کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3815584 1246087 2010 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Validation of an Information–Motivation–Behavioral Skills model of diabetes self-care (IMB-DSC)
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی پزشکی و دندانپزشکی (عمومی)
پیش نمایش صفحه اول مقاله
Validation of an Information–Motivation–Behavioral Skills model of diabetes self-care (IMB-DSC)
چکیده انگلیسی

ObjectiveComprehensive behavior change frameworks are needed to provide guidance for the design, implementation, and evaluation of diabetes self-care programs in diverse populations. We applied the Information–Motivation–Behavioral Skills (IMB) model, a well-validated, comprehensive health behavior change framework, to diabetes self-care.MethodsPatients with diabetes were recruited from an outpatient clinic. Information gathered pertained to demographics, diabetes knowledge (information); diabetes fatalism (personal motivation); social support (social motivation); and diabetes self-care (behavior). Hemoglobin A1C values were extracted from the patient medical record. Structural equation models tested the IMB framework.ResultsMore diabetes knowledge (r = 0.22 p < 0.05), less fatalistic attitudes (r = −0.20, p < 0.05), and more social support (r = 0.27, p < 0.01) were independent, direct predictors of diabetes self-care behavior; and through behavior, were related to glycemic control (r = −0.20, p < 0.05).ConclusionsConsistent with the IMB model, having more information (more diabetes knowledge), personal motivation (less fatalistic attitudes), and social motivation (more social support) was associated with behavior; and behavior was the sole predictor of glycemic control.Practice implicationsThe IMB model is an appropriate, comprehensive health behavior change framework for diabetes self-care. The findings indicate that in addition to knowledge, diabetes education programs should target personal and social motivation to effect behavior change.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Patient Education and Counseling - Volume 79, Issue 1, April 2010, Pages 49–54
نویسندگان
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