A Nursing Framework for Adolescent Type 2 Diabetes Prevention Based on an Integrated Health Behavior Theory
DOI:
https://doi.org/10.31674/mjn.2026.v17i05.003Abstract
Background: The increasing prevalence of Type 2 Diabetes Mellitus (T2DM) among adolescents necessitates the development of a nursing-oriented theoretical framework to guide preventive practices addressing lifestyle-related risk behaviors. Existing health behavior theories, including the Health Belief Model, Theory of Planned Behavior, Social Cognitive Theory, and stage-based models, provide valuable insights but remain limited when applied independently. This study proposes the Adolescent Diabetes Prevention Integrated (ADPI) Model as a comprehensive framework integrating rational, emotional, social, behavioral, and ecological dimensions across three motivational phases: pre-motivational (awareness), motivational (intention), and post-motivational (action and maintenance). Methods: This study employed a methodological research design with an embedded cross-sectional empirical validation phase. The model was developed through a structured theoretical synthesis, including narrative review, conceptual analysis, and integrative model construction. The model was empirically tested on 200 senior high school students. Content validity was evaluated through expert judgment, while construct validity and reliability were assessed using Exploratory Factor Analysis (EFA) and internal consistency testing. Structural relationships among variables were analyzed using Structural Equation Modeling (SEM). Results: The model identified four key domains: cognitive–motivational determinants, social–environmental influences, behavioral regulation, and emotional reactivity and support. Content validity was excellent (S-CVI/Ave = 0.94). EFA confirmed a four-factor structure (KMO = 0.89; variance explained = 71.7%). Reliability was high (α = 0.83–0.89; overall α = 0.91). Conclusion: The ADPI Model demonstrates strong validity and reliability, offering a comprehensive, theory-based framework to support evidence-based adolescent T2DM prevention interventions.
Keywords:
Adolescents, Integrated Health Behavior Theory, Nursing Framework, Preventive Nursing, Type 2 Diabetes PreventionDownloads
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