Moshki Mahdi, Dehnoalian Atefeh, Alami Ali
1 Department of Public Health, School of Health Sciences, Social Development & Health Promotion Research Centre, Gonabad University of Medical Sciences, Gonabad, Iran.
2 MSN in Medical & Surgical Nursing, School of Nursing, Neyshabur University of Medical Sciences, Neyshabur, Iran.
Clin Nurs Res. 2017 Apr;26(2):241-253. doi: 10.1177/1054773815621026. Epub 2016 Jul 25.
This study sought to assess the effect of precede-proceed model on preventive behaviors for type 2 diabetes mellitus (DM) in high-risk individuals. In this semi-experimental study, 164 high-risk individuals for type 2 DM were selected and were randomly divided into two groups of intervention and control ( n = 85). Educational intervention was performed as a single session face-to-face instruction for 1.5 hr for the intervention group participants. Data were collected before (baseline) and immediately and 1 month after the intervention in the two groups. The mean score of predisposing (knowledge) factors ( p = .001), reinforcing factors ( p = .001), and enabling factors ( p = .02) were significantly different at baseline and 1 month after the intervention in the intervention group compared with the control group ( p < .05). A significant improvement occurred in the nutritional habits of high-risk participants in the intervention group at 1 month after the intervention compared with controls ( p = .001). The precede-proceed model can be effective for promoting the preventive behaviors for type 2 DM in high-risk individuals.
本研究旨在评估“倾向 - 促成 - 强化”模型对高危个体2型糖尿病(DM)预防行为的影响。在这项半实验性研究中,选取了164名2型糖尿病高危个体,并将其随机分为干预组和对照组(n = 85)。对干预组参与者进行了为期1.5小时的单次面对面教育干预。在两组干预前(基线)、干预后即刻和干预后1个月收集数据。与对照组相比,干预组在基线时和干预后1个月的倾向因素(知识)(p = .001)、强化因素(p = .001)和促成因素(p = .02)的平均得分存在显著差异(p < .05)。与对照组相比,干预组高危参与者在干预后1个月的营养习惯有显著改善(p = .001)。“倾向 - 促成 - 强化”模型可有效促进高危个体对2型糖尿病的预防行为。