@2024 Afarand., IRAN
ISSN: 2383-2150 Journal of Education and Community Health 2019;6(1):49-54
ISSN: 2383-2150 Journal of Education and Community Health 2019;6(1):49-54
Effective Factors on Oral and Dental Health of Patients with Diabetes Mellitus Type 2 Based on the Health Belief Model
ARTICLE INFO
Article Type
Descriptive & Survey StudyAuthors
Malek Mahmoodi M. (1)Shamsi M. (*1)
Roozbahani N. (1)
Moradzadeh R.A. (2)
(1) Health Education Department, Public Healt Faculty, Tehran University of Medical Sciences, Tehran, Iran
(2) Epidemiology Department, Health Faculty, Arak University of Medical Sciences, Arak, Iran
Correspondence
Address: Health Faculty, Al Ghadir Building, Arak University of Medical Sciences, Golestan Alley, Mustafa Khomeini Township, Arak, Iran. Postal Code: 3818146851Phone: +98 (86) 33686443
Fax: +98 (86) 33686443
dr.shamsi@arakmu.ac.ir
Article History
Received: July 25, 2018Accepted: December 18, 2018
ePublished: March 19, 2019
ABSTRACT
Aims
One of the most commonly diagnosed chronic diseases in the world is diabetes. Considering the prevalence of oral and dental problems in diabetic patients and importance of evaluating the behavior of patients based on behavioral models, the present study was conducted to survey the effective factors on the oral and dental health of patients with diabetes mellitus type 2 based on the health belief model.
Instrument & Methods In this cross-sectional descriptive-analytical study, 320 patients with diabetes mellitus type 2, who referred to Kashan Diabetes Clinic in 2018, were selected by systematic random sampling method. The data were collected through a researcher-made questionnaire including awareness, HBM model, and performance of patients in the field of oral and dental health behaviors. The data were analyzed by SPSS 16 software using Pearson correlation coefficient and linear regression analysis.
Findings The mean scores of awareness (2.26±0.31), the performance of oral and dental health behaviors (2.31±0.55), perceived susceptibility (3.36±0.69), perceived severity (4.27±0.67), perceived benefit (2.98±0.63), perceived barriers (4.16±0.77), self-efficacy (3.49±0.77), internal cues to action (3.94±0.78) and external cues to action (3.52±0.85) were obtained. In this study, awareness, perceived barriers and self-efficacy were the strongest predictors of oral and dental health behaviors that predicted 34% of behavior variance (p<0.001).
Conclusion Awareness, self-efficacy, and perceived barriers are predictors of oral and dental health behaviors.
Instrument & Methods In this cross-sectional descriptive-analytical study, 320 patients with diabetes mellitus type 2, who referred to Kashan Diabetes Clinic in 2018, were selected by systematic random sampling method. The data were collected through a researcher-made questionnaire including awareness, HBM model, and performance of patients in the field of oral and dental health behaviors. The data were analyzed by SPSS 16 software using Pearson correlation coefficient and linear regression analysis.
Findings The mean scores of awareness (2.26±0.31), the performance of oral and dental health behaviors (2.31±0.55), perceived susceptibility (3.36±0.69), perceived severity (4.27±0.67), perceived benefit (2.98±0.63), perceived barriers (4.16±0.77), self-efficacy (3.49±0.77), internal cues to action (3.94±0.78) and external cues to action (3.52±0.85) were obtained. In this study, awareness, perceived barriers and self-efficacy were the strongest predictors of oral and dental health behaviors that predicted 34% of behavior variance (p<0.001).
Conclusion Awareness, self-efficacy, and perceived barriers are predictors of oral and dental health behaviors.
CITATION LINKS
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[3]Rezaei N, Tahbaz F, Kimiagar M, Alavi Majd H. The effect of nutrition education on knowledge, attitude and practice of type 1 diabetic patients from Aligoodarz. J Shahrekord Univ Med Sci. 2006;8(2):52-9. [Persian]
[4]Funnell MM, Brown TL, Childs BP, Haas LB, Hosey GM, Jensen B, et al. National standards for diabetes self-management education. Diabetes Care. 2011;34(Suppl 1):S89-96.
[5]Larijani B, Abolhasani F, Mohajeri Tehrani MR, Tabtabaie O. Prevalence of diabetes mellitus in Iran in 2000. Iran J Diabetes Metab. 2005;4(3):75-83. [Persian]
[6]Tiv M, Viel JF, Mauny F, Eschwège E, Weill A, Fournier C, et al. Medication adherence in type 2 diabetes: the ENTRED study 2007, a French Population-Based Study. PLoS One. 2012;7(3):e32412.
[7]Azizi F, Janghorbani M, Hatami H. Epidemiology and control of common disorders in Iran. 2nd Edition. Tehran: Khosravi; 2010. [Persian]
[8]Eldarrat AH. Awareness and attitude of diabetic patients about their increased risk for oral diseases. Oral Health Prev Dent. 2011;9(3):235-41.
[9]Bakhshandeh S, Murtomaa HT, Vehkalahti MM, Mofid R, Suomalainen K. Oral health behaviour and periodontal treatment needs in a group of Iranian adults with diabetes one year after an oral health intervention. Oral Health Dent Manag. 2010;9(2):122-30.
[10]Jawed M, Shahid SM, Qader SA, Azhar A.. Dental caries in diabetes mellitus: role of salivary flow rate and minerals. J Diabetes Complications. 2011;25(3):183-6.
[11] Petersen PE. Oral cancer prevention and control- the approach of the World Health Organization. Oral Oncol. 2009;45(4-5):454-60.
[12] Brown LF . Research in dental health education and health promotion: a review of the literature. Health Educ Q. 1994; 21(1):83-102.
[13]Oshvandi K , Khatiban M, Kiani J, Yousefzadeh MR, Soltanian AR. The effect of self-care education based on teach back method on promotion of self care behaviors in type II diabetes patients: a clinical trial study. Iran J Diabetes Metab. 2014;13(2):131-43. [Persian]
[14]Lemmens-Gruber R, Hahnenkamp C, Gössmann U, Harreiter J, Kamyar MR, Johnson BJ, et al. Evaluation of educational needs in patients with diabetes mellitus in respect of medication use in Austria. Int J Clin Pharm. 2012;34(3):490-500.
[15]Yuen HK, Wolf BJ, Bandyopadhyay D, Magruder KM, Salinas CF, London SD. Oral health knowledge and behavior among adults with diabetes. Diabetes Res Clin Pract. 2009;86(3):239-46.
[16]Baghiani Moghadam MH, Taheri G, Fallahzadeh H, Parsa M. The effect of instructional designed SMS based on Health Belief Model (HBM) on adoption of self-care behavior of patients with type II diabetes. Mod Care. 2014;11(1):10-8. [Persian]
[17]Mardani Hamuleh M, Shahraki Vahed A. Effects of education based on health belief model on dietary adherence in diabetic patients. Iran J Diabetes Metab. 2010;9(3):268-75. [Persian]
[18]Javadi A, Javadi M, Sarvghadi F. The study of knowledge, attitude and practice of diabetics to their illness. J Birjand Univ Med Sci. 2004;11(3):46-51. [Persian]
[19] Slaughter A, Smith VJ, Taylor L. Progressing toward a more culturally competent approach to dental care for African American elders. Spec Care Dentist. 2004;24(6):301-7.
[20]Farahani Dastjani F, Shamsi M, Khorsandi M, Rezvanfar MR, Ranjbaran M. The relationship between perceived barriers and non-medication adherence in type 2 diabetic patients in Arak in 2014. Daneshvar. 2015;22(117):49-58. [Persian]
[21]Upadhyay DK, Palaian S, Shankar PR, Mishra P. Knowledge, attitude and practice about diabetes among diabetes patients in Western Nepal. Rawal Med J. 2008;33(1):8-11.
[22]Omar MS, Lai San K. Diabetes knoewledge and medication adherence among geriatric patient with type 2 diabetes mellitus. Int J Pharm Pharm Sci. 2014;6(3):103-6.
[23]Altun I, Erkek Y, Demirhan Y, Peker A, Cetinarslan B. Hygiene behavior in persons with type 2 diabetes. Am J Infect Control. 2014;42(7):817-8.
[24]Carvalho JC, Rebelo MA, Vettore MV. The relationship between oral health education and quality of life in adolescents. Int J Paediatr Dent. 2013;23(4):286-96.
[25]Ramezankhani A, Mazaheri M, Dehdari T, Movahedi M. Relationship between health belief model constructs and DMFT among five-grade boy students in the primary school in Dezfool. Sci Med J. 2011;10(2):221-28. [Persian]
[26]Farahani Dastjani F, Shamsi M, Khorsandi M, Ranjbaran M, Rezvanfar MR. Evaluation of the effects of education based on health belief model on medication adherence in diabetic patients. Iran J Endocrinol Metab. 2016;18(2):83-9. [Persian]
[27]Shamsi M, Sharifirad G, Kachouei A, Hasanzadeh A. The effect of educational program walking based on health belief model on control sugar in woman by type 2 diabetics. Iran J Endocrinol Metab. 2010;11(5): 490-9. [Persian]
[2]Saleh F, Mumu SJ, Ara F, Hafez MA, Ali L. Non-adherence to self-care practices & medication and health related quality of life among patients with type 2 diabetes: a cross sectional study. BMC Public Health. 2014;14:431.
[3]Rezaei N, Tahbaz F, Kimiagar M, Alavi Majd H. The effect of nutrition education on knowledge, attitude and practice of type 1 diabetic patients from Aligoodarz. J Shahrekord Univ Med Sci. 2006;8(2):52-9. [Persian]
[4]Funnell MM, Brown TL, Childs BP, Haas LB, Hosey GM, Jensen B, et al. National standards for diabetes self-management education. Diabetes Care. 2011;34(Suppl 1):S89-96.
[5]Larijani B, Abolhasani F, Mohajeri Tehrani MR, Tabtabaie O. Prevalence of diabetes mellitus in Iran in 2000. Iran J Diabetes Metab. 2005;4(3):75-83. [Persian]
[6]Tiv M, Viel JF, Mauny F, Eschwège E, Weill A, Fournier C, et al. Medication adherence in type 2 diabetes: the ENTRED study 2007, a French Population-Based Study. PLoS One. 2012;7(3):e32412.
[7]Azizi F, Janghorbani M, Hatami H. Epidemiology and control of common disorders in Iran. 2nd Edition. Tehran: Khosravi; 2010. [Persian]
[8]Eldarrat AH. Awareness and attitude of diabetic patients about their increased risk for oral diseases. Oral Health Prev Dent. 2011;9(3):235-41.
[9]Bakhshandeh S, Murtomaa HT, Vehkalahti MM, Mofid R, Suomalainen K. Oral health behaviour and periodontal treatment needs in a group of Iranian adults with diabetes one year after an oral health intervention. Oral Health Dent Manag. 2010;9(2):122-30.
[10]Jawed M, Shahid SM, Qader SA, Azhar A.. Dental caries in diabetes mellitus: role of salivary flow rate and minerals. J Diabetes Complications. 2011;25(3):183-6.
[11] Petersen PE. Oral cancer prevention and control- the approach of the World Health Organization. Oral Oncol. 2009;45(4-5):454-60.
[12] Brown LF . Research in dental health education and health promotion: a review of the literature. Health Educ Q. 1994; 21(1):83-102.
[13]Oshvandi K , Khatiban M, Kiani J, Yousefzadeh MR, Soltanian AR. The effect of self-care education based on teach back method on promotion of self care behaviors in type II diabetes patients: a clinical trial study. Iran J Diabetes Metab. 2014;13(2):131-43. [Persian]
[14]Lemmens-Gruber R, Hahnenkamp C, Gössmann U, Harreiter J, Kamyar MR, Johnson BJ, et al. Evaluation of educational needs in patients with diabetes mellitus in respect of medication use in Austria. Int J Clin Pharm. 2012;34(3):490-500.
[15]Yuen HK, Wolf BJ, Bandyopadhyay D, Magruder KM, Salinas CF, London SD. Oral health knowledge and behavior among adults with diabetes. Diabetes Res Clin Pract. 2009;86(3):239-46.
[16]Baghiani Moghadam MH, Taheri G, Fallahzadeh H, Parsa M. The effect of instructional designed SMS based on Health Belief Model (HBM) on adoption of self-care behavior of patients with type II diabetes. Mod Care. 2014;11(1):10-8. [Persian]
[17]Mardani Hamuleh M, Shahraki Vahed A. Effects of education based on health belief model on dietary adherence in diabetic patients. Iran J Diabetes Metab. 2010;9(3):268-75. [Persian]
[18]Javadi A, Javadi M, Sarvghadi F. The study of knowledge, attitude and practice of diabetics to their illness. J Birjand Univ Med Sci. 2004;11(3):46-51. [Persian]
[19] Slaughter A, Smith VJ, Taylor L. Progressing toward a more culturally competent approach to dental care for African American elders. Spec Care Dentist. 2004;24(6):301-7.
[20]Farahani Dastjani F, Shamsi M, Khorsandi M, Rezvanfar MR, Ranjbaran M. The relationship between perceived barriers and non-medication adherence in type 2 diabetic patients in Arak in 2014. Daneshvar. 2015;22(117):49-58. [Persian]
[21]Upadhyay DK, Palaian S, Shankar PR, Mishra P. Knowledge, attitude and practice about diabetes among diabetes patients in Western Nepal. Rawal Med J. 2008;33(1):8-11.
[22]Omar MS, Lai San K. Diabetes knoewledge and medication adherence among geriatric patient with type 2 diabetes mellitus. Int J Pharm Pharm Sci. 2014;6(3):103-6.
[23]Altun I, Erkek Y, Demirhan Y, Peker A, Cetinarslan B. Hygiene behavior in persons with type 2 diabetes. Am J Infect Control. 2014;42(7):817-8.
[24]Carvalho JC, Rebelo MA, Vettore MV. The relationship between oral health education and quality of life in adolescents. Int J Paediatr Dent. 2013;23(4):286-96.
[25]Ramezankhani A, Mazaheri M, Dehdari T, Movahedi M. Relationship between health belief model constructs and DMFT among five-grade boy students in the primary school in Dezfool. Sci Med J. 2011;10(2):221-28. [Persian]
[26]Farahani Dastjani F, Shamsi M, Khorsandi M, Ranjbaran M, Rezvanfar MR. Evaluation of the effects of education based on health belief model on medication adherence in diabetic patients. Iran J Endocrinol Metab. 2016;18(2):83-9. [Persian]
[27]Shamsi M, Sharifirad G, Kachouei A, Hasanzadeh A. The effect of educational program walking based on health belief model on control sugar in woman by type 2 diabetics. Iran J Endocrinol Metab. 2010;11(5): 490-9. [Persian]