharmacy of Fez, B.P 1893, Km 2.2 Route Sidi Harazem, Fez, 30000, Morocco
| | - Hicham El Kazdouh
- Laboratory of Epidemiology, Clinical Research and Community Health, Faculty of Medicine and Pharmacy of Fez, B.P 1893, Km 2.2 Route Sidi Harazem, Fez, 30000, Morocco
| | - Adil Najdi
- Laboratory of Epidemiology, Clinical Research and Community Health, Faculty of Medicine and Pharmacy of Fez, B.P 1893, Km 2.2 Route Sidi Harazem, Fez, 30000, Morocco
| | - Mohamed Berraho
- Laboratory of Epidemiology, Clinical Research and Community Health, Faculty of Medicine and Pharmacy of Fez, B.P 1893, Km 2.2 Route Sidi Harazem, Fez, 30000, Morocco
| | - Nabil Tachfouti
- Laboratory of Epidemiology, Clinical Research and Community Health, Faculty of Medicine and Pharmacy of Fez, B.P 1893, Km 2.2 Route Sidi Harazem, Fez, 30000, Morocco
| | - Driss Lamri
- Regional Centre for Careers Education and Training of Taza, Taza, Morocco
| | - Samira El Fakir
- Laboratory of Epidemiology, Clinical Research and Community Health, Faculty of Medicine and Pharmacy of Fez, B.P 1893, Km 2.2 Route Sidi Harazem, Fez, 30000, Morocco
| | - Chakib Nejjari
- Laboratory of Epidemiology, Clinical Research and Community Health, Faculty of Medicine and Pharmacy of Fez, B.P 1893, Km 2.2 Route Sidi Harazem, Fez, 30000, Morocco.,Mohammed VI University for Health Sciences, Casablanca, Morocco
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