The effectiveness of information-motivation-behavioural skills model-based diabetes self-management education among patients with Type 2 Diabetes (IMBDSME) : randomized clinical trial

Albelbisi, Zaki (2021) The effectiveness of information-motivation-behavioural skills model-based diabetes self-management education among patients with Type 2 Diabetes (IMBDSME) : randomized clinical trial. PhD thesis, University of Nottingham.

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Abstract

Aim: to develop and examine the effectiveness of Information Motivational Behavioural Model-based Diabetes Self-Management Education intervention on three self-care activities: diet, physical activity and medications management self-care behaviours, and other outcomes such as quality of life and glycaemic control.



Setting: Outpatient clinics at two mains teaching hospitals in Jordan.

Participants: Sample of 151 participants who were diagnosed with Type 2 Diabetes Mellitus for more than six months, aged between 18 and 65 years old, HbA1c > 8% within the last two weeks prior to recruitment and are taking any form of hypoglycaemic agents.

Research design: This trial was a randomized clinical trial and was designed in line with MRC framework and IMB three main procedures: assessing, implementation and evaluation. IMB main determinants; knowledge, motivation and behavioural skills along with the performance of self-care behaviours, quality of life and HbA1c were assessed at baseline and evaluated at three-month visit and six-month visits.

Methods: A two parallel group trial with randomized allocation of 151 participants on 1:1 average for both groups. Intervention group received the IMBDSME intervention as well as the usual treatment while control group received the usual treatment only. IMBDSME was developed using an Arabic translated version of PRIDE educational toolkit. The educational toolkit was delivered using motivational interviewing and brief action planning approach according to IMB model assumption through two face-to-face sessions and several interventional phone calls for each participant within two weeks from participation and for a duration of three-month period.

Results: For those who were in the IMBDMSE group, they reported statistically significant improvements in the level of knowledge, motivation, behavioural skills and quality of life at three-month and six-month visits. Similarly, significant improvements in the level of practicing diet and medications management self-care behaviours were found at three-month and six-month visits. HbA1a was improved significantly at three-month for those who attended JUH and received the intervention. While non-significant improvements were reported in physical activity behaviour and HbA1c at both time points among the same group.

Conclusion: This clinical trial conceptualised IMB behavioural change model in IMBDSME intervention and improved the level of performing diet and medications management self-care activities for those who received the intervention. IMBDSME provided a comprehensive understanding of how Jordanian patients’ Knowledge, Motivation, Behavioural skills and metabolic outcomes changed overtime, in tandem with performing self-management behaviours.

Item Type: Thesis (University of Nottingham only) (PhD)
Supervisors: Blake, Holly
Windle, Richard
Keywords: Type 2 Diabetes; Self-care behaviours; Patient education
Subjects: W Medicine and related subjects (NLM Classification) > WK Endocrine system
Faculties/Schools: UK Campuses > Faculty of Medicine and Health Sciences > School of Health Sciences
Item ID: 65173
Depositing User: Albelbisi, Zaki
Date Deposited: 04 Aug 2021 04:41
Last Modified: 04 Aug 2021 04:41
URI: http://eprints.nottingham.ac.uk/id/eprint/65173

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