The findings of this study are in line with a review which found that the individual components (severity, susceptibility, benefits, and barriers) each only accounted for 0.5% to 4% of the variance in behavior (Harrison, Mullen, & Green, 1992). endstream endobj 56 0 obj 1540 endobj 57 0 obj << /Filter /FlateDecode /Length 56 0 R >> stream ƒ»C"füEá´PòL?DZYö]°®/´ˆì¡Úy›sJ/|2S¸ä]žË\×Üxlf{SےO‹ømڒÍ|5Óo7æzʼnƒ€û÷ y#)%NM˜ZÔDoé=/uœÔ¹Ôm¯UN;\—Iï¶÷ÂsbDžü?bW2L©_æ­cÐY&W»'%ö Ïé ™Ëǝ‰0.É}B輺‡y\„.×8Z®©ÃEˆ6ÉÜFÜ6¢Nu8–§þ»¥nkat“¾E9ÌE®.—7ƈ/Ò"så\ç;u›6ÜNæÑ?õÍÑþy…YÝö4(-íS)Ç[Ô*m“ÍñdGËdÂc65¡ù_°yöã"íO‹Œ(•#Ìïώ’õ½ŒvjÇî`Á€'FʽQˆÛ ¹ÛÒ3'$im³ Arseneau, Mason, Wood, and Green (1994) have found that illness-specific knowledge is one component of effective self-management, whereas Hill-Briggs (2003) and Lorig et al. Type: Systematic Reviews . Hence, the validity of the model in this population has not been tested. Diabetes is an illness, which refers to the pathogenetic equivalence of the complex interrelation of Objective While the prevalence of type 2 diabetes is growing, it is increasingly well recognized that treatment outcomes in primary care practice are often suboptimal. (, Colleran, K. M., Starr, B., Burge, M. R. (, Fitzgerald, J. T., Funnell, M. M., Hess, G. E., Barr, P. A., Anderson, R. M., Hiss, R. G., Davis, W. K. (, Given, C. W., Given, B. Besides, this report was limited to diabetes knowledge and health beliefs using HBM and so did not give room to examining cultural beliefs affecting diabetes management among the studied population. These concepts were proposed to account for people’s “readiness to act.” An added concept, cues to action, would activate that readiness and stimulate overt behavior, while the concept of self-efficacy, or one’s confidence is the ability to successfully perform an action. This could be linked to the belief among the Igala that all diseases are curable using local herbs from competent herbalists. By continuing to browse The result shows that diabetes knowledge would significantly influence diabetes management (β = .262, t = 3.328, p = .001). The prevalence rate in Nigeria varies from one location to another, for example, 0.65% in rural Mangu village to 11.0% in urban Lagos. For the illiterate respondents, the questionnaire was transcribed from English to the Igala language and back to English by experts in spoken and written Igala. About 57% knew how best to manage their feet, while 12% got it wrong on how to take care of the feet. Please check you selected the correct society from the list and entered the user name and password you use to log in to your society website. How Can I Use the Health Belief Model in my Setting? Chinenye et al. feeling high and low blood sugar) cues the individual associates with taking action. The respondents were approached as they came in to see their doctors or to have a blood glucose test. The result further shows that there was an association between level of diabetes knowledge and diabetes management status (1, N = 152) = 8.456, p = .004. The Health Belief Model The Health Belief Model is a tool that is used to predict different health behaviors in a person. Consensus among the health care providers in the communities attests to the low level of diabetes knowledge in the study communities they described the level of diabetes knowledge among the people as shallow. (1987) found that measures of health beliefs accounted for 41% to 52% of the self-reported adherence and that perceived severity and perceived benefits were associated with greater self-reported adherence and metabolic control. Baumann, Opio, Otim, Olson, and Ellison (2010) found that few patients did home glucose monitoring, considered activities of daily living as regular exercise, and lack healthy food choices. The result shows that statistically there is no relationship between the aggregate health belief and diabetes management. Nejad, Wertheim, and Greenwood (2005) found that the best predictors of weight loss were perceived susceptibility and perceived benefits, while perceived benefits of dieting and severity (a measure of how negatively weight gain is perceived) significantly predicted intention to diet. Although diabetes knowledge and health belief are cognitive factors in diabetes management, they should not be considered in isolation of other social factors. The mean of the four items served as the measure of perceived benefits (M = 17.16, SD = 2.20). In educating people about diabetes, one particular model that’s important is the Health Belief Model. This could have implications for how a person will manage his or her condition. I have read and accept the terms and conditions. View or download all the content the society has access to. How do individuals perceive developing problems due to diabetes, for example, hypoglycemia and hyperglycemia? Find out about Lean Library here, If you have access to journal via a society or associations, read the instructions below. Preferred Gait Characteristics in Young Adults in Qatar: Physiological... Young Migrants’ Experiences and Conditions for Health: A Photovoice St... Hi-Fi, Middle Brow? The items were measured on a 5-point scale, ranging from strongly disagree to strongly agree. B., Green, S. E. (, Ayele, K., Tesfa, B., Abebe, L., Tilahun, T., Girma, E. (, Baumann, L. C., Opio, C. K., Otim, M., Olson, L., Ellison, S. (, Bautista-Martinez, S., Aguilar-Salinas, C. A., Lerman, I., Velasco, M., Castellanos, R., Zenteno, E., . The bivariate analysis showed that 73% and 17% of those with low and high perception of severity had poor diabetes management status, respectively, whereas 27% and 83% of those with low and high perception of severity of diabetes, respectively, had good diabetes management status. Four items assessed perceived severity on a 5-point scale, ranging from strongly agree to strongly disagree. This may be explained by the fact that not all the constructs of HBM will directly affect diabetes management. Members of _ can log in with their society credentials below, This article is distributed under the terms of the Creative Commons Attribution 3.0 License (. In general, studies using the health belief model for diabetic patients show that priority is given foremost to perceived benefits and next to perceived susceptibility and perceived barriers, in that order, for adopting different behaviors. Table 2 above shows that 49% of the participants had low diabetes knowledge, whereas 51% had high diabetes knowledge. The respondents’ mean age was 56. Despite the tremendous success at improving the lives of those living with diabetes with technological breakthrough in biomedical sciences, the management of type 2 diabetes lies largely with those with diabetes. The Health Belief Model is one of the oldest models of behavior analysis that has been used in numerous studies of health behaviors such as type 2 diabetes mellitus (T2DM) [13]. (, Chinyere, H. N., Nandy, B., Nwankwo, B. O. Besides, most of the participants were only counseled after diagnosis on what to do and what not to do. Garcia and Mann (2003) also confirmed the predictability of three variables out of the four variables, with susceptibility, barriers, and benefits explaining 43% of the variance of intention to resist dieting. Table 1 below shows that 38% of the respondents could not identify food that contains carbohydrate, and 43% could not identify food with the highest concentration of fat. Major Concepts 2. Manuscript content on this site is licensed under Creative Commons Licenses. Table 1. The first component is perceived benefits. This finding is supported by Glasgow, McCaul, and Schafer (1986), who avers that beliefs about treatment effectiveness appear to have an important influence on diabetes self-management. This provides the populations with skills they can utilize to improve, control, and manage healthcare and clinical issues related to diabetes. The health belief model (HBM), developed by Becker and Maiman (1975), is useful in explicating self-care activities such as diabetes management recommendations and has a focus on behavior related to the prevention of disease. The 7 items were directly from the University of Michigan DKT (2006) of 14 items but with modification, substituting the food items on the original DKT with the locally available food consumed in the study population. How the Health Belief Model was Developed 3. Respondents’ Level of Diabetes Knowledge. Hence, using HBM alone could be misleading and lead to wrong decisions and judgments. (2003). Type 2 is a preventable type of diabetes through diet and exercise. A study on illness beliefs and diabetes in Uganda adults identified patients’ limited knowledge about diabetes in general as a major problem in diabetes management (Ujelm & Nambozi, 2008). Relative Influence of Diabetes Knowledge on Diabetes Management Status. Samuel Ojima Adejoh lectures in the Department of Sociology, University of Lagos, Nigeria, at both the undergraduate and postgraduate levels. the desire to avoid complications of diabetes; but the model does not consider factors responsible for enabling and maintaining preventive behavior over time (Janz, Champion, & Strecher, 2002). The Health Belief Model (HBM) identified five basic dimensions as a basis for behaviour: perceived severity of the condition, perceived susceptibility or vulnerability to the disease process, perceived benefits (belief in efficacy), costs/barriers, and cues to action, which may be internal (symptoms) or external (health education, illness of family or friend) [22, 23]. The regression result showed that diabetes knowledge influenced diabetes management (β = .262, t = 3.328, p = .001) and health beliefs affected diabetes management (β = .07865, t = 2.439, p < .016). The result on the aggregate of all subscales of HBM showed that 42% and 51% of those with low and high perception of health belief, respectively, had poor diabetes management status, whereas 58% and 49% of those with low and high perception of health belief, respectively, had good management status. (2012) and Chinyere, Nandy, and Nwankwo (2010) claimed that most Nigerians with diabetes have suboptimal glycemic control, are hypertensive, have chronic complications of diabetes mellitus, and do not practice self-monitoring of blood glucose. For example, most individuals are very aware that obesity often leads to the development of diabetes. American Diabetes Association, the complications and cost acquired from diabetes can be dramatically reduce if patients are more aware of the potential risk and receive proper health prevention education. This site uses cookies. The HBM states that an individual’s behavior can be predicted based on certain issues that the individual may consider (perceived susceptibility, perceived severity, perceived benefits, and perceived barriers) when making a decision about a particular behavior concerning his or her health (Glanz, Lewis, & Rimer, 1990).

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