The effects of self-efficacy enhancing program on foot self-care behaviour of older adults with diabetes: A randomised controlled trial in elderly care facility, Peninsular Malaysia

Background: Self-care behaviour is essential in preventing diabetes foot problems. This study aimed to evaluate the effectiveness of health education programs based on the self-efficacy theory on foot self-care behaviour for older adults with diabetes. Methods: A randomised controlled trial was cond...

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Published in:PLoS ONE
Main Author: Sharoni S.K.A.; Rahman H.A.; Minhat H.S.; Shariff-Ghazali S.; Ong M.H.A.
Format: Article
Language:English
Published: Public Library of Science 2018
Online Access:https://www.scopus.com/inward/record.uri?eid=2-s2.0-85043756873&doi=10.1371%2fjournal.pone.0192417&partnerID=40&md5=48b41270ca67c6f4a51f08c92e31db69
id 2-s2.0-85043756873
spelling 2-s2.0-85043756873
Sharoni S.K.A.; Rahman H.A.; Minhat H.S.; Shariff-Ghazali S.; Ong M.H.A.
The effects of self-efficacy enhancing program on foot self-care behaviour of older adults with diabetes: A randomised controlled trial in elderly care facility, Peninsular Malaysia
2018
PLoS ONE
13
3
10.1371/journal.pone.0192417
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85043756873&doi=10.1371%2fjournal.pone.0192417&partnerID=40&md5=48b41270ca67c6f4a51f08c92e31db69
Background: Self-care behaviour is essential in preventing diabetes foot problems. This study aimed to evaluate the effectiveness of health education programs based on the self-efficacy theory on foot self-care behaviour for older adults with diabetes. Methods: A randomised controlled trial was conducted for 12 weeks among older adults with diabetes in elderly care facility in Peninsular Malaysia. Six elderly care facility were randomly allocated by an independent person into two groups (intervention and control). The intervention group (three elderly care facility) received a health education program on foot self-care behaviour while the control group (three elderly care facility) received standard care. Participants were assessed at baseline, and at week-4 and week-12 follow-ups. The primary outcome was foot-self-care behaviour. Foot care self-efficacy (efficacy expectation), foot care outcome expectation, knowledge of foot care and quality of life were the secondary outcomes. Data were analysed with Mixed Design Analysis of Variance using the Statistical Package for the Social Sciences version 22.0. Results: 184 respondents were recruited but only 76 met the selection criteria and were included in the analysis. Foot self-care behaviour, foot care self-efficacy (efficacy expectation), foot care outcome expectation and knowledge of foot care improved in the intervention group compared to the control group (p < 0.05). However, some of these improvements did not significantly differ compared to the control group for QoL physical symptoms and QoL psychosocial functioning (p > 0.05). Conclusion: The self-efficacy enhancing program improved foot self-care behaviour with respect to the delivered program. It is expected that in the future, the self-efficacy theory can be incorporated into diabetes education to enhance foot self-care behaviour for elderly with diabetes living in other institutional care facilities. © 2018 Ahmad Sharoni et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Public Library of Science
19326203
English
Article
All Open Access; Gold Open Access; Green Open Access
author Sharoni S.K.A.; Rahman H.A.; Minhat H.S.; Shariff-Ghazali S.; Ong M.H.A.
spellingShingle Sharoni S.K.A.; Rahman H.A.; Minhat H.S.; Shariff-Ghazali S.; Ong M.H.A.
The effects of self-efficacy enhancing program on foot self-care behaviour of older adults with diabetes: A randomised controlled trial in elderly care facility, Peninsular Malaysia
author_facet Sharoni S.K.A.; Rahman H.A.; Minhat H.S.; Shariff-Ghazali S.; Ong M.H.A.
author_sort Sharoni S.K.A.; Rahman H.A.; Minhat H.S.; Shariff-Ghazali S.; Ong M.H.A.
title The effects of self-efficacy enhancing program on foot self-care behaviour of older adults with diabetes: A randomised controlled trial in elderly care facility, Peninsular Malaysia
title_short The effects of self-efficacy enhancing program on foot self-care behaviour of older adults with diabetes: A randomised controlled trial in elderly care facility, Peninsular Malaysia
title_full The effects of self-efficacy enhancing program on foot self-care behaviour of older adults with diabetes: A randomised controlled trial in elderly care facility, Peninsular Malaysia
title_fullStr The effects of self-efficacy enhancing program on foot self-care behaviour of older adults with diabetes: A randomised controlled trial in elderly care facility, Peninsular Malaysia
title_full_unstemmed The effects of self-efficacy enhancing program on foot self-care behaviour of older adults with diabetes: A randomised controlled trial in elderly care facility, Peninsular Malaysia
title_sort The effects of self-efficacy enhancing program on foot self-care behaviour of older adults with diabetes: A randomised controlled trial in elderly care facility, Peninsular Malaysia
publishDate 2018
container_title PLoS ONE
container_volume 13
container_issue 3
doi_str_mv 10.1371/journal.pone.0192417
url https://www.scopus.com/inward/record.uri?eid=2-s2.0-85043756873&doi=10.1371%2fjournal.pone.0192417&partnerID=40&md5=48b41270ca67c6f4a51f08c92e31db69
description Background: Self-care behaviour is essential in preventing diabetes foot problems. This study aimed to evaluate the effectiveness of health education programs based on the self-efficacy theory on foot self-care behaviour for older adults with diabetes. Methods: A randomised controlled trial was conducted for 12 weeks among older adults with diabetes in elderly care facility in Peninsular Malaysia. Six elderly care facility were randomly allocated by an independent person into two groups (intervention and control). The intervention group (three elderly care facility) received a health education program on foot self-care behaviour while the control group (three elderly care facility) received standard care. Participants were assessed at baseline, and at week-4 and week-12 follow-ups. The primary outcome was foot-self-care behaviour. Foot care self-efficacy (efficacy expectation), foot care outcome expectation, knowledge of foot care and quality of life were the secondary outcomes. Data were analysed with Mixed Design Analysis of Variance using the Statistical Package for the Social Sciences version 22.0. Results: 184 respondents were recruited but only 76 met the selection criteria and were included in the analysis. Foot self-care behaviour, foot care self-efficacy (efficacy expectation), foot care outcome expectation and knowledge of foot care improved in the intervention group compared to the control group (p < 0.05). However, some of these improvements did not significantly differ compared to the control group for QoL physical symptoms and QoL psychosocial functioning (p > 0.05). Conclusion: The self-efficacy enhancing program improved foot self-care behaviour with respect to the delivered program. It is expected that in the future, the self-efficacy theory can be incorporated into diabetes education to enhance foot self-care behaviour for elderly with diabetes living in other institutional care facilities. © 2018 Ahmad Sharoni et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
publisher Public Library of Science
issn 19326203
language English
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accesstype All Open Access; Gold Open Access; Green Open Access
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