Title : Effect of theory-based intervention for blood pressure control on clinical outcome in diabetes patients
Abstract:
Background: Clinical guidelines emphasize that desirable target of blood pressure levels in diabetic diabetes patients is systolic blood pressure below 130 mmHg and lower blood pressure below 80 mmHg, which is lower than pressure patients. It is found that high blood pressure in type 2 diabetes is about 30-50 percent, the incidence of higher blood pressure syndrome with the duration of diabetes, depending on obesity, race, age, gender, kidney disease, and diabetes control. Adults with diabetes historically have two- or three-times higher rate of cardiovascular disease (CVD) than adults without diabetes. Theory-based knowledge describe how risk factors will be reduced and protective factors will be developed and enhanced through the training as well as health belief model (HBM).
Objectives: To examined the effect of the health belief model intervention on blood pressure among type 2 diabetes patients.
Methods/ Contents: HBM was applied to design the intervention and material. This theory guided the design of translation strategies by mean of an elicitation process so that the patient’s belief and perceptions to implement a new technique are strengthened. A manual outlining of contents and a series of activities was drawn from the core constructs of HBM to promote appropriated behaviors for blood pressure control in diabetes patients. Expert panel was used to validate the contents. The sequence or activities in the HBM intervention were guided by the core constructs of HBM including (1) Enhance perceived susceptibility to disease and perceived severity of disease through knowledge and belief, (2) Increase Perceived benefit of action and perceived barriers to action and perceived self-efficacy to preventive action, especially capability to control behaviors through training, (3) Enhance cues to action.
This research is quasi – experimental study. The sample is comprised of 52 clinically diagnosed diabetes patients aged 35–60 years. Subjects were divided into an experimental (n=26) and a control (n=26) groups. Participants in the experimental group received 24-week complication control program and the control group received routine health services. Data were collected from all participants prior to implementation and two months after completed intervention. The independent t-test was used to test the effect of this intervention.
Finding/ Results: The results of this study showed that the experimental group had significantly better post test score of dietary behavior and exercise behavior, p<.05. Regarding the between–group comparison, posttest that experimental’ s group has significantly better systolic blood pressure than control group, p<.05 (t=2.556, df =25 p=.017). However, diastolic blood pressure has no significance (t=1.835, df=25, p=.078).
Conclusion: The theory-guided material can facilitate parents to improve their appropriate parenting skills and self- preparation, and to support for child life skills development intervention. HBM seems to be suitable for organizing framework and outlining for the effective educational and behavioral materials that facilitated behavioral change process. Recommendations suggest that nurse should use this intervention for blood pressure control in diabetes patients, however the program needs testing with longer period for outcome measurements.
Audience Take Away Notes:
• Is this research that other faculty could use to expand their research or teaching? Yes, it’s the exempla method to develop the suitable intervention
• Does this provide a practical solution to a problem that could simplify or make a designer’s job more efficient? Yes, it’s benefit for nurse who need to get clinical outcome
• Will it improve the accuracy of a design, or provide new information to assist in a design problem? Yes, it is
