Sadegh Somayeh, Shirazi Maryam, Dehkordi Leila Mardanian
Department of Community Health Nursing and Elderly, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Nursing PhD Student, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
J Educ Health Promot. 2025 Apr 30;14:148. doi: 10.4103/jehp.jehp_1611_23. eCollection 2025.
Diabetes is one of the most common chronic diseases worldwide. However, self-management educational programs could be implemented to increase diabetes patients' knowledge regarding the disease and its consequences, as well as adherence to the treatments. 5 A's self-management model, known as the behavior change approach, is one way to implement a self-management program. This study aims to determine the effectiveness of the 5 A's self-management model on the perception of the heart diseases facts and adherence to treatment regimen among patients with type 2 diabetes.
The present study is a three-stage clinical trial that includes two control and intervention groups. Seventy individuals diagnosed with type 2 diabetes will be selected from comprehensive health service centers and then divided into two groups. The study participants will complete the heart diseases facts questionnaire and adherence to the treatment regimen questionnaire before, immediately, and two months after the intervention. The intervention group will receive the 5 A's self-management model intervention consisting of five stages: assess, advise, agree, assist, and arrange. Afterward, the collected data will be analyzed using SPSS 22.0. Furthermore, the normality of the data will be measured using the Shapiro-Wilk test and a descriptive statistic will be employed to determine the frequency, mean, and standard deviation. Independent t-tests, repeated measures ANOVA, and Chi-square tests will be employed for data analysis.
The present study aims to investigate the effectiveness of the 5 A's self-management model on the perception of the heart diseases facts and adherence to treatment regimen among patients with type 2 diabetes. The interactive and participatory nature of this model will facilitate its clinical use; put simply, patients can benefit from this model as they receive education about their disease and its health risks. Furthermore, the findings of this study will provide health policymakers with valuable insights in regard to self-management improvement, as well as adherence to treatments among patients who are struggling with type 2 diabetes. It is recommended that the efficacy of this model be investigated on a larger scope, with respect to wider range of populations and diseases.
糖尿病是全球最常见的慢性病之一。然而，可以实施自我管理教育项目，以增加糖尿病患者对该疾病及其后果的了解，以及对治疗的依从性。5A自我管理模式，即行为改变方法，是实施自我管理项目的一种方式。本研究旨在确定5A自我管理模式对2型糖尿病患者对心脏病事实的认知以及对治疗方案的依从性的有效性。
本研究是一项三阶段临床试验，包括两个对照组和干预组。将从综合健康服务中心挑选70名被诊断为2型糖尿病的个体，然后分为两组。研究参与者将在干预前、干预后立即以及干预后两个月完成心脏病事实问卷和治疗方案依从性问卷。干预组将接受由评估、建议、同意、协助和安排五个阶段组成的5A自我管理模式干预。之后，使用SPSS 22.0对收集的数据进行分析。此外，将使用夏皮罗-威尔克检验测量数据的正态性，并采用描述性统计来确定频率、均值和标准差。将采用独立样本t检验、重复测量方差分析和卡方检验进行数据分析。
本研究旨在调查五A自我管理模式对2型糖尿病患者对心脏病事实的认知以及对治疗方案的依从性的有效性。该模式的互动性和参与性将便于其临床应用；简而言之，患者在接受有关其疾病及其健康风险的教育时可以从该模式中受益。此外，本研究的结果将为卫生政策制定者提供有关自我管理改善以及2型糖尿病患者治疗依从性的宝贵见解。建议在更大范围内、针对更广泛的人群和疾病调查该模式的疗效。
