Analysis of the Effect of Training on the Health Literacy, Awareness and Behavior of Diabetic Type II Patients, Referring to the Clinics of Zahedan within 2014
Keywords:
Training, Health Literacy, Diabetes type II.Abstract
The diabetic patients with low health literacy have more problems for understanding their disease and less participate in the self-care and blood sugar controlling activities. This study aims to determine the effect of training intervention on health literacy of diabetic type II patients referring to clinics (Imam Ali, Aliasghar and Khatam) of Zahedan. This study was a randomized controlled research that applied on 160 patients suffering from diabetes type II which classified in two intervention and control groups based on block random allocation. The data was collected by a valid questionnaire that before training was filled by two groups. The intervention group received a training session 45-60min as 8-person groups. 2 months (60 days) after training intervention, the both intervention and control groups filled the relative questionnaire again. SPSS v. 16 and statistical tests including independent t-test and chi square were used for analysis of data. No significance difference in awareness, behavior and health literacy was observed between two groups, before intervention; but, after intervention, mean values of awareness, behavior and health literacy in trained group was significantly higher than control group.
In addition, after training the statistical test of independent t-test, significant difference was shown in change of skill score of accessibility to the information (p=0.008) and understandability of reading (p<0.0001) in the intervention group in comparison to control group. The results of this study indicated that even holding one training session for the diabetic patients may be followed by increment of health literacy 10%. Providing the training plan in simple language with high readability and accessibility to health information improves the health literacy, awareness and behavior of diabetic patients. And improve diabetic patients' health literacy leads to better results in the control and treatment of diabetes.
References
[1]. Weymann Nina; Härter Martin and Dirmaier Jörg. A tailored, interactive health communication application for patients with type 2 diabetes: study protocol of a randomised controlled trial. BMC Medical Informatics and Decision Making 2013, 13:24 http://www.biomedcentral.com/1472-6947/13/24
[2]. IDF (International Diabetes federation ) DIABETES ATLAS Sixh edition ;2014 UPDATE. Country summary table: estimates for 2014 .Online version of IDF Diabetes Atlas: www.idf.org/diabetesatlas or scan the QR code for the app available for iPad
[3]. laleh zarian Anasyk, zareh Farashbandi firozeh , Rahimi Ali Reza , Hassanzadeh Akbar. The effect of individual factors on health information seeking behavior of Diabetics patients. Health Management. 17; 2014(58).(persian)
[4]. Tol A, Alhani F, Shojaeazadeh D, Sharifirad Gh R. Empowerment Approach to Promote Quality of Life and Self-Management among Type 2 Diabetic Patients. The health system Journal,the seven, 2011,Vo:7,No:2 . (persian
[5]. Zhao X, Zhu X, Zhang HS, Zhao W, Li J, Shu Y, Li S; Cai L; Zhou J;Li Y.. Prevalence of diabetes and predictions of its risks using anthropometric measures in southwest rural areas of China. BMC Public Health. 2012; 12(1): 821
[6]. IDF (International Diabetes federation ) DIABETES ATLAS Sixh edition ;2013. Online version of IDF Diabetes Atlas: www.idf.org/diabetesatlas
[7]. Shamsi Mohsen , Sharifi rad G R , Kachuei Ali , Hassanzadeh Akbar. Effect of walking training program on knowledge, attitude, performance and metabolic control of blood glucose in diabetic female patients with type 2 diabetes. Journal of Birjand University of Medical Sciences. Fall 2010 , Vol :17, No: 3
[8]. Tol Azar, Pourreza A, Rahimi Foroshani A, Tavassoli E. Assessing the effect of educational program based on small group on promoting knowledge and health literacy among women with type2 diabetes referring to selected hospitals affiliated to Tehran University of Medical Sciences. Razi Journal of Medical Sciences. Jan-Feb 2013, Vol. 19, No. 104
[9]. Aguilera Carolina; Pérez Miguel A.; Alonso Palacio Luz Marina. Readability of Diabetes Education Materials: Implications for reaching patients with written materials. Salud Uninorte. Barranquilla (Col.) 2010; 26 (1): 12-26
[10]. Fransen MP, Van Schaik TM, Twickler TB, Essink-Bot ML. Applicability of internationally available health literacy measures in the Netherlands. J Health Commun 2011, 16(Suppl 3): 134-49.
[11]. Austin Boren S. A Review of Health Literacy and Diabetes: Opportunities for Technology. Journal of Diabetes Science and Technology, January 2009, Volume 3 , Issue 1
[12]. Tehrani Banihashemi S ,et al . Health literacy in five province and relative effective factors. Strides in Development of Medical Education. 2007;4(1):1-9(persian)
[13]. Mahmoodi H, Negarandeh R, Javaheri M, Sharifi P, Ghanei R, AminPour A, Akbari A, Kazemi E,Mohammadi Y. Examining the Relation of Health Literacy with outcomed of Diabetes among type 2 Diabetes Patients in saqez ,2011. The Journal of Urmia Nursing and Midwifery Faculty,March 2014,vol:12(1) (Persian
[14]. Osborne Richard H, Batterham Roy W, Elsworth Gerald R, Hawkins Melanie ,Buchbinder Rachelle. The grounded psychometric development and initial validation of the Health Literacy Questionnaire (HLQ). BMC Public Health 2013, 13:658
[15]. ChewLisa D, Bradley Katharine A Bradley , Boyko Edward J. Brief Questions to Identify Patients With Inadequate Health Literacy. Health Literacy and Family Medicine. September 2004, Vol. 36, No. 8
[16]. Gregory Becky Pratt. Addressing Literacy and Numeracy to Improve Diabetes Care.Vanderbilt Diabetes Center, www. vanderbiltdiabetes.org
[17]. Osborn . Chandra Y; Cavanaugh Kerri and Kripalani Sunil . Strategies to Address Low Health Literacy and Numeracy in Diabetes. clinical diabetes.2010,volum28;number 4.
[18]. Howard DH, Gazmararian J, Parker RM. The impact of low health literacy on the medical costs of Medicare managed care enrollees. Am J Med. 2005;118:371–377
[19]. falconer naudia ; reicherter E.Anne ; Billek-Sawhney Barbara ; Chesbro Steven. An Analysis of the Readability of Educational Materials on the Consumer Webpage of a Health Professional Organization : Considerations for Practice. http: //ijahsp.nova.edu . vol. 9 No .3 ; ISSN 1540-580X
[20]. Quick Guide to Health Literacy. U.S. Department of Health and Human Services. Office of Disease Prevention and Health Promotion
[21]. Communicating Effectively with Patients: The Importance of Addressing Health Literacy. and Numeracy.American Associationof Diabetes Educattors. AADE White Paper, Issued December 30, 2013
[22]. Mamianloo H, ToL A, Khatibi NKH, Ahmadi Komoleleh S , Mohebbi B. Assessing the effect of small group intervention program on knowledge and health literacy among patients with heart failure. Nursing Education.2013,VOL:3, NO:3
[23]. Cavanaugh K, Wallston KA, Gebretsadik T, Shintani A, Huizinga MM, Davis D, et al. Addressing Literacy and Numeracy to Improve Diabetes Care Two randomized controlled trials. Diabetes Care. 2009; 32 (12): 2149-55
[24]. Kandula Namratha R, A Nsiah-Kumi, Phyllis A, Makoul Gregory, Sager Josh, Zei Charles, Glass Sara, Stephens Quinn, Baker David. The relationship between health literacy and knowledge improvement after a multimedia type 2 diabetes education program. Patient Education and Counseling.2009, 75(3):321-7
[25]. Van Scoyoc Erin E and DeWalt Darren A. Interventions to Improve Diabetes Outcomes for People With Low Literacy and Numeracy: A Systematic Literature Review. Diabetes Spectrum. 2010, Volume 23, Number 4
[26]. Williams M ,Baker David W, Parker ruth M, Nurss Joanne R. Relationship of Functional Health literacy to Patients Knowledge of Their Chronic Disease.Arch RCH Intern Med, Jan 1998,VOL:158,172-166
[27]. Gerber Ben S, et al. Implementation and Evaluation of a Low-Literacy Diabetes Education Computer Multimedia Application . Diabetes Care, July 2005, Vol : 28, N0: 7
[28]. Ahmadzadeh Khadijeh , Khosravi Abdolrasoul ,Arastoopoor Sholeh ,Tahmasebi Rahim. Assessing the Readability of Patient Education Materials aboutDiabetes Available in Shiraz Health Centers. Iranian Journal of Medical Education 2014 VOL:14 , No : 8,661- 668
[29]. Eltorai Adam E. M. ; Ghanian Soha ; Adams Charles A.; Born Christopher T.; Daniels Alan H. Readability of Patient Education Materials on the American Association for Surgery of Trauma Website. Arch Trauma Res. 2014 June; 3(2): e18161.
[30]. Wallace Lorraine Silver, Lennon Elizabeth S. American Academy of Family Physicians Patient Education Materials: Can Patients Read Them?. Fam Med 2004, Vol: 36, No: 8
[31]. Estrada Carlos A, Hryniewicz Mary Martin, Higgs Vetta Barnes. Anticoagulant Patient Information Material Is Written at High Readability Levels Downloaded from http://stroke.ahajournals.org/ by guest on December 9, 2014.
[32]. Amini Najmatolmolook , Bayat Fatameh, Rahimi Mohboobeh, Bekri Gona, Taheri Giti ,Shojaeezadeh Davoud . Effect of Education on Knowledge, Attitude and Nutritional Behavior of Patients with Type 2 Diabetes. Journal of Health & Development. Winter 2013 ,Vol. 1, No. 4,
[33]. Sadeghi mahdi , Pedram Razi Shadan , Nikbakht Nasrabadi Ali Reza , Ebrahimi Hossein , Kazemnejad Anoushiravan. Comparison of the impact of education based on the empowerrment model and family-center empowerrment model on knowledge and metabolic control of patients with type 2 diabetes mellitus. Nursing Education. Fall 2013 , vol:2, No :3
[34]. Rakhshandehroo Sakineh ,Ghaffari Mohtasham, Heidarnia Ali Reza , Rajab Asadullah . The effectiveness of educational interventions on metabolic control in diabetic patients referred to Iranian Diabetes Association. Journal of Diabetes and Lipid iran. Issued specific risk factors for diabetes and cardiovascular disease. 2009 :57-64
[35]. Baghiani Moghadam M.H , Taheri Gh , Fallah Zadeh Hussain ,Parsa Maryam. 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 ,Vol;1 1, No:1,10-18
[36]. Bayat Fatemeh, Shojaeizadeh David , Hosseini Sayed Mostafa ,Sadeghi Roya, Tol Azar . The effectiveness of educational programs to improve the lifestyles of patients with type II diabetes. Journal Research of Health System.2012 ,Vol: 7, No:8
[37]. Malek Mahsa and Çak?ro?lu F. P?nar. The effects of nutritional education on patients with type–II diabetes on the nutritional knowledge and consumption. European Journal of Experimental Biology, 2013, 3(1):217-222
[38]. Mamene Mahdi, Lakdizaji Sima , Rahmani Azad , Behshid Mozhgan . The Effect of Teaching Based Collaborative Care Model on Diet Habits in Diabetes Type II: a clinical trial study.Scientific jornal of Hamadan Nursing & Midwifery Faculty.spring 2014, vol:22, No :1
[39]. Oshvandi Khodayar , Jokar Mozhgan , Khatiban Mahnaz , Keyani Javad , Yousefzadeh Mohammad Reza , Sultanian Ali Reza. The HE Effect FFECT Of F Self ELF Care ARE Education Based A On N Teach Back Method on Promotion of Self Care Behaviors in Type II Diabetic IPatients : a Clonical Trial Study. Iranian journal of Diabetes and Metabolism; , Fall 2014Vol.13, No 2
[40]. Ishikawa Hirono, Yano Eiji, The relationship of patient participation and diabetes outcomes for patients with high vs. low health literacy. Patient Education and Counseling 84 (2011) 393–397
[2]. IDF (International Diabetes federation ) DIABETES ATLAS Sixh edition ;2014 UPDATE. Country summary table: estimates for 2014 .Online version of IDF Diabetes Atlas: www.idf.org/diabetesatlas or scan the QR code for the app available for iPad
[3]. laleh zarian Anasyk, zareh Farashbandi firozeh , Rahimi Ali Reza , Hassanzadeh Akbar. The effect of individual factors on health information seeking behavior of Diabetics patients. Health Management. 17; 2014(58).(persian)
[4]. Tol A, Alhani F, Shojaeazadeh D, Sharifirad Gh R. Empowerment Approach to Promote Quality of Life and Self-Management among Type 2 Diabetic Patients. The health system Journal,the seven, 2011,Vo:7,No:2 . (persian
[5]. Zhao X, Zhu X, Zhang HS, Zhao W, Li J, Shu Y, Li S; Cai L; Zhou J;Li Y.. Prevalence of diabetes and predictions of its risks using anthropometric measures in southwest rural areas of China. BMC Public Health. 2012; 12(1): 821
[6]. IDF (International Diabetes federation ) DIABETES ATLAS Sixh edition ;2013. Online version of IDF Diabetes Atlas: www.idf.org/diabetesatlas
[7]. Shamsi Mohsen , Sharifi rad G R , Kachuei Ali , Hassanzadeh Akbar. Effect of walking training program on knowledge, attitude, performance and metabolic control of blood glucose in diabetic female patients with type 2 diabetes. Journal of Birjand University of Medical Sciences. Fall 2010 , Vol :17, No: 3
[8]. Tol Azar, Pourreza A, Rahimi Foroshani A, Tavassoli E. Assessing the effect of educational program based on small group on promoting knowledge and health literacy among women with type2 diabetes referring to selected hospitals affiliated to Tehran University of Medical Sciences. Razi Journal of Medical Sciences. Jan-Feb 2013, Vol. 19, No. 104
[9]. Aguilera Carolina; Pérez Miguel A.; Alonso Palacio Luz Marina. Readability of Diabetes Education Materials: Implications for reaching patients with written materials. Salud Uninorte. Barranquilla (Col.) 2010; 26 (1): 12-26
[10]. Fransen MP, Van Schaik TM, Twickler TB, Essink-Bot ML. Applicability of internationally available health literacy measures in the Netherlands. J Health Commun 2011, 16(Suppl 3): 134-49.
[11]. Austin Boren S. A Review of Health Literacy and Diabetes: Opportunities for Technology. Journal of Diabetes Science and Technology, January 2009, Volume 3 , Issue 1
[12]. Tehrani Banihashemi S ,et al . Health literacy in five province and relative effective factors. Strides in Development of Medical Education. 2007;4(1):1-9(persian)
[13]. Mahmoodi H, Negarandeh R, Javaheri M, Sharifi P, Ghanei R, AminPour A, Akbari A, Kazemi E,Mohammadi Y. Examining the Relation of Health Literacy with outcomed of Diabetes among type 2 Diabetes Patients in saqez ,2011. The Journal of Urmia Nursing and Midwifery Faculty,March 2014,vol:12(1) (Persian
[14]. Osborne Richard H, Batterham Roy W, Elsworth Gerald R, Hawkins Melanie ,Buchbinder Rachelle. The grounded psychometric development and initial validation of the Health Literacy Questionnaire (HLQ). BMC Public Health 2013, 13:658
[15]. ChewLisa D, Bradley Katharine A Bradley , Boyko Edward J. Brief Questions to Identify Patients With Inadequate Health Literacy. Health Literacy and Family Medicine. September 2004, Vol. 36, No. 8
[16]. Gregory Becky Pratt. Addressing Literacy and Numeracy to Improve Diabetes Care.Vanderbilt Diabetes Center, www. vanderbiltdiabetes.org
[17]. Osborn . Chandra Y; Cavanaugh Kerri and Kripalani Sunil . Strategies to Address Low Health Literacy and Numeracy in Diabetes. clinical diabetes.2010,volum28;number 4.
[18]. Howard DH, Gazmararian J, Parker RM. The impact of low health literacy on the medical costs of Medicare managed care enrollees. Am J Med. 2005;118:371–377
[19]. falconer naudia ; reicherter E.Anne ; Billek-Sawhney Barbara ; Chesbro Steven. An Analysis of the Readability of Educational Materials on the Consumer Webpage of a Health Professional Organization : Considerations for Practice. http: //ijahsp.nova.edu . vol. 9 No .3 ; ISSN 1540-580X
[20]. Quick Guide to Health Literacy. U.S. Department of Health and Human Services. Office of Disease Prevention and Health Promotion
[21]. Communicating Effectively with Patients: The Importance of Addressing Health Literacy. and Numeracy.American Associationof Diabetes Educattors. AADE White Paper, Issued December 30, 2013
[22]. Mamianloo H, ToL A, Khatibi NKH, Ahmadi Komoleleh S , Mohebbi B. Assessing the effect of small group intervention program on knowledge and health literacy among patients with heart failure. Nursing Education.2013,VOL:3, NO:3
[23]. Cavanaugh K, Wallston KA, Gebretsadik T, Shintani A, Huizinga MM, Davis D, et al. Addressing Literacy and Numeracy to Improve Diabetes Care Two randomized controlled trials. Diabetes Care. 2009; 32 (12): 2149-55
[24]. Kandula Namratha R, A Nsiah-Kumi, Phyllis A, Makoul Gregory, Sager Josh, Zei Charles, Glass Sara, Stephens Quinn, Baker David. The relationship between health literacy and knowledge improvement after a multimedia type 2 diabetes education program. Patient Education and Counseling.2009, 75(3):321-7
[25]. Van Scoyoc Erin E and DeWalt Darren A. Interventions to Improve Diabetes Outcomes for People With Low Literacy and Numeracy: A Systematic Literature Review. Diabetes Spectrum. 2010, Volume 23, Number 4
[26]. Williams M ,Baker David W, Parker ruth M, Nurss Joanne R. Relationship of Functional Health literacy to Patients Knowledge of Their Chronic Disease.Arch RCH Intern Med, Jan 1998,VOL:158,172-166
[27]. Gerber Ben S, et al. Implementation and Evaluation of a Low-Literacy Diabetes Education Computer Multimedia Application . Diabetes Care, July 2005, Vol : 28, N0: 7
[28]. Ahmadzadeh Khadijeh , Khosravi Abdolrasoul ,Arastoopoor Sholeh ,Tahmasebi Rahim. Assessing the Readability of Patient Education Materials aboutDiabetes Available in Shiraz Health Centers. Iranian Journal of Medical Education 2014 VOL:14 , No : 8,661- 668
[29]. Eltorai Adam E. M. ; Ghanian Soha ; Adams Charles A.; Born Christopher T.; Daniels Alan H. Readability of Patient Education Materials on the American Association for Surgery of Trauma Website. Arch Trauma Res. 2014 June; 3(2): e18161.
[30]. Wallace Lorraine Silver, Lennon Elizabeth S. American Academy of Family Physicians Patient Education Materials: Can Patients Read Them?. Fam Med 2004, Vol: 36, No: 8
[31]. Estrada Carlos A, Hryniewicz Mary Martin, Higgs Vetta Barnes. Anticoagulant Patient Information Material Is Written at High Readability Levels Downloaded from http://stroke.ahajournals.org/ by guest on December 9, 2014.
[32]. Amini Najmatolmolook , Bayat Fatameh, Rahimi Mohboobeh, Bekri Gona, Taheri Giti ,Shojaeezadeh Davoud . Effect of Education on Knowledge, Attitude and Nutritional Behavior of Patients with Type 2 Diabetes. Journal of Health & Development. Winter 2013 ,Vol. 1, No. 4,
[33]. Sadeghi mahdi , Pedram Razi Shadan , Nikbakht Nasrabadi Ali Reza , Ebrahimi Hossein , Kazemnejad Anoushiravan. Comparison of the impact of education based on the empowerrment model and family-center empowerrment model on knowledge and metabolic control of patients with type 2 diabetes mellitus. Nursing Education. Fall 2013 , vol:2, No :3
[34]. Rakhshandehroo Sakineh ,Ghaffari Mohtasham, Heidarnia Ali Reza , Rajab Asadullah . The effectiveness of educational interventions on metabolic control in diabetic patients referred to Iranian Diabetes Association. Journal of Diabetes and Lipid iran. Issued specific risk factors for diabetes and cardiovascular disease. 2009 :57-64
[35]. Baghiani Moghadam M.H , Taheri Gh , Fallah Zadeh Hussain ,Parsa Maryam. 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 ,Vol;1 1, No:1,10-18
[36]. Bayat Fatemeh, Shojaeizadeh David , Hosseini Sayed Mostafa ,Sadeghi Roya, Tol Azar . The effectiveness of educational programs to improve the lifestyles of patients with type II diabetes. Journal Research of Health System.2012 ,Vol: 7, No:8
[37]. Malek Mahsa and Çak?ro?lu F. P?nar. The effects of nutritional education on patients with type–II diabetes on the nutritional knowledge and consumption. European Journal of Experimental Biology, 2013, 3(1):217-222
[38]. Mamene Mahdi, Lakdizaji Sima , Rahmani Azad , Behshid Mozhgan . The Effect of Teaching Based Collaborative Care Model on Diet Habits in Diabetes Type II: a clinical trial study.Scientific jornal of Hamadan Nursing & Midwifery Faculty.spring 2014, vol:22, No :1
[39]. Oshvandi Khodayar , Jokar Mozhgan , Khatiban Mahnaz , Keyani Javad , Yousefzadeh Mohammad Reza , Sultanian Ali Reza. The HE Effect FFECT Of F Self ELF Care ARE Education Based A On N Teach Back Method on Promotion of Self Care Behaviors in Type II Diabetic IPatients : a Clonical Trial Study. Iranian journal of Diabetes and Metabolism; , Fall 2014Vol.13, No 2
[40]. Ishikawa Hirono, Yano Eiji, The relationship of patient participation and diabetes outcomes for patients with high vs. low health literacy. Patient Education and Counseling 84 (2011) 393–397
Downloads
Published
2017-06-04
How to Cite
Maleki, S., Ansarimoghadam, A., Masoudy, G., Rakhshani, F., & Damani, E. (2017). Analysis of the Effect of Training on the Health Literacy, Awareness and Behavior of Diabetic Type II Patients, Referring to the Clinics of Zahedan within 2014. American Scientific Research Journal for Engineering, Technology, and Sciences, 32(1), 215–225. Retrieved from https://asrjetsjournal.org/index.php/American_Scientific_Journal/article/view/3039
Issue
Section
Articles
License
Authors who submit papers with this journal agree to the following terms.
