The effects of empowerment program on psychosocial self-efficacy in type one diabetic patients

Document Type : Original Article

Authors

• Zahra Imani Goghary ¹
• Masoud Rayani ²
• Parvin Mongolian ¹
• Fariba Borhani ³

¹ PhD Student, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran

² Assistant Professor, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran

³ Assistant Professor, PhD student, Razi Faculty of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran

Abstract

Introduction: Diabetes is a chronic disease that produces serious disabilities, complications, and effect all features of a patient’s life. One of the important parts of diabetes care is the patient’s active participation in the care plan. This patient-centered approach is called empowerment program, which its philosophy is enabling the patient to play an active role in planning and making decisions in health-related activities. With the failure of traditional methods in patient education, checking efficacy of new methods sounds essential. The purpose of this study was to estimate the effect of empowerment program on psychosocial self-efficacy in type 1 diabetic patients.
Methods: In this semi-experimental research, 40 type 1 diabetic patients were randomly divided into two equal intervention and control groups. Diabetes empowerment scale, after obtaining content validity and reliability by the calculation of Cranach’s alpha, was used for data collection. Both groups completed the questionnaire. Then the empowerment program according to a former prepared protocol during six sessions and 90 minutes in length was held for the intervention group. Two months after intervention, both groups completed the questionnaire again. SPSS software was used for data analysis.
Results: Findings did not show any significant difference in psychosocial self-efficacy before the intervention (P> 0.05), but the difference was significant after the intervention (P= 0.000) in the intervention group.
Conclusion: The implementation of empowerment program had a significant effect on psychosocial self-efficacy for type 1 diabetic patients and caused positive changes in total psychosocial self-efficacy scale and its subscales. Therefore, using similar programs can improve self-efficacy and enhance stress management. It also helps decision making for diabetes, facilitates the recognition of suitable and achievable goals, overcomes the barriers, and finally improves patient’s health status.

Keywords

• Empowerment program
• Psychosocial self-efficacy
• Type 1 diabetes

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References

1. Jerreat L. Diabetes for nurses. 2nd ed. London: Whurr Publishers Ltd; 2003.

2. International Diabetes Federation, World Diabetes Foundation. Diabetes atlas. San Francisco: IDF Executive Official; 2006.

3. Azizi F. Diabetes care and prevention in Iran. Diabetes Voice 2005; 50(4): 15-7.

4. Larijani B, Maleckzadeh H, Pajoohi M, Samavat T, Hojjatzadeh A, Ghasemi R, et al. Prevalence of diabetes mellitus & impaired glucose tolerance of population aged over 25 in Qazvin. The Journal of Ghazvin University of Medical Sciences 2003; 26: 41-5. [In Persian]

5. Funnell MM, Anderson RM. Empowerment and self-management of diabetes. Clin Diabetes 2004; 22(3): 123-27.

6. Aujoulat I, Hoore DW, Deccache A. Patient empowerment in theory and practice: polysemy or cacophony. Patient Educ Couns 2007; 66(1): 13-20.

7. Tang ST, Funnell MM, Brown BM, Kurlander EJ. Self-management support in ‘‘real world’’ settings: an empowerment-based intervention. Patient Educ Couns 2010; 79(2) : 178-84.

8. Anderson RM, Funnell MM. Patient empowerment: myths and misconceptions. Patient Educ Couns 2010; 79(3): 277-82.

9. Adolfsoon ET, Strrain B, Smide B, Wikblad K. Type 2 diabetic patients’ experiences of two different educational approaches--a qualitative study. Int J Nurs Stud 2008; 45(7): 986-94.

10. Tsay SL, Hung LO. Empowerment of patient with end-stage renal disease – a randomized controlled trial. Int J Nurs Stud 2004; 41(1): 59-65.

11. Scambler S, Newton P, Sinclair AJ, Asimakopoulou K. Barriers and opportunities of empowerment as applied in diabetes settings: A focus on health care professionals’ experiences. Diabetes Res Clin Pract 2012; 97(1): e18-22.

12. Anderson RM, Funnell MM, Fitzgerald JT, Marrero DG. The Diabetes Empowerment Scale: a measure of psychosocial self-efficacy. Diabetes Care 2000; 23(6): 739-43.

13. Zamanzdeh V, Seyied Rasuli Al, Jabbarzadeh F. The effect of empowerment program education on self efficacy in diabetes patients in Tabriz University of Medical Science Diabetes Education Center. Research Journal of Biological Sciences 2008; 3(8): 850-55.

14. Pibernik-Okanovic M, Prasek M, Poljicanin-Filipovic T, Pavlic-Renar I, Metelko Z. Effects of an empowerment-based psychosocial intervention on quality of life and metabolic control in type 2 diabetic patients. Patient Educ Couns 2004, 52(2): 193-9.

15. Peterson KA, Hughes M. Readiness to change and clinical success in a diabetes educational program. J Am Board Fam Pract 2002; 15(4): 266-71.

16. Morowatisharifabad M, Rouhani Tonekaboni N. Perceived self-efficacy in self-care behaviors among diabetic patients referring to Yazd Diabetes Research Center. Journal of Birjand University of Medical Sciences 2009; 15(4): 91-100. [In Persian]