Tecnologico de Monterrey, Business School, Toluca, Estado de Mexico 50110, Mexico.
Tecnologico de Monterrey, Business School, Tlalpan, Ciudad de Mexico 14380, Mexico.
Int J Environ Res Public Health. 2021 Mar 31;18(7):3622. doi: 10.3390/ijerph18073622.
This research explores if a social marketing intervention model based on social representations theory and the health belief model can generate changes regarding treatment adherence and improve patient self-efficacy. As a pilot, a test-retest field quasi-experiment was designed to evaluate the intervention model with type 1 diabetes (T1DM) patients of families with 8- to 17-year-old children. The intervention model was designed to clarify misconceptions, increase awareness of the benefits of following doctors' treatments and improve patients' self-efficacy. In-depth interviews were carried out to gain a richer understanding of the intervention's effect. The pilot intervention generated a favourable change in shared misconceptions, individual health beliefs, glycaemic control and declared treatment adherence. This paper contributes to the social marketing literature and public health by providing early support for the theoretical assumptions regarding the role of shared misconceptions in physiological and behavioural outcomes for patients with T1DM. Contrary to previous studies, instead of only focusing on individual beliefs, this study incorporates shared beliefs between patients and caregivers, generating more comprehensive behavioural change.
本研究探讨了一种基于社会表征理论和健康信念模型的社会营销干预模式是否可以改变治疗依从性并提高患者自我效能。作为一项试点研究，设计了一项测试-重测现场准实验，以评估该干预模式在 8 至 17 岁儿童家庭的 1 型糖尿病（T1DM）患者中的应用。该干预模式旨在澄清误解，提高对遵循医生治疗益处的认识，并增强患者的自我效能感。通过深入访谈，更深入地了解干预的效果。该试点干预措施在共享误解、个体健康信念、血糖控制和宣布的治疗依从性方面产生了有利的变化。本文通过为 T1DM 患者的生理和行为结果中共享误解的作用提供早期理论支持，为社会营销文献和公共卫生做出了贡献。与之前的研究不同，本研究不仅关注个体信念，还将患者和照顾者之间的共享信念纳入其中，从而产生更全面的行为改变。
