Department of Primary Care Medicine, Faculty of Medicine, Universiti Teknologi MARA (UiTM), Selayang Campus, Jalan Prima Selayang 7, 68100, Batu Caves, Selangor, Malaysia.
Institute of Pathology, Laboratory and Forensic Medicine (I-PPerForM), Universiti Teknologi MARA (UiTM), Sungai Buloh Campus, Jalan Hospital, 47000, Sungai Buloh, Selangor, Malaysia.
BMC Fam Pract. 2020 Mar 11;21(1):50. doi: 10.1186/s12875-020-01121-0.
Offspring of type 2 diabetes patients have an absolute risk of 20-40% of developing the condition. Type 2 diabetes patients should be encouraged to speak to their offspring regarding diabetes risk and prevention strategies. The Health Belief Model conceptualises that the higher the perceived risk, the more likely an individual will modify their behaviour. The objectives of this study were to i) determine the distribution of type 2 diabetes patients regarding their willingness to accept training to speak to their offspring, ii) determine the distribution of type 2 diabetes patients regarding their willingness to accept training based on the HBM and iii) to determine the factors associated with their willingness to accept training.
This was a cross-sectional study amongst type 2 diabetes patients attending two primary care clinics in Malaysia. Sociodemographic data and knowledge of diabetes risk factors were collected. The adapted, translated and validated Diabetes Mellitus in the Offspring Questionnaire-Malay version (DMOQ-Malay) was self-administered. Statistical analysis included descriptive statistics, univariate and multiple logistic regression (MLogR).
A total of 425 participants were recruited. Of these, 61.6% were willing to accept training. In MLogR, six variables were found to be significantly associated with willingness to accept training. These were i) positive family history [Adj. OR 2.06 (95% CI: 1.27, 3.35)], ii) having the correct knowledge that being overweight is a risk factor [Adj. OR 1.49 (95%CI: 1.01, 2.29)], iii) correctly identifying age ≥ 40 years old as a risk factor [Adj. OR 1.88 (95%CI: 1.22, 2.90)], iv) agreeing that speaking to their offspring would help them to prevent type 2 diabetes [Adj. OR 4.34 (95%: 1.07, 17.73)], v) being neutral with the statement 'I do not have much contact with my offspring' [Adj. OR: 0.31 (95% CI: 0.12, 0.810] and vi) being neutral with the statement 'my offspring are not open to advice from me' [Adj. OR: 0.63 (95% CI: 0.31, 0.84].
The majority of type 2 diabetes patients were willing to accept training to speak to their offspring to prevent diabetes. A training module should be designed to enhance their knowledge, attitude and skills to become family health educators.
2 型糖尿病患者的后代有 20-40%的绝对风险患上这种疾病。应鼓励 2 型糖尿病患者与子女谈论糖尿病风险和预防策略。健康信念模型认为，个体感知到的风险越高，他们改变行为的可能性就越大。本研究的目的是：i）确定愿意接受培训以与子女交谈的 2 型糖尿病患者的分布情况，ii）确定愿意根据 HBM 接受培训的 2 型糖尿病患者的分布情况，以及 iii）确定与他们接受培训意愿相关的因素。
这是一项在马来西亚两家初级保健诊所就诊的 2 型糖尿病患者的横断面研究。收集社会人口统计学数据和糖尿病危险因素知识。自我管理经改编、翻译和验证的《糖尿病患儿问卷-马来语版》（DMOQ-Malay）。统计分析包括描述性统计、单变量和多逻辑回归（MLogR）。
共招募了 425 名参与者。其中，61.6%的人愿意接受培训。在 MLogR 中，有六个变量与接受培训的意愿显著相关。这些变量是：i）有阳性家族史[调整后的 OR 2.06（95%CI：1.27，3.35）]，ii）正确认识超重是危险因素[调整后的 OR 1.49（95%CI：1.01，2.29）]，iii）正确识别年龄≥40 岁为危险因素[调整后的 OR 1.88（95%CI：1.22，2.90）]，iv）认为与子女交谈有助于预防 2 型糖尿病[调整后的 OR 4.34（95%：1.07，17.73）]，v）对“我与子女接触不多”这一说法持中立态度[调整后的 OR：0.31（95%CI：0.12，0.81）]，以及 vi）对“子女不接受我的建议”这一说法持中立态度[调整后的 OR：0.63（95%CI：0.31，0.84）]。
大多数 2 型糖尿病患者愿意接受培训以与子女交谈以预防糖尿病。应设计一个培训模块，以增强他们成为家庭健康教育者的知识、态度和技能。
