A non-face-to-face diabetes selfmanagement program based on selfefficacy theory and health literacy: a non-randomized controlled trial.

Purpose: This study aimed to assess the impact of a non-face-to-face diabetes self-management program based on self-efficacy theory and focusing on health literacy. Methods: A quasi-experimental, nonequivalent control group pre-post design was used. Participants from a community health promotion cen...

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Publicado en:Journal of Korean Academy of Nursing Vol. 55; no. 2; pp. 165 - 178
Autores principales: Jung Hee Lee, Soo Jin Lee
Formato: clinical trial research tables/charts Journal Article
Publicado: Korean Society of Nursing Science May2025
Acceso en línea:Ver este registro en EBSCOhost
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        20053673
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      dt: May2025
      vid: 55
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        atl: A non-face-to-face diabetes selfmanagement program based on selfefficacy theory and health literacy: a non-randomized controlled trial.
      aug:
        au:
          Jung Hee Lee
          Soo Jin Lee
        affil: Department of Nursing, Korea National Open University, Seoul, Korea
      sug:
        subj:
          Diabetes Mellitus, Type 2 Prevention and Control
          Diabetic Patients Education
          Self-Management Education
          Program Implementation
          Health Literacy
          Self-Efficacy
          Bandura's Social Cognitive Theory
          Community Health Centers
          Outcomes of Education
          Human
          Middle Age
          Aged
          Male
          Female
          South Korea
          Nonrandomized Trials
          Clinical Trials
          Quasi-Experimental Studies
          Nonequivalent Control Group
          Pretest-Posttest Control Group Design
          Glycated Hemoglobin
          Cellular Phone
          Online Education
          Telephone
          Counseling
          Videorecording
          Social Networking
          Fasting
          Blood Glucose
          Support, Social
          Depression
          T-Tests
          Paired T-Tests
          Health Education
          Internet-Based Intervention
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Purpose: This study aimed to assess the impact of a non-face-to-face diabetes self-management program based on self-efficacy theory and focusing on health literacy. Methods: A quasi-experimental, nonequivalent control group pre-post design was used. Participants from a community health promotion center were included if they (1) were 30-70 years of age, (2) had type 2 diabetes with glycated hemoglobin (HbA1c) ≥6.5%, and (3) had internet access via computers or mobile devices. The 8-week program was developed based on self-efficacy theory, and it included virtual education using an online platform, telephone counseling, videos, and social networking site activities considering health literacy. Fasting blood glucose levels, HbA1c levels, diabetes self-efficacy, social support, depression, and self-management behaviors were assessed. Data were analyzed using the independent t-test, paired t-test, and others. Results: Post-test results showed that the intervention group had significantly lower fasting blood glucose levels and improved diabetes self-efficacy, social support, and self-management behaviors compared with the control group. An analysis of the pre-to-post changes in scores indicated that the intervention group had significantly greater improvements in fasting blood glucose levels, diabetes self-efficacy, and overall diabetes self-management behaviors than those observed in the control group. Conclusion: Non-face-to-face programs based on self-efficacy theory that consider health literacy can provide effective diabetes management support to patients when in-person diabetes management at community health centers is challenging.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: Korean
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