基于理论的教育对促进糖尿病前期女性健康生活方式的影响：随机对照试验。

Effect of theory-based education on promoting a healthy lifestyle in pre-diabetic women: RCT.

机构信息

Student Research Committee, School of Health, Arak University of Medical Sciences, Arak, Iran.

Department of Health Education and Health Promotion, School of Health, Arak University of Medical Sciences, Arak, Iran.

出版信息

BMC Womens Health. 2022 Feb 4;22(1):29. doi: 10.1186/s12905-022-01608-1.

DOI:10.1186/s12905-022-01608-1

PMID:35120505

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8814792/

Abstract

BACKGROUND

Due to the fact that pre-diabetic people are at higher risk of developing diabetes, it is possible to reduce the risk by taking preventive measures. Therefore, the present study aimed to determine the effect of theory-based education on promoting a healthy lifestyle and fasting blood sugar (FBS) in pre-diabetic women.

METHODS

This is a cluster-randomized controlled trial that was performed on 71 pre-diabetic women referred to Arak Comprehensive Health Service Center. Thus, using cluster sampling method, one center was randomly assigned to the intervention group and one center to the control group. The data collection tool was a questionnaire based on the theory of planned behavior (TPB) and healthy lifestyle behavior that was completed before and at least 3 months after training and FBS test was performed. The experimental group received 3 training sessions of 60 to 90 min and finally the data were analyzed using statistical software.

RESULTS

After the intervention, the mean scores of knowledge (P < 0.001), attitude (P = 0.047) and perceived behavioral control related to physical activity (P = 0.046) and dietary function (P = 0.01) increased significantly in the intervention group. In addition, fasting blood sugar in the intervention group (99.70 ± 11.06) improved significantly compared to the control group (110.94 ± 17.09) (P = 0.003).

CONCLUSION

Education based on the theory of planned behavior, by holding face-to-face meetings along with following up the samples after the educational intervention, can promote healthy lifestyle of pre-diabetic women. Therefore, designing and implementing similar interventions on all pre-diabetic individuals seem necessary.

TRIAL REGISTRATION

The master's thesis in health education is approved by Arak University of Medical Sciences, Iran and is registered in the Iranian Registry of Clinical Trial (IRCT20190304042921N1). Prospectively registered 22/07/2019, https://en.irct.ir/trial/40596.

摘要

背景

由于糖尿病前期人群患糖尿病的风险较高，因此可以通过采取预防措施来降低风险。因此，本研究旨在确定基于理论的教育对促进糖尿病前期女性健康生活方式和空腹血糖（FBS）的影响。

方法

这是一项基于理论的群组随机对照试验，在阿拉克综合保健中心对 71 名糖尿病前期妇女进行了研究。因此，采用聚类抽样方法，将一个中心随机分配到干预组，另一个中心分配到对照组。数据收集工具是基于计划行为理论（TPB）和健康生活方式行为的问卷，在培训前后至少 3 个月完成，并进行 FBS 测试。实验组接受了 3 次 60-90 分钟的培训课程，最后使用统计软件分析数据。