@2024 Afarand., IRAN
ISSN: 2383-2150 Journal of Education and Community Health 2015;2(1):38-49
ISSN: 2383-2150 Journal of Education and Community Health 2015;2(1):38-49
Application of BASNEF Model in Analyzing Self-Treatment Behavior among Type 2 Diabetic Patients in 2014
ARTICLE INFO
Article Type
Original ResearchAuthors
Kabodi S. (1)Hazavehei M.M. (2*)
Rahimi M. (3)
Roshanaei Gh. (4)
(1) Department of Public Health, School of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
(2*) Research Center for Health Sciences and Department of Public Health, Hamadan University of Medical Sciences, Hamadan, Iran
(3) Kermanshah Diabetes Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
(4) Modeling of Non-communicable Disease Research Center and Department of Biostatistics, Hamadan University of Medical Sciences, Hamadan, Iran
Correspondence
Article History
Received: January 14, 2015Accepted: June 11, 2015
ePublished: September 17, 2015
ABSTRACT
Aims
Self-treatment in diabetes can change blood sugar levels and cause life-threatening complica-tions in patients. Therefore, this study aimed to assess the application of BASNEF Model in analyzing self-treatment Behavior among patients with type 2 diabetes.
Materials & Methods This cross-sectional descriptive-analytic study was conducted on patients with type II diabe-tes presenting to Kermanshah Diabetes Center in 2014. The patients were randomly selected and recruited. A questionnaire was used to collect demographic data and measure constructs of BASNEF model. Data were analyzed in SPSS-16 using Mann-Whitney, Kruskal-Wallis Chi-square and logistic regression tests.
Findings Of the participants, 50.5% possessed self-treatment behaviors. According to the results, BASNEF model explained 24 percent of the variance in frequency of self-treatment behav-iors. Attitudes, subjective norms, and enabling factors were the most significant predictors (P<0.05).
Conclusion In this study, the prevalence of self-treatment was high among type 2 diabetic patients. Ap-plying BASNEF model appears to be an efficient tool for predicting self-treatment behaviors among diabetic patients.
Materials & Methods This cross-sectional descriptive-analytic study was conducted on patients with type II diabe-tes presenting to Kermanshah Diabetes Center in 2014. The patients were randomly selected and recruited. A questionnaire was used to collect demographic data and measure constructs of BASNEF model. Data were analyzed in SPSS-16 using Mann-Whitney, Kruskal-Wallis Chi-square and logistic regression tests.
Findings Of the participants, 50.5% possessed self-treatment behaviors. According to the results, BASNEF model explained 24 percent of the variance in frequency of self-treatment behav-iors. Attitudes, subjective norms, and enabling factors were the most significant predictors (P<0.05).
Conclusion In this study, the prevalence of self-treatment was high among type 2 diabetic patients. Ap-plying BASNEF model appears to be an efficient tool for predicting self-treatment behaviors among diabetic patients.
CITATION LINKS
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[22]Masoudi Alavi N, Izadi F, Ebadi A, Hajbagheri A. [Self-treatment experience in diabetes mellitus type 2]. Iranian Journal of Endocrinology and Metabolism.2009; 10(6):581-8. (Persian)
[23]Safari M, Shojaizade D, Ghofranipour F, Hydrnya A, Pakpur A. [Theories, models and methods of health education and health promotion]. Tehran: Asare Sobhan Publisher, 2010.
[24]Singh J, Singh R, Gautam CS. Self-medication with herbal remedies amongst patients of type 2 diabetes mellitus: A preliminary study. Indian J Endocrinol Metab.2012; 16(4):662-3.
[25]Awad A, Al-Rabiy S, Abahussain E. Self-medication practices among diabetic patients in Kuwait. Med Princ Pract.2008; 17(4):315-20.
[26]Baghianimoghadam MH, Ehrampoush MH. [Evaluation of attitude and practice of students of Yazd University of Medical Sciences to self-medication]. Zahedan J Res Med Sci.2006; 8(2):111-20. (Persian)
[27]Khaksar A, Nader F, Mosavi-Zadeh K. [A survey of the frequency of administering drugs without prescription among the students of medicine and engineering]. Journal of Jahrom University of Medical Sciences.2006; 3(3):21-8. (Persian)
[28]Dashiff CJ, McCaleb A, Cull V. Self-care of young adolescents with type1diabetes. J Pediatr Nurs.2006; 21(3):222-32.
[29]Vosoghi Karkazloo N, Abootalebi Daryasari G, Farahani B, Mohammadnezhad E, Sajjadi A. [The study of self-care agency in patients with diabetes (Ardabil)]. Modern Care Journal.2012; 8(4):197-204. (Persian)
[30]Borhani F, Abbaszadeh A, Taebi M, Kohan S. [The relationship between self-efficacy and health beliefs among type2 diabetic patients]. Payesh.2010; 9(4):371-83. (Persian)
[31]Abbs Zadeh A, Taebi M, Simin K, Haghdost A. [The relationship of health beliefs of Kermanian women and participation in mammography]. Journal of Qualitative Research in Health Sciences.2011; 10(2):9-17. (Persian)
[32]Vazini H, Barati M. [Predicting factors related to self-care behaviors among type 2 diabetic patients based on health belief model]. Journal of Torbat Heydariyeh University of Medical Sciences.2014; 1(4):16-25. (Persian)
[33]Porteous T, Bond C, Hannaford P, Sinclair H. How and why are non-prescription analgesics used in Scotland?. Fam Pract.2005; 22(1):78-85.
[34]Hillhouse JJ, Turrisi R, Kastner M. Modeling tanning salon behavioral tendencies using appearance motivation, self-monitoring and the Theory of Planned Behavior. Health Educ Res.2000; 15(4):405-14.
[35]Chapman KM, Ham JO, Lresen P, Winter L. Applying behavioral models to dietary education of elderly diabetic patients. J Nutr Educ.1995; 27(2):75-9.
[36]Rahaei Z, Baghianimoghadam MH, Morovatisharifabad MA, Zareian M, Fallahzadeh H, Vakili Mahmoodabad M. [Determinants of self-monitoring of blood pressure among hypertensive patients using on path analysis of basnef model]. Payesh.2012; 11(5):621-7. (Persian)
[37]Mosnier-Pudar H, Hochberg G, Eschwege E, Halimi S, Virally ML, Guillausseau PJ, et al. How patients’ attitudes and opinions influence self-care behaviours in type 2 diabetes: Insights from the French DIABASIS Survey. Diabetes Metab.2010; 36(1):476-83.
[38]Zhong X, Tanasugarn C, Fisher EB, Krudsood S, Nityasuddhi D. Awareness and practices of self-management and influence factors among individuals with type 2 diabetes in urban community settings in Anhui Province, China. Southeast Asian J Trop Med Public Health.2011; 42(1):185-6.
[39]Khattab M, Khader YS, Al-Khawaldeh A, Ajlouni K. Factors associated with poor glycemic control among patients with type 2 diabetes. J Diabetes Complications.2010; 24(2):84-9.
[40]Didarloo AR, Shojaie zadeh D, Eftekhar H, Niknami S, Hajizadeh I, Alizadeh M, et al. Factors influencing physical activity behavior among Iranian women with type 2 diabetes using the extended theory of reasoned action. Diabetes Metab J.2011; 35(5):513-22.
[41]Omondi DO, Walingo MK, Mbagaya GM, Othuon LOA. Understanding physical activity behavior of type 2 diabetics using the theory of planned behavior and structural equation modeling. International Journal of Social Sciences.2010; 5(1):160-7.
[42]Ghazanfari Z, Niknami Sh, Ghofranipour F, Larijani B. [Regular physical activity from perspective of females with diabetes: A qualitative study]. Ofogh-e-Danesh.2009; 15(2):5-15. (Persian)
[43]Hernandez-Tejada MA, Campbell JA, Walker RJ, Smalls BL, Davis KS, Egede LE. Diabetes empowerment, medication adherence and self-care behaviors in adults with type 2 diabetes. Diabetes Technol Ther.2012; 14(7):630-4.
[44]Jackson IL, Adibe MO, Okonta MJ, Ukwe CV. Knowledge of self-care among type 2 diabetes patients in two states of Nigeria. Pharm Pract (Granada).2014; 12(3):404.
[45]Sokol MC, McGuigan KA, Verbrugge RR, Epstein RS. Impact of medication adherence on hospitalization risk and healthcare cost. Med Care.2005; 43(6):521-30.
[2]Vazini H, Barati M. The Health Belief Model and Self-Care Behaviors among Type 2 Diabetic Patients. Iranian Journal of Diabetes and Obesity.2014; 6(3):107-13.
[3]Jalilian F, Mirzaei-Alavijeh M, Emdadi SH, Nasirzadeh M, Barati M, Hatamzadeh N. [The Quality of Life of Women with Type 2 Diabetes: the Study of Self-Efficacy]. Journal of Health System Research.2011; 7(6):1013-9. (Persian)
[4]Esteghamati A, Gouya MM, Abbasi M, Delavari A, Alikhani S, Alaedini F, et al. Prevalence of diabetes and impaired fasting glucose in the adult population of Iran: National Survey of Risk Factors for Non-Communicable Diseases of Iran. Diabetes Care.2008; 31(1):96-8.
[5]Clarke J, Crawford A, Nash DB. Evaluation of a comprehensive diabetes disease management program; Progress in the struggle for sustained behavior change. Diabetes Management.2002; 5(2);77-86.
[6]Barati M, Darabi D, Moghimbeigi A, Afsar A. [Self-regulation behaviors of hypertension and related factors among hypertensive patients]. J Fasa Univ Med Sci.2011; 1(3):116-22. (Persian)
[7]Kamel NM. Behavior of Patients in relation to management of their disease. East Mediterr Health J.1999; 5(5):967-73.
[8]Fattahi A, Barati M, Bashirian S, Heydari Moghadam R. Physical Activity and Its Related Factors Among Type 2 Diabetic Patients in Hamadan. Iranian Journal of Diabetes and Obesity.2014; 6(2):85-92.
[9]Yeh GY, Eisenberg DM, Davis RB, Phillips RS. Use of complementary and alternative medicine among persons with diabetes mellitus: results of a national survey. Am J Public Health.2002; 92(10):1648-52.
[10]Otoom SA, Al-Safi SA, Kerem ZK, Alkofahi A. The use of medicinal herbs by diabetic Jordanian patients. J Herb Pharmacother.2006; 6(2):31-41.
[11]Al-Rowais NA. Herbal medicine in the treatment of diabetes mellitus. Saudi Med J.2002; 23(11):1327-31.
[12]Purreza A, Khalafi A, Ghiasi A, Mojahed F, Nurmohammadi M. [To identify self-medication practice among medical students of Tehran University of medical science]. Iranian Journal of Epidemiology.2013; 8(4):40-6. (Persian)
[13]Masoudi-Alavi N, Alami L, Taefi S, Sadafi Z. [Self-treatment in diabetes mellitus in Kashan]. Iranian Journal of Endocrinology and Metabolism.2010; 12(3):237-42. (Persian)
[14]Shrifirad G R, Mohebbi S, Motalebi M, Abbasi MH, Rejati F. [The prevalence and effective modifiable factors of self-medication based on the health belief model among elderly adults in Gonabad in 2009]. Journal of Health System Research.2011; 7(4):411-21. (Persian)
[15]Kralik D, Koch T, Price K, Howard N. Chronic illness self-management: taking action to create order. J Clin Nurs.2004; 13(2):259-67.
[16]Allison SE. Self-care requirements for activity and rest: an Orem nursing focus. Nurs Sci Q.2007; 20(1):68-76.
[17]Tan MY MJ. Self-care practices of Malaysian adults with diabetes and sub-optimal glycemic control. Patient Educ Couns.2008; 72(2):252-67.
[18]Compeán-Ortiz LG, Gallegos Cabriales EC, González González JG, Gómez Meza MV. Self-care behavior and health indicators in adults with type 2 diabetes. Rev Lat Am Enfermagem.2012; 18(4):675-80.
[19]Winslow LC, Kroll DJ. Herbs as medicines. Arch Intern Med.1998; 158(20):2192-9.
[20]Abbasian M, Delvarian-Zadeh M. [Evaluation of diabetes complications among the diabetic patients visiting the Shahroud diabetic’s clinic]. Knowledge and Health.2008; 2(4):15-19. (Persian)
[21]American Diabetes Association. Statistics about diabetes. American Diabetes Association website; 2015 [updated 10 September, 2014; cited 1 January, 2015]; Available from: http://www.diabetes.org/diabetes-basics/statistics/?loc=db-slabnav.
[22]Masoudi Alavi N, Izadi F, Ebadi A, Hajbagheri A. [Self-treatment experience in diabetes mellitus type 2]. Iranian Journal of Endocrinology and Metabolism.2009; 10(6):581-8. (Persian)
[23]Safari M, Shojaizade D, Ghofranipour F, Hydrnya A, Pakpur A. [Theories, models and methods of health education and health promotion]. Tehran: Asare Sobhan Publisher, 2010.
[24]Singh J, Singh R, Gautam CS. Self-medication with herbal remedies amongst patients of type 2 diabetes mellitus: A preliminary study. Indian J Endocrinol Metab.2012; 16(4):662-3.
[25]Awad A, Al-Rabiy S, Abahussain E. Self-medication practices among diabetic patients in Kuwait. Med Princ Pract.2008; 17(4):315-20.
[26]Baghianimoghadam MH, Ehrampoush MH. [Evaluation of attitude and practice of students of Yazd University of Medical Sciences to self-medication]. Zahedan J Res Med Sci.2006; 8(2):111-20. (Persian)
[27]Khaksar A, Nader F, Mosavi-Zadeh K. [A survey of the frequency of administering drugs without prescription among the students of medicine and engineering]. Journal of Jahrom University of Medical Sciences.2006; 3(3):21-8. (Persian)
[28]Dashiff CJ, McCaleb A, Cull V. Self-care of young adolescents with type1diabetes. J Pediatr Nurs.2006; 21(3):222-32.
[29]Vosoghi Karkazloo N, Abootalebi Daryasari G, Farahani B, Mohammadnezhad E, Sajjadi A. [The study of self-care agency in patients with diabetes (Ardabil)]. Modern Care Journal.2012; 8(4):197-204. (Persian)
[30]Borhani F, Abbaszadeh A, Taebi M, Kohan S. [The relationship between self-efficacy and health beliefs among type2 diabetic patients]. Payesh.2010; 9(4):371-83. (Persian)
[31]Abbs Zadeh A, Taebi M, Simin K, Haghdost A. [The relationship of health beliefs of Kermanian women and participation in mammography]. Journal of Qualitative Research in Health Sciences.2011; 10(2):9-17. (Persian)
[32]Vazini H, Barati M. [Predicting factors related to self-care behaviors among type 2 diabetic patients based on health belief model]. Journal of Torbat Heydariyeh University of Medical Sciences.2014; 1(4):16-25. (Persian)
[33]Porteous T, Bond C, Hannaford P, Sinclair H. How and why are non-prescription analgesics used in Scotland?. Fam Pract.2005; 22(1):78-85.
[34]Hillhouse JJ, Turrisi R, Kastner M. Modeling tanning salon behavioral tendencies using appearance motivation, self-monitoring and the Theory of Planned Behavior. Health Educ Res.2000; 15(4):405-14.
[35]Chapman KM, Ham JO, Lresen P, Winter L. Applying behavioral models to dietary education of elderly diabetic patients. J Nutr Educ.1995; 27(2):75-9.
[36]Rahaei Z, Baghianimoghadam MH, Morovatisharifabad MA, Zareian M, Fallahzadeh H, Vakili Mahmoodabad M. [Determinants of self-monitoring of blood pressure among hypertensive patients using on path analysis of basnef model]. Payesh.2012; 11(5):621-7. (Persian)
[37]Mosnier-Pudar H, Hochberg G, Eschwege E, Halimi S, Virally ML, Guillausseau PJ, et al. How patients’ attitudes and opinions influence self-care behaviours in type 2 diabetes: Insights from the French DIABASIS Survey. Diabetes Metab.2010; 36(1):476-83.
[38]Zhong X, Tanasugarn C, Fisher EB, Krudsood S, Nityasuddhi D. Awareness and practices of self-management and influence factors among individuals with type 2 diabetes in urban community settings in Anhui Province, China. Southeast Asian J Trop Med Public Health.2011; 42(1):185-6.
[39]Khattab M, Khader YS, Al-Khawaldeh A, Ajlouni K. Factors associated with poor glycemic control among patients with type 2 diabetes. J Diabetes Complications.2010; 24(2):84-9.
[40]Didarloo AR, Shojaie zadeh D, Eftekhar H, Niknami S, Hajizadeh I, Alizadeh M, et al. Factors influencing physical activity behavior among Iranian women with type 2 diabetes using the extended theory of reasoned action. Diabetes Metab J.2011; 35(5):513-22.
[41]Omondi DO, Walingo MK, Mbagaya GM, Othuon LOA. Understanding physical activity behavior of type 2 diabetics using the theory of planned behavior and structural equation modeling. International Journal of Social Sciences.2010; 5(1):160-7.
[42]Ghazanfari Z, Niknami Sh, Ghofranipour F, Larijani B. [Regular physical activity from perspective of females with diabetes: A qualitative study]. Ofogh-e-Danesh.2009; 15(2):5-15. (Persian)
[43]Hernandez-Tejada MA, Campbell JA, Walker RJ, Smalls BL, Davis KS, Egede LE. Diabetes empowerment, medication adherence and self-care behaviors in adults with type 2 diabetes. Diabetes Technol Ther.2012; 14(7):630-4.
[44]Jackson IL, Adibe MO, Okonta MJ, Ukwe CV. Knowledge of self-care among type 2 diabetes patients in two states of Nigeria. Pharm Pract (Granada).2014; 12(3):404.
[45]Sokol MC, McGuigan KA, Verbrugge RR, Epstein RS. Impact of medication adherence on hospitalization risk and healthcare cost. Med Care.2005; 43(6):521-30.