Comparing the Effects of Patient-Centered and Family-Centered Empowerment Model-Based Training on Perceived Self-Efficacy and Fasting Blood Glucose in Patients with Type 2 Diabetes
Background and Objective: Family-centered empowerment involves engaging clients and their families in decision-making processes to improve health outcomes, thereby enabling them to exert control over their health status through informed choices. Self-efficacy is considered the most crucial component...
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| Format: | Article |
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Golestan University of Medical Sciences
2025-03-01
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| Series: | مجله دانشگاه علوم پزشکی گرگان |
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| Online Access: | http://goums.ac.ir/journal/article-1-4505-en.pdf |
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| author | Seyyed Kamaladdin Mirkarimi Abdolhalim Rajabi Ali Maghsoudloo |
| author_facet | Seyyed Kamaladdin Mirkarimi Abdolhalim Rajabi Ali Maghsoudloo |
| author_sort | Seyyed Kamaladdin Mirkarimi |
| collection | DOAJ |
| description | Background and Objective: Family-centered empowerment involves engaging clients and their families in decision-making processes to improve health outcomes, thereby enabling them to exert control over their health status through informed choices. Self-efficacy is considered the most crucial component of empowerment and holds significant importance in the management of chronic diseases and the enhancement of self-efficacy. This study was conducted to compare the effects of patient-centered and family-centered empowerment model-based training on perceived self-efficacy and fasting blood glucose levels in patients with type 2 diabetes mellitus.
Methods: This quasi-experimental study was conducted on 120 patients with type 2 diabetes who attended rural comprehensive health centers in Gorgan, Iran, during 2023. Patients were enrolled in the study using a multi-stage cluster sampling method and were divided into three groups of 40: A control group, a family-centered empowerment group, and a patient-centered empowerment group. The interventions in the patient-centered and family-centered groups were delivered in 6-8 people groups based on a four-stage model. These stages included threat perception, problem-solving, educational participation, and evaluation. Patients in the control group received only the routine health center training. Data collection instruments included the standard Perceived Self-Efficacy Questionnaire in middle-aged diabetic patients and a checklist for recording clinical characteristics.
Results: The fasting blood glucose levels decreased in all three groups after the intervention; however, this difference was not statistically significant among the groups in either the pre-test or the post-test. In the post-test, a statistically significant increase in perceived self-efficacy was observed between the patient-centered group and the family-centered group, as well as between the patient-centered group and the control group (P<0.05).
Conclusion: The patient-centered and family-centered empowerment model-based training on patients’ perceived self-efficacy was evaluated as effective; however, it had no effect on the fasting blood glucose levels of patients with type 2 diabetes. |
| format | Article |
| id | doaj-art-2d7cfd25e9ac4477abc01bb9adff6c36 |
| institution | DOAJ |
| issn | 1562-4765 2008-4080 |
| language | fas |
| publishDate | 2025-03-01 |
| publisher | Golestan University of Medical Sciences |
| record_format | Article |
| series | مجله دانشگاه علوم پزشکی گرگان |
| spelling | doaj-art-2d7cfd25e9ac4477abc01bb9adff6c362025-08-20T03:18:15ZfasGolestan University of Medical Sciencesمجله دانشگاه علوم پزشکی گرگان1562-47652008-40802025-03-012713442Comparing the Effects of Patient-Centered and Family-Centered Empowerment Model-Based Training on Perceived Self-Efficacy and Fasting Blood Glucose in Patients with Type 2 DiabetesSeyyed Kamaladdin Mirkarimi0Abdolhalim Rajabi1Ali Maghsoudloo2 Assistant Professor, Ph.D in Health Education and Promotion, Nursing Research Center, Faculty of Health, Department of Health, Golestan University of Medical Sciences, Gorgan, Iran. Associate Professor of Epidemiology, Department of Biostatistics and Epidemiology, Faculty of Health, Golestan University of Medical Sciences, Gorgan, Iran. General Physician, International Campus, Golestan University of Medical Sciences, Gorgan, Iran. Background and Objective: Family-centered empowerment involves engaging clients and their families in decision-making processes to improve health outcomes, thereby enabling them to exert control over their health status through informed choices. Self-efficacy is considered the most crucial component of empowerment and holds significant importance in the management of chronic diseases and the enhancement of self-efficacy. This study was conducted to compare the effects of patient-centered and family-centered empowerment model-based training on perceived self-efficacy and fasting blood glucose levels in patients with type 2 diabetes mellitus. Methods: This quasi-experimental study was conducted on 120 patients with type 2 diabetes who attended rural comprehensive health centers in Gorgan, Iran, during 2023. Patients were enrolled in the study using a multi-stage cluster sampling method and were divided into three groups of 40: A control group, a family-centered empowerment group, and a patient-centered empowerment group. The interventions in the patient-centered and family-centered groups were delivered in 6-8 people groups based on a four-stage model. These stages included threat perception, problem-solving, educational participation, and evaluation. Patients in the control group received only the routine health center training. Data collection instruments included the standard Perceived Self-Efficacy Questionnaire in middle-aged diabetic patients and a checklist for recording clinical characteristics. Results: The fasting blood glucose levels decreased in all three groups after the intervention; however, this difference was not statistically significant among the groups in either the pre-test or the post-test. In the post-test, a statistically significant increase in perceived self-efficacy was observed between the patient-centered group and the family-centered group, as well as between the patient-centered group and the control group (P<0.05). Conclusion: The patient-centered and family-centered empowerment model-based training on patients’ perceived self-efficacy was evaluated as effective; however, it had no effect on the fasting blood glucose levels of patients with type 2 diabetes.http://goums.ac.ir/journal/article-1-4505-en.pdfdiabetes mellitus type 2glycemic controlself careself efficacyempowerment |
| spellingShingle | Seyyed Kamaladdin Mirkarimi Abdolhalim Rajabi Ali Maghsoudloo Comparing the Effects of Patient-Centered and Family-Centered Empowerment Model-Based Training on Perceived Self-Efficacy and Fasting Blood Glucose in Patients with Type 2 Diabetes مجله دانشگاه علوم پزشکی گرگان diabetes mellitus type 2 glycemic control self care self efficacy empowerment |
| title | Comparing the Effects of Patient-Centered and Family-Centered Empowerment Model-Based Training on Perceived Self-Efficacy and Fasting Blood Glucose in Patients with Type 2 Diabetes |
| title_full | Comparing the Effects of Patient-Centered and Family-Centered Empowerment Model-Based Training on Perceived Self-Efficacy and Fasting Blood Glucose in Patients with Type 2 Diabetes |
| title_fullStr | Comparing the Effects of Patient-Centered and Family-Centered Empowerment Model-Based Training on Perceived Self-Efficacy and Fasting Blood Glucose in Patients with Type 2 Diabetes |
| title_full_unstemmed | Comparing the Effects of Patient-Centered and Family-Centered Empowerment Model-Based Training on Perceived Self-Efficacy and Fasting Blood Glucose in Patients with Type 2 Diabetes |
| title_short | Comparing the Effects of Patient-Centered and Family-Centered Empowerment Model-Based Training on Perceived Self-Efficacy and Fasting Blood Glucose in Patients with Type 2 Diabetes |
| title_sort | comparing the effects of patient centered and family centered empowerment model based training on perceived self efficacy and fasting blood glucose in patients with type 2 diabetes |
| topic | diabetes mellitus type 2 glycemic control self care self efficacy empowerment |
| url | http://goums.ac.ir/journal/article-1-4505-en.pdf |
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