Nejhaddadgar, Nazila, Ebadifard Azar, Farbod, Solhi, Mahnaz, amani, firouz (2025). Effects of Predisposing, Reinforcing and Enabling Factors on the Self-care Behaviors of Patients with Diabetes Mellitus. , 4(3), 37-45.
Nazila Nejhaddadgar; Farbod Ebadifard Azar; Mahnaz Solhi; firouz amani. "Effects of Predisposing, Reinforcing and Enabling Factors on the Self-care Behaviors of Patients with Diabetes Mellitus". , 4, 3, 2025, 37-45.
Nejhaddadgar, Nazila, Ebadifard Azar, Farbod, Solhi, Mahnaz, amani, firouz (2025). 'Effects of Predisposing, Reinforcing and Enabling Factors on the Self-care Behaviors of Patients with Diabetes Mellitus', , 4(3), pp. 37-45.
Nejhaddadgar, Nazila, Ebadifard Azar, Farbod, Solhi, Mahnaz, amani, firouz Effects of Predisposing, Reinforcing and Enabling Factors on the Self-care Behaviors of Patients with Diabetes Mellitus. , 2025; 4(3): 37-45.

Effects of Predisposing, Reinforcing and Enabling Factors on the Self-care Behaviors of Patients with Diabetes Mellitus

Health Education and Health Promotion
Article 5, Volume 4, Issue 3, 2016, Pages 37-45    PDF (351.73 K)
Authors
Nazila Nejhaddadgar* 1; Farbod Ebadifard Azar2; Mahnaz Solhi3; firouz amani4
1Ph.D. Candidate in Health Education and Health Promotion, Department of Health Care Services and Health Education, Faculty of Health, International Campus, Iran University of Medical Sciences, Tehran, Iran
2Professor, Department of Health Care Services and Health Education, Faculty of Public Health, Iran University of Medical Sciences, Tehran, Iran
3Associate Professor, Department of Health Care Services and Health Education, Faculty of Health, Iran University of Medical Sciences, Tehran, Iran
4Assistant Professor, Department of Epidemiology and Biostatistics, Faculty of Public Health, Ardebil University of Medical Sciences, Ardebil, Iran
Abstract
Aim: Diabetes mellitus (DM) is a life time disease that requires change in patients' self-care and life style. The aim of this study was to determine the effects of predisposing, reinforcing and enabling factors on the self-care of patients with DM in Ardabil City, Iran in 2016.
Methods: This quasi-experimental study was conducted on 129 patients with DM referred to the diabetic centers of Ardabil. We used the components of PRECEDE model for planning the program. The educational program was executed on six information sessions. Changes in the predisposing, reinforcing, enabling factors and self-care behaviors one month after the intervention activities were assessed by using the same questionnaire. Data were analyzed through SPSS 16 software using descriptive and analytical tests.
Findings: The mean age of the patients was 56.82(±13.4) years, 69.8% of them were married and 20.2% were illiterate. According to the results, the mean scores for the knowledge, attitude, self-efficiency, self-care behavior, and reinforcement factors increased significantly after the educational intervention (p-value >0.001).
Conclusion: Educational intervention with PRECEDE-PROCEED model improved the diabetic patient’s self-care.
Keywords
Diabetes mellitus; Enabling factors; Predisposing factors; Reinforcing factors; Self-care behaviors
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