Volume 4, Issue 2 (Spring 2018 -- 2018)                   JCCNC 2018, 4(2): 88-95 | Back to browse issues page

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1- Department of Community Health Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
2- Department of Community Health Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran. , farahaninia.m@iums.ac.ir
3- Department of Nursing Management, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
4- Department of Biostatistics, School of Public Health, Iran University of Medical Sciences, Tehran, Iran.
Abstract:   (4370 Views)
Background: Diabetes is the most prevalent metabolic disease in human being. The lifestyle of this population is important and effective in the treatment process. Training is among the most basic methods of prevention, treatment and control of chronic diseases, including diabetes. This study was conducted to investigate the effect of teach-back method on health promoting lifestyle of people with diabetes.
Methods: A total of 74 eligible patients with type II diabetes were included in the study from Endocrine and Metabolism Clinic by convenience sampling method. The subjects were then assigned into the control and intervention groups. The data collection instruments consisted of a demographic data form and Health Promoting Lifestyle Profile II (HPLP-II) that were provided to the subjects before and 1 month after the training. Subjects in the intervention group received a 4-session training program by means of teach-back method. The control group received only routine programs. One month after the completion of the training sessions, the questionnaires were completed by the subjects in the 2 groups. The obtained data were analyzed by Chi-square test, Fisher Exact test, Independent t-test, Paired t-test, Mann-Whitney U test, and Wilcoxon signed-rank test, using SPSS. 
Results: The obtained results suggested no significant differences between the 2 groups in terms of demographic and dependent variables, before conducting the intervention. The Mean±SD score of lifestyle was 113.67±19.55 in the intervention group and 115.35±9.73 in the control group, before the training, which was not significant. However, there was a difference between the Mean±SD score of lifestyle in the intervention group (160.45±10.53) and control group (119.59±11.23), 1 month after the training (P<0.001). 
Conclusion: Teach-back method is appropriate and feasible for patients with diabetes and is an effective method to improve the lifestyle of this population. This study was conducted over a 1-month period, and it is recommended that the effect of this method be investigated over longer periods of time in order to assess its long-term effects.
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● Control of diabetes comprises nutrition, exercise, blood glucose, drug therapy, and patient education.
● One of the most effective methods for improving the education is teach-back method used to better understand information.
Plain Language Summary
Diabetes is the most common chronic disease worldwide and is a major public health problem in Iran. Based on the studies, diabetes has a negative impact on the quality of life. In chronic diseases, the patient has 95% of care and treatment responsibility (personal management). This study discusses the effect of education by teach-back method on health promoting life style of patients with type 2 diabetes. Based on the results, teach-back method is effective on type 2 diabetic patients lifestyle and health program planners can use this method to promote the health and empowerment of patients with chronic diseases.

Type of Study: Research | Subject: Special
Received: 2017/10/13 | Accepted: 2018/01/23 | Published: 2018/05/1

1. Alhyas, L., et al., 2011. Prevalences of overweight, obesity, hyperglycaemia, hypertension and dyslipidaemia in the Gulf: Systematic review. Journal of The Royal Society of Medicine, 2(7), pp. 1-16. [DOI:10.1258/shorts.2011.011019] [PMID] [PMCID] [DOI:10.1258/shorts.2011.011019]
2. Atashzadeh_Shoorideh, H., et al., 2017. [The effect of family-centered empowerment model on the life style, self-efficacy and HbA1C of diabetic patients (Persian)]. Iranian Journal of Endocrinology and Metabolism, 19(4), pp. 244-51.
3. Baghaei, P., et al., 2008. [Self-care behaviour of patients with diabetes in Kashan centers of diabetes (Persian)]. Feyz Journal of Kashan University of Medical Sciences, 12(1), pp. 88-93.
4. Baker, M. K., et al., 2011. Behavioral strategies in diabetes prevention programs: A systematic review of randomized controlled trials. Diabetes Research and Clinical Practice, 91(1), pp. 1-12. [DOI:10.1016/j.diabres.2010.06.030] [PMID] [DOI:10.1016/j.diabres.2010.06.030]
5. Brunner, L. S., et al., 2010. Brunner & Suddarth's textbook of medical-surgical nursing. Philadelphia: Lippincott Williams & Wilkins.
6. Caughey, G. E., et al., 2010. Comorbidity in the elderly with diabetes: Identification of areas of potential treatment conflicts. Diabetes Research and Clinical Practice, 87(3), pp. 385-93. [DOI:10.1016/j.diabres.2009.10.019] [PMID] [DOI:10.1016/j.diabres.2009.10.019]
7. Chamberlain, J. J., et al., 2016. Diagnosis and management of diabetes: Synopsis of the 2016 American Diabetes Association standards of medical care in diabetes. Annals of Internal Medicine, 164(8), pp. 542-52. [DOI:10.7326/M15-3016] [PMID] [DOI:10.7326/M15-3016]
8. De greef, K. P., et al., 2011. The effects of a pedometer-based behavioral modification program with telephone support on physical activity and sedentary behavior in type 2 diabetes patients. Patient Education and Counseling, 84(2), pp. 275-9. [DOI:0.1016/j.pec.2010.07.010]
9. Dunning, T., 2013. Care of people with diabetes: A manual of nursing practice. Hoboken: John Wiley & Sons.
10. Funnell, M. M., et al., 2009. National standards for diabetes self-management education. Diabetes Care, 32(Suppl. 1), pp. S87-S94. [DOI:10.2337/dc09-S087] [DOI:10.2337/dc09-S087]
11. Hemmati Maslakpak, M., Parizad, N. & Khalkhali, H., 2012. [The effect of tele-education by telephone and short message service on glycaemic control in patient with type 2 diabetes (Persian)]. Journal of Urmia Nursing and Midwifery Faculty, 10(4), pp. 580-8.
12. Henderson, D., et al., 2006. Nursing EDGE: Evaluating delegation guidelines in education. International Journal of Nursing Education Scholarship, 3(1), p. 1197. [DOI:10.2202/1548-923X.1197] [PMID] [DOI:10.2202/1548-923X.1197]
13. Khalkhali, H. R., 2016. [The effect of conseling on health promotion behaviors in diabetic mothers referred to motahhari hospital of Urmia at 2016 (Persian)]. Journal of Urmia Nursing and Midwifery Faculty, 14(9), pp. 757-66.
14. Khavasi, M., et al., 2016. [The effect of peer education on diabetes self-efficacy in patients with type 2 diabetes: A randomized clinical trial (Persian)]. Journal of Knowledge & Health, 11(2), pp. 67-74.
15. Kripalani, S., et al., 2008. Clinical research in low-literacy populations: Using teach-back to assess comprehension of informed consent and privacy information. IRB: Ethics & Human Research, 30(2), pp. 13-9. [PMID] [PMID]
16. Lee, T. W., Ko, I. S. & Lee, K. J., 2006. Health promotion behaviors and quality of life among community-dwelling elderly in Korea: A cross-sectional survey. International Journal of Nursing Studies, 43(3), pp. 293-300. [DOI:10.1016/j.ijnurstu.2005.06.009] [PMID] [DOI:10.1016/j.ijnurstu.2005.06.009]
17. Li, G., et al., 2008. The long-term effect of lifestyle interventions to prevent diabetes in the China Da Qing Diabetes Prevention Study: A 20-year follow-up study. The Lancet, 371(9626), pp. 1783-9. [DOI:10.1016/S0140-6736(08)60766-7] [DOI:10.1016/S0140-6736(08)60766-7]
18. Lin, S. P. & wang, M. J., 2013. Applying the transtheoretical model to investigate behavioural change in type 2 diabetic patients. Health Education Journal, 72(2), 189-202. [DOI:10.1177/0017896912437495] [DOI:10.1177/0017896912437495]
19. Mahramus, T., et al., 2012. 4. Evaluation of an educational intervention, utilizing simulation and a Teach Back (TB) method, to increase nurses' knowledge and retention of Heart Failure (HF) Self-Management (SM) principles. The Journal of Acute and Critical Care, 41(4), p. 413. [DOI:10.1016/j.hrtlng.2012.04.017] [DOI:10.1016/j.hrtlng.2012.04.017]
20. Mohammad Pour, A. & Dehgan Naieri, N., 2007. [The survey of the patient educational need on discharge phase in Gonabad health and treatment centers (Persian)]. Quarterly of Horizon of Medical Sciences, 12(4), pp. 34-9.
21. Mohammadi Zeidi, I., Pakpour Hajiagha, A. & Mohammadi Zeidi, B., 2012. [Reliability and validity of Persian version of the health-promoting lifestyle profile (Persian)]. Journal of Mazandaran University of Medical Sciences, 21(1), pp. 102-113.
22. Moore, R. J., 2013. Handbook of pain and palliative care. New York: Springer-Verlag New York. [DOI:10.1007/978-1-4419-1651-8]
23. Nasiri, A., 2012. Effect of an educational plan based on teach-back method on hemodialysis patients' self-care deficits. Modern Care Journal, 9(4), pp. 344-54.
24. Nasrabadi, T., et al., 2010. [The effect of education on life style among patients suffering from ischemic heart disease (Persian)]. Journal of Mazandaran University of Medical Sciences, 20(79), pp.72-9.
25. Nathan, D. M., et al., 2006. Management of hyperglycaemia in type 2 diabetes: A consensus algorithm for the initiation and adjustment of therapy. Diabetologia, 49(8), pp. 1711-21. [DOI:10.1007/s00125-008-1157-y] [DOI:10.1007/s00125-008-1157-y]
26. Negarandeh, R., et al., 2013. Teach back and pictorial image educational strategies on knowledge about diabetes and medication/dietary adherence among low health literate patients with type 2 diabetes. Primary Care Diabetes, 7(2), pp. 111-8. [DOI:10.1016/j.pcd.2012.11.001] [PMID] [DOI:10.1016/j.pcd.2012.11.001]
27. Norouzi, A., et al., 2010. [Determinants of physical activity based on Health Promotion Model (HPM) in diabetic women of Karaj diabetic institute (Persian)]. Iranian South Medical Journal, 13(1), pp. 41-51.
28. Rastegar, M., et al., 2015. Health-promoting lifestyle and its related factors among health volunteers Mashhad in 2015. Journal of Torbat Heydariyeh University of Medical Sciences, 3(3), pp. 48-55.
29. Peimani, M., et al., 2010. Knowledge, attitude and practice of physicians in the field of diabetes and its complications; A pilot study. Journal of Diabetes and Metabolic Disorders, 9, pp. 10-7.
30. Reisi, M., et al., 2016. [Communicative and critical health literacy and self-care behaviors in patients with type 2 diabetes (Persian)]. Iranian Journal of Diabetes and Metabolism, 14(3), pp. 199-208.
31. Sadeghi, M., et al., 2013. [Comparison of the impact of education based on the empowerrment model and family-center empowerrment model on knowledge and metabolic control of patients with type 2 diabetes mellitus (Persian)]. Journal of Nursing Education, 2(3), pp. 18-27.
32. Shaban, M., Mehran, A. & Taghlili, F., 2007. [Relationship between perception of health concept and health promoting behaviors: A comparative study among Tehran university medical and non-medical Students (Persian)]. Journal of Hayat, 13(3), pp. 27-36.
33. Shojaeizadeh, D., et al., 2008. [Comparison of diabetes type II Patients life style effective factors with that of healthy people (Persian)]. The Journal of Shahid Sadoughi University of Medical Sciences, 16(2), 71-9.
34. Tamura Lis, W., 2013. Teach-back for quality education and patient safety. Urologic Nursing, 33(6), p. 267. [DOI:10.7257/1053-816X.2013.33.6.267] [DOI:10.7257/1053-816X.2013.33.6.267]
35. Tghzadeh, M. E., bigheli, Z. & mohtasami, T., 2014. [The Effect of educational modification behavior in lifestyle of diabetic patients (Persian)]. Scientific Journal Management System, 3(1), pp. 30-45.
36. Vasli, P. & Eshghbaz, F., 2009. [Survey condition regarding self-caring of children suffering from diabetes type 1 and It's relation with family reaction (Persian)]. Journal of Mazandaran University of Medical Sciences, 19(69), pp. 38-44.
37. Wilson, F. L., et al., 2012. Using the teach-back method to increase maternal immunization literacy among low-income pregnant women in Jamaica:A pilot study. Journal of Pediatric Nursing, 27(5), pp. 451-9. [DOI:10.1016/j.pedn.2011.05.004] [PMID] [DOI:10.1016/j.pedn.2011.05.004]
38. Zakerimoghadam, M., et al., 2010. [Effect of patient education about pain control on patients' anxiety prior to abdominal surgery (Persian)]. Journal of hayat, 15(4), pp. 13-22.

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