The Effect of Educational Intervention based on PEN-3 Model Constructs on Diabetic Preventive Behaviors in Pre-diabetic Women in Iran: A Field Trial Study | [Pakistan Journal of Medical and Health Sciences • 2021]

Author(s):

1. FERESHTEH SOHRABIVAFA: Department of Health Education and Promotion, Social Determinants of Health Research Center, School of Public Health, Shahid Sadoughi University of Medical Sciences,Yazd,Iran

2. SEYED SAEED MAZLOOMY MAHMOODABAD: Department of Health Education and Promotion, Social Determinants of Health Research Center, School of Public Health, Shahid Sadoughi University of Medical Sciences,Yazd,Iran

3. HAMID KARIMI: Department of Endocrinology & Metabolism Internal Medicine, School of Medicine Ganjavian Hospital, Dezful University of Medical Sciences,Dezful,Iran

4. HOSSIEN FALLAHZADEH: Departments of Biostatistics and Epidemiology, Center For Healthcare Data Modeling, School of Public Health, Shahid Sadoughi University of Medical Sciences,Yazd,Iran

Abstract:

Background: The aim of this study was to determine the effect of educational intervention based on PEN-3 Model Constructs on diabetic preventive behaviors in pre-diabetic women in Iran. Methods: The present study was a field trial study was conducted on 200 pre-diabetic women referred to health centers of Dezful city (Iran) during 2018 (intervention group, n= 100; control group, n= 100). A questionnaire based on PEN-3 model as well as Health-Promoting Lifestyle Profile (HPLP-II) questionnaire were used for data collection. The intervention group received training on diabetes prevention behaviors (nutritional functions and physical activity) in 8 face-to-face sessions. The control group did not receive any intervention. Three months after the intervention, data were collected again in both groups and analyzed by SPSS 24. Results: The mean of weight, BMI, FBS and HbA1c in the intervention group were significantly lower than the control group after educational intervention (P-Value<0.05). The mean of the PEN-3 Model Constructs in the intervention group were significantly higher than the control group after educational intervention for nutritional behavior and physical activity (P-Value<0.05). The scores of knowledge as a perceptual dimension was a significant predictor for the score of the preventive behaviors (ß=0.39), nutritional behaviors (ß=0.24) and physical activity (ß=0.29) Conclusions: The educational intervention based on the PEN -3 model can be effective in increasing the level of perceptual (knowledge and attitude), enablers (structural factors), and nurturers (social factors) in pre-diabetic women and reduce the level of negative pattern structures and lead to improved diabetes preventive behaviors.

Page(s): 1060-1068

DOI: DOI not available

Published: Journal: Pakistan Journal of Medical and Health Sciences, Volume: 15, Issue: 3, Year: 2021

Keywords:

Iran , women , Educational intervention , PEN 3 model , prediabetic , diabetic preventive behaviors

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