基于社会学习的健康素养提升对1型糖尿病青少年自我效能感和社交焦虑的影响

Social learning-based health literacy promotion on the self efficacy and social anxiety of adolescents with type 1 diabetes.

作者信息

Begjani Jamalodin, Hosseini Akram Sadat Sadat, Saneifard Hedieh, Hasanabad Vida Rahimi

机构信息

Tehran University of Medical Sciences, Tehran, Iran.

Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Clin Diabetes Endocrinol. 2024 Mar 15;10(1):14. doi: 10.1186/s40842-024-00167-8.

DOI:10.1186/s40842-024-00167-8

PMID:38486333

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10941360/

Abstract

BACKGROUND AND OBJECTIVE

Type 1 diabetes mellitus one of the biggest health concerns around the world, is difficult to manage during adolescence. Among the non-medical methods of controlling this disease is empowerment through self-efficacy. Poor self-efficacy leads to social anxiety and ultimately deficiencies in diabetes. There is also a correlation among health literacy, self-efficacy, and social anxiety. Thus, the present study aimed to evaluate the impact of a literacy promotion training program based on social learning theory on the self-efficacy and social anxiety of adolescents with T1DM.

METHODS

The current research is a semi-experimental type that was carried out with the cooperation of 66 adolescents aged 15-18 years with type 1 diabetes in Iran (Tehran, 2022). It has control and intervention groups. The endocrinology and diabetes clinics of the intervention and control groups were randomly selected in a multi-stage manner (endocrine and diabetes clinic of children's medical center hospital for the control group and endocrine and diabetes clinic of Mofid hospital for the intervention group) and the participants were selected by Simple Random Sampling method (draw). The training program designed based on Bandura's social learning theory was used to teach adolescents during seven consecutive sessions of 30-45 min during one week. Questionnaires were completed before and one month after the intervention. Data were analysed in SPSS-25 software.

FINDINGS

The intervention for adolescents with T1DM in intervention group compared to the control group had a significant effect on improve health literacy (P<0.001), self-efficacy (P<0.001), and social anxiety (P<0.05).

CONCLUSIONS

The results can also be used to improve the capabilities of adolescents with T1DM, reduce and prevent disease complications, and develop operational-educational programs in the centers from which these adolescents receive various services.

TRIAL REGISTRATION

IRCT20210422051045N1.

摘要

背景与目的

1型糖尿病是全球最重大的健康问题之一，在青少年时期难以管理。在控制这种疾病的非医学方法中，通过自我效能感实现赋权是其中一种。自我效能感低下会导致社交焦虑，并最终引发糖尿病相关的不足。健康素养、自我效能感和社交焦虑之间也存在关联。因此，本研究旨在评估基于社会学习理论的素养提升培训项目对1型糖尿病青少年的自我效能感和社交焦虑的影响。

方法

本研究为半实验类型，于2022年在伊朗与66名年龄在15 - 18岁的1型糖尿病青少年合作开展。设有对照组和干预组。干预组和对照组的内分泌与糖尿病诊所通过多阶段随机选择（对照组为儿童医学中心医院的内分泌与糖尿病诊所，干预组为莫菲德医院的内分泌与糖尿病诊所），参与者通过简单随机抽样法（抽签）选取。基于班杜拉社会学习理论设计的培训项目在一周内连续进行七节时长30 - 45分钟的课程，向青少年授课。在干预前和干预后一个月完成问卷调查。数据在SPSS - 25软件中进行分析。