The Effect of Web-Based Education Programs on Self-Efficacy and Self-Care Behavior in Quality of Life Among Diabetic Type 2 Patients in Public Hospital

Authors

  • Tengku Mohd Mizwar Bin T Malek Open University Malaysia, 47301 Petaling Jaya, Selangor, Malaysia
  • Aini Ahmad School of Nursing, KPJ Healthcare University College, 71800, Negeri Sembilan, Malaysia

DOI:

https://doi.org/10.31674/mjn.2023.v14i04.013

Abstract

Background: Currently, the prevalence of diabetes mellitus is a serious concern on a global scale. Most type 2 diabetes cases are the result of many factors that also lead to metabolic problems with a wide range of consequences.

Objective: This study aims to identify the effects of web-based educational programs on diabetic self-efficacy management (DSEM) and diabetic self-care behavior management (DSCM) in quality of life (QoL) among type 2 diabetes patients in public hospitals.

Method: This study used a quantitative quasi-experimental design with a pre-test and post-test. The Diabetic-N-Care program was conducted at Orthopedic Clinic Hospital Sultanah Nur Zahirah Kuala Terengganu for 34 days, where purposive sampling involved type 2 diabetic patients who were divided into intervention groups (IG) (n = 60) and control groups (CG) (n = 60). Respondents are the same individuals for each phase of measurement.

Results: The general linear model repeated measures ANOVA, split-plot ANOVA (SPANOVA), and paired t-test were conducted on 120 patients to see the effect of using Diabetic-N-Care on IG. The results of the split- plot ANOVA analysis showed a significant overall effect of DSEM, DSCM, and QoL (p = 0.000) on IG. Meanwhile, in paired t-test analysis, there was a significant mean difference in DSEM, DSCM, and QoL at pre-test and post-test (p = 0.000) for IG compared to CG.

Conclusion: Web-based health education can have an impact on DSEM and DSCM in the QoL of type 2 diabetic patients where there is greater confidence to change the old behavior to a new behavior to improve quality of life in the long term. Therefore, this study concludes that web-based methods such as Diabetic-N-Care need to be widely adapted into current health education methods.

Keywords:

Web-based, Diabetic Self-Efficacy Management, Diabetic Self-Care Behavior Management, Quality of Life

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References

Abdullah, N., Abdul Murad, N. A., Attia, J., Oldmeadow, C., Kamaruddin, M. A., Abd Jalal, N., ... & Holliday, E. G. (2018). Differing contributions of classical risk factors to type 2 diabetes in multi-ethnic Malaysian populations. International Journal of Environmental Research and Public Health, 15(12), 2813. https://doi.org/10.3390/ijerph15122813

Abedini, M. R., Bijari, B., Miri, Z., Emampour, F. S., & Abbasi, A. (2020). The quality of life of the patients with diabetes type 2 using EQ-5D-5 L in Birjand. Health and Quality of Life Outcomes, 18(1), 18. https://doi.org/10.1186/s12955-020-1277-8

Bandura, A. (1977). Self-efficacy: toward a unifying theory of behavioral change. Psychological Review, 84(2), 191-215. https://psycnet.apa.org/doi/10.1037/0033-295X.84.2.191

Banerjee, M., Chakraborty, S., & Pal, R. (2020). Diabetes self-management amid COVID-19 pandemic. Diabetes & Metabolic Syndrome, 14(4), 351–354. https://doi.org/10.1016/j.dsx.2020.04.013

Beckerle, C. M., & Lavin, M. A. (2013). Association of self-efficacy and self-care with glycemic control in diabetes. Diabetes Spectrum, 26(3), 172-178. https://doi.org/10.2337/diaspect.26.3.172

Campbell, D. J., Manns, B. J., Hemmelgarn, B. R., Sanmartin, C., Edwards, A., & King-Shier, K. (2017). Understanding financial barriers to care in patients with diabetes: an exploratory qualitative study. The Diabetes Educator, 43(1), 78-86. https://doi.org/10.1177/0145721716679276

Cefalu, W. T., Dawes, D. E., Gavlak, G., Goldman, D., Herman, W. H., Van Nuys, K., ... & Yatvin, A. L. (2018). Insulin access and affordability working group: conclusions and recommendations. Diabetes Care, 41(6), 1299-1311. https://doi.org/10.2337/dci18-0019

dan Analisis, J. P. K. (2018). Awareness of Diabetes Mellitus Among Public Attending the Primary Health Centres in Malaysia. Journal of Quality Measurement and Analysis JQMA, 14(2), 11-23. https://www.ukm.my/jqma/v14_2/jqma-14-2-paper2.pdf

Dehghan, H., Charkazi, A., Kouchaki, G. M., Zadeh, B. P., Dehghan, B. A., Matlabi, M., ... & Mehr, B. R. (2017). General self-efficacy and diabetes management self-efficacy of diabetic patients referred to diabetes clinic of Aq Qala, North of Iran. Journal of Diabetes & Metabolic Disorders, 16, 1-5. https://doi.org/10.1186/s40200-016-0285-z

Dhatariya, K., Corsino, L., & Umpierrez, G. E. (2020). Management of Diabetes and Hyperglycemia in Hospitalized Patients. Endotext [Internet]. http://www.diabetesed.net/wp-content/uploads/2015/06/Management-of-Diabetes-and-Hyperglycemia-in-Hospitalized-Patients-Endotext-NCBI-Bookshelf.pdf

Hailu, F. B., Moen, A., & Hjortdahl, P. (2019). Diabetes self-management education (DSME)–Effect on knowledge, self-care behavior, and self-efficacy among type 2 diabetes patients in Ethiopia: A controlled clinical trial. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy, 2489-2499. http://doi.org/10.2147/DMSO.S223123

Hameed, I., Masoodi, S. R., Mir, S. A., Nabi, M., Ghazanfar, K., & Ganai, B. A. (2015). Type 2 diabetes mellitus: From a metabolic disorder to an inflammatory condition. World Journal of Diabetes, 6(4), 598–612. https://doi.org/10.4239/wjd.v6.i4.598

Hood, K. K., Hilliard, M., Piatt, G., & Ievers-Landis, C. E. (2015). Effective strategies for encouraging behavior change in people with diabetes. Diabetes Management (London, England), 5(6), 499–510. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6086609/

Hurst, C. P., Rakkapao, N., & Hay, K. (2020). Impact of diabetes self-management, diabetes management self-efficacy and diabetes knowledge on glycemic control in people with Type 2 Diabetes (T2D): A multi-center study in Thailand. PLoS One, 15(12), e0244692. https://doi.org/10.1371/journal.pone.0244692

Jiang, X., Wang, J., Lu, Y., Jiang, H., & Li, M. (2019). Self-efficacy-focused education in persons with diabetes: a systematic review and meta-analysis. Psychology Research and Behavior Management, 12, 67. https://www.tandfonline.com/doi/full/10.2147/PRBM.S192571

John, R., Pise, S., Chaudhari, L., & Deshpande, P. R. (2019). Evaluation of Quality of Life in Type 2 Diabetes Mellitus Patients Using Quality of Life Instrument for Indian Diabetic Patients: A Cross-Sectional Study. Journal of Mid-Life Health, 10(2), 81–88. https://doi.org/10.4103/jmh.JMH_32_18

Justel, A., Peña, D., & Zamar, R. (1997). A multivariate Kolmogorov-Smirnov test of goodness of fit. Statistics & Probability Letters, 35(3), 251-259. https://doi.org/10.1016/S0167-7152(97)00020-5

Karimy, M., Koohestani, H. R., & Araban, M. (2018). The association between attitude, self-efficacy, and social support and adherence to diabetes self-care behavior. Diabetology & Metabolic Syndrome, 10(1), 1-6. https://doi.org/10.1186/s13098-018-0386-6

Khademian, Z., Ara, F. K., & Gholamzadeh, S. (2020). The effect of self care education based on Orem’s nursing theory on quality of life and self-efficacy in patients with hypertension: a quasi-experimental study. International Journal of Community Based Nursing and Midwifery, 8(2), 140-149. https://doi.org/10.30476%2FIJCBNM.2020.81690.0

Kuan, Y. C., Tong, C. V., Katiman, E., Tiong, X. T., Chan, P. L., Tan, F., & Noor, N. M. (2021). Effects of Movement Control Order (MCO) During Covid-19 Pandemic on Patients with Diabetes Mellitus (DM) in Malaysian Tertiary Centers. Journal of the Endocrine Society, 5(Supplement_1), A339-A340. https://doi.org/10.1210/jendso/bvab048.691

Lam, K. W., Hassan, A., Sulaiman, T., & Kamarudin, N. (2018). Evaluating the face and content validity of an instructional technology competency instrument for university lecturers in Malaysia. International Journal of Academic Research in Business and Social Sciences, 8(5), 367-385. http://dx.doi.org/10.6007/IJARBSS/v8-i5/4108

Lee, I., & Lee, K. (2015). The Internet of Things (IoT): Applications, investments, and challenges for enterprises. Business Horizons, 58(4), 431-440. https://doi.org/10.1016/j.bushor.2015.03.008

Lee, J., Lee, E. H., & Chae, D. (2020). Self‐efficacy instruments for type 2 diabetes self‐care: A systematic review of measurement properties. Journal of Advanced Nursing, 76(8), 2046-2059. https://doi.org/10.1111/jan.14411

Lewin, K. (1947). Frontiers in group dynamics: Concept, method and reality in social science; social equilibria and social change. Human Relations, 1(1), 5-41. https://doi.org/10.1177/001872674700100103

Muegge, B. D., & Tobin, G. S. (2016). Improving Diabetes Care with Technology and Information Management. Missouri Medicine, 113(5), 367–371.

Nguyen, H. D., Jiang, X., & Poo, D. C. C. (2015). Designing a social mobile platform for diabetes self-management: a theory-driven perspective. In Social Computing and Social Media: 7th International Conference, SCSM 2015, Held as Part of HCI International 2015, Los Angeles, CA, USA, August 2–7, 2015, Proceedings 7 (pp. 67-77). Springer International Publishing. https://doi.org/10.1007/978-3-319-20367-6_8

Pal, S., Mukherjee, S., Choudhury, P., Nandi, S., & Debnath, N. C. (2013, February). M-learning in university campus scenario-Design and implementation issues. In 2013 IEEE International Conference on Industrial Technology (ICIT) (pp. 1851-1856). IEEE. https://doi.org/10.1109/ICIT.2013.6505958

Peters, M., Potter, C. M., Kelly, L., & Fitzpatrick, R. (2019). Self-efficacy and health-related quality of life: a cross-sectional study of primary care patients with multi-morbidity. Health and Quality of Life Outcomes, 17(1), 1-11. https://doi.org/10.1186/s12955-019-1103-3

Raghavendran, S., Inbaraj, L. R., & Norman, G. (2020). Reason for refusal of insulin therapy among type 2 diabetes mellitus patients in primary care clinic in Bangalore. Journal of family Medicine and Primary Care, 9(2), 854–858. https://doi.org/10.4103/jfmpc.jfmpc_973_19

Raosoft Incorporation (2004). Raosoft Sample Size Online Calculator. (Internet) c2004. http://www.raosoft.com/samplesize.html

Rasoul, A. M., Jalali, R., Abdi, A., Salari, N., Rahimi, M., & Mohammadi, M. (2019). The effect of self-management education through weblogs on the quality of life of diabetic patients. BMC Medical Informatics and Decision Making, 19(1), 1-12. https://doi.org/10.1186/s12911-019-0941-6

Sangruangake, M., Jirapornkul, C., & Hurst, C. (2017). Psychometric properties of diabetes management self-efficacy in Thai type 2 diabetes mellitus patients: a multicenter study. International Journal of Endocrinology, 2017. https://doi.org/10.1155/2017/2503156

Sarkar, U., Fisher, L., & Schillinger, D. (2006). Is self-efficacy associated with diabetes self-management across race/ethnicity and health literacy? Diabetes Care, 29(4), 823-829. https://doi.org/10.2337/diacare.29.04.06.dc05-1615

Sinha, R., Van den heuvel, W. J., & Arokiasamy, P. (2011). Factors affecting quality of life in lower limb amputees. Prosthetics and Orthotics International, 35(1), 90-96. https://doi.org/10.1177/0309364610397087

Sinha, R., van den Heuvel, W. J., & Arokiasamy, P. (2011). Factors affecting quality of life in lower limb amputees. Prosthetics and Orthotics International, 35(1), 90-96. https://doi.org/10.1177/0309364610397087

Tharek, Z., Ramli, A. S., Whitford, D. L., Ismail, Z., Mohd Zulkifli, M., Ahmad Sharoni, S. K., ... & Jayaraman, T. (2018). Relationship between self-efficacy, self-care behaviour and glycaemic control among patients with type 2 diabetes mellitus in the Malaysian primary care setting. BMC Family Practice, 19(1), 1-10. https://doi.org/10.1186/s12875-018-0725-6

Wargny, M., Potier, L., Gourdy, P., Pichelin, M., Amadou, C., Benhamou, P. Y., ... & CORONADO investigators. (2021). Predictors of hospital discharge and mortality in patients with diabetes and COVID-19: updated results from the nationwide CORONADO study. Diabetologia, 64, 778-794. https://doi.org/10.1007/s00125-020-05351-w

Yee, K. C., Salmiah Md Said, & Rosliza Abdul Manaf. (2018). Identifying self-care behaviour and its predictors among type 2 diabetes mellitus patients at a district of Northern Peninsular Malaysia. Malaysian Journal of Medicine and Health Sciences, 14(2), 17-29.

Zanariah Hussein, Taher, S. W., Singh, H. K. G., & Swee, W. C. S. (2015). Diabetes care in Malaysia: problems, new models, and solutions. Annals of Global Health, 81(6), 851-862. https://doi.org/10.1016/j.aogh.2015.12.016

Zuhaida, H. S., Chung, H. C., Said, F. M., Tumingan, K., Shah, N. S., Hanim, S., & Bakar, A. (2021). The Best Online Tools Based on Media Preference Reflected by Health Information Received on social media amongst Diabetic Patients in Hospital Canselor Tuanku Muhriz, Kuala Lumpur, Malaysia. The Malaysian Journal of Medical Sciences: MJMS, 28(3), 118-128. https://doi.org/10.21315/mjms2021.28.3.11

Published

30-04-2023

How to Cite

Bin T Malek, T. M. M. ., & Ahmad, A. . (2023). The Effect of Web-Based Education Programs on Self-Efficacy and Self-Care Behavior in Quality of Life Among Diabetic Type 2 Patients in Public Hospital. The Malaysian Journal of Nursing (MJN), 14(4), 119-131. https://doi.org/10.31674/mjn.2023.v14i04.013

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