Evaluation of the Effect of Training on the Health Literacy, Self-Care, and HbA1c of Type 2 Diabetic Patients
Journal of Medical Library and Information Science,
Vol. 5 No. 5 (2024),
8 January 2024
,
Page 1-12
https://doi.org/10.22037/jmlis.v5i.44712
Abstract
Introduction: Type 2 diabetes is a significant health problem. Improving health literacy helps control complications in people with type 2 diabetes. This study aimed to investigate the impact of training on health literacy, self-care, and HbA1c blood tests of people with type 2 diabetes.
Methods: A semi-experimental study was conducted with a group before and after the intervention. Two hundred thirty-two patients from Tafihan Medical Center, Shiraz, Iran, were selected based on criteria. A clinical librarian conducted a three-month education. HELIA and SDSCA questionnaires measured health literacy, self-care, and HbA1c. Descriptive statistics and the Wilcoxon test analyzed the data.
Results: Before the intervention, the health literacy of most of the participants was insufficient (46.1%). While after the intervention, the health literacy of most of the participants improved to an adequate level (52.2%). The HbA1c mean was 8.49±1.01 before and 6.88±1.42 after the intervention. The self-care average was 47.5 before the intervention and 96.7 after the intervention. Before the intervention, the self-care level was 53.9% semi-optimal, and after the intervention, it was 79.3% optimal. Statistical tests on changes were significant. Improved health literacy enhances self-care and HbA1c in type 2 diabetes patients.
Conclusion: Providers must assess health literacy and develop interventions to enhance the health of type 2 diabetic patients, as health literacy influences self-care and HbA1c control. Health literacy should be crucial to education and healthcare in order to improve outcomes.
- Health literacy
- Diabetes mellitus
- Training
- HbA1c
- Self-care
- Clinical librarian
How to Cite
References
1. Sørensen K, Pelikan JM, Röthlin F, Ganahl K, Slonska Z, Doyle G, et al. Health literacy in Europe: Comparative results of the European health literacy survey (HLS-EU). Eur J Public Health. 2015;25(6):1053-1058. doi: 10.1093/eurpub/ckv043
2. Nutbeam D, Kickbusch I. Advancing health literacy: A global challenge for the 21st century. Health Promot Int. 2000;15(3):183-184. doi: 10.1093/heapro/15.3.183
3. Finn S, O’Fallon L. The emergence of environmental health literacy—from its roots to its future potential. Environ Health Perspect. 2017;125(4):495-501. doi: 10.1289/ehp.1409337
4. Wang C, Pan R, Wan X, Tan Y, Xu L, Ho CS, et al. Immediate psychological responses and associated factors during the initial stage of the 2019 coronavirus disease (COVID-19) epidemic among the general population in China. Int J Environ Res Public Health .2020;17(5):1729. doi: 10.3390/ijerph17051729
5. Rudd RE, Anderson JE, Oppenheimer S, Nath C. Health literacy: an update of medical and public health literature. Review of Adult Learning and Literacy, Volume 7: Routledge; 2023. p. 175-204. [cited 2024 Jul 9]. Available from: https://www.ncsall.net/fileadmin/resources/ann_rev/rall_v7_ch6.pdf
6. Brettle A, Maden M, Payne C. The impact of clinical librarian services on patients and health care organizations. Health Info Libr J. 2016;33(2):100-120. doi: 10.1111/hir.12136
7. Jiménez-Martínez P, Ramirez-Campillo R, Alix-Fages C, Gene-Morales J, García-Ramos A, Colado JC. Chronic Resistance Training Effects on Serum Adipokines in Type 2 Diabetes Mellitus: A Systematic Review. Healthcare; 2023: MDPI. doi: 10.3390/healthcare11040594
8. ElSayed NA, Aleppo G, Aroda VR, Bannuru RR, Brown FM, Bruemmer D, et al. 6. Glycemic targets: standards of care in diabetes—2023.
Diabetes Care. 2023;46(Supplement_1):S97-S110. doi: 10.2337/dc23-S006
9. Gomes MB, Muniz LH, Melo LGN, Pizarro MH, Barros BSV, Santos DC, et al. Health literacy and glycemic control in patients with diabetes: a tertiary care center study in Brazil. Diabetol Metab Syndr. 2020;12:1-8. doi: 10.1186/s13098-020-0519-6
10. Franz MJ, Powers MA, Leontos C, Holzmeister LA, Kulkarni K, Monk A, et al. The evidence for medical nutrition therapy for type 1 and type 2 diabetes in adults. J Am Diet Assoc. 2010;110(12):1852-1889. doi: 10.1016/j.jada.2010.09.014
11. Aguirre F, Brown A, Cho NH, Dahlquist G, Dodd S, Dunning T, et al. IDF diabetes atlas. 2013. [cited 2024 Jul 9]. Available from: https://research.sahmri.org.au/en/publications/idf-diabetes-atlas-sixth-edition
12. Zhou B, Lu Y, Hajifathalian K, Bentham J, Di Cesare M, Danaei G, et al. Worldwide trends in diabetes since 1980: A pooled analysis of 751 population-based studies with 4· 4 million participants. The lancet. 2016;387(10027):1513-1530. doi: 10.1016/S0140-6736(16)00618-8
13. Mortezaee M, Raz A, Mansouri S, Annabestani Z, Mirzaeezadeh Z, Larijani B, et al. Assessment of the relationship between two single nucleotide polymorphisms of RBP4 Genes with diabetic foot ulcer in type 2 diabetic patients referred to the clinic of diabetes and metabolic diseases.
Iran J Diabetes Metab. 2016 [cited 2024 May 5]; 15(5):292-299. Available from: http://ijdld.tums.ac.ir/article-1-5444-en.html .[In Persian].
14. Hills AP, Misra A, Gill JMR, Byrne NM, Soares MJ, Ramachandran A, et al. Public health and health systems: Implications for the prevention and management of type 2 diabetes in south Asia. Lancet Diabetes Endocrinol. 2018;6(12):992-1002. doi: 10.1016/S2213-8587(18)30203-1
15. Syeda UA, Battillo D, Visaria A, Malin SK. The importance of exercise for glycemic control in type 2 diabetes. Am J Med Open. 2023;9:100031. doi: 10.1016/j.ajmo.2023.100031
16. Lotfi M, Lotfi F, Sedghi S, Panahi S. Cost-effectiveness of health literacy enhancement intervention on patients with type II diabetes. Med J Islam Repub Iran. 2023;37. doi: 10.47176/mjiri.37.86
17. Saeedi P, Petersohn I, Salpea P, Malanda B, Karuranga S, Unwin N, et al. Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas. Diabetes Res Clin Pract. 2019;157:107843. doi: 10.1016/j.diabres.2019.107843
18. Lee SH, Yoon KH. A century of progress in diabetes care with insulin: A history of innovations and foundation for the future.
Diabetes Metab J. 2021;45(5):629-640. doi: 10.4093/dmj.2021.0163
19. Erzse A, Stacey N, Chola L, Tugendhaft A, Freeman M, Hofman K. The direct medical cost of type 2 diabetes mellitus in South Africa: A cost of illness study. Glob Health Action. 2019;12(1):1636611. doi: 1080/16549716.2019.1636611
20. Williams MV, Baker DW, Parker RM, Nurss JR. Relationship of functional health literacy to patients' knowledge of their chronic disease: A study of patients with hypertension and diabetes.
Arch Intern Med. 1998;158(2):166-172. doi: 10.1001/archinte.158.2.166
21. Defeudis G, Mazzilli R, Scandurra C, Di Tommaso AM, Cimadomo D, Strollo R, et al. Diabetes and erectile dysfunction: The relationships with health literacy, treatment adherence, unrealistic optimism, and glycaemic control. Diabetes Metab Res Rev. 2023:e3629. doi: 10.1002/dmrr.3629
22. Marciano L, Camerini A-L, Schulz PJ. The role of health literacy in diabetes knowledge, self-care, and glycemic control: A meta-analysis. J Gen Intern Med. 2019;34:1007-1017. doi: 10.1007/s11606-019-04832-y
23. Nigussie EM, Asefa EY, Demeke MG, Adane TD, Mengistu BT, Dessie YA, et al. Diabetic health literacy and associated factors among diabetic patients attending outpatient department at public hospitals in North Shoa Zone, Amhara Region, Ethiopia, 2022. Res Sq. doi: 10.21203/rs.3.rs-3327765/v1
24. Whitney W, Keselman A, Humphreys B. Libraries and librarians: Key partners for progress in health literacy research and practice. Inf Serv Use. 2017;37(1):85-100. doi: 10.3233/ISU-170821
25. Tol A, Pourreza A, Rahimi Foroshani A, Tavassoli E. Assessing the effect of educational program based on small group on promoting knowledge and health literacy among women with type2 diabetes referring to selected hospitals affiliated to Tehran University of Medical Sciences. Razi J Med Sci. 2013 [cited 2024 May 16];19(104). Available from: http://rjms.iums.ac.ir/article-1-6867-en.html. [In Persian].
26. Saifulsyahira J, Salmiah MS, Juni MH. Cost effectiveness of a health literacy education module intervention on type 2 diabetic patients. Int J Public Heal Clin Sci. 2018 [cited 2024 May 16]; 5(4):82-94. Available from: https://publichealthmy.org/ejournal/ojs2/index.php/ijphcs/article/view/778
27. Ansari M, Mohaghegh P, Sadeghi-sedeh B, Rafiei F. Evaluation of health literacy of type 2 diabetic patients referred to diabetes clinic of Arak city and related demographic factors. J Heal Lit. 2020;5(2):29-37. doi:10.22038/jhl.2020.48748.1112
28. Adegun A, Viriri S. Deep learning techniques for skin lesion analysis and melanoma cancer detection: a survey of state-of-the-art. Artif Intell Rev. 2021;54:811-841. doi: 10.1007/s10462-020-09865-y
29. Barr-Walker J. Health literacy and libraries: a literature review. Ref Serv Rev. 2016;44(2):191-205. doi:10.1108/RSR-02-2016-0005
30. Harnegie MP. Clinical librarian rounding in community hospital internal medicine residency: 2022-2023 pilot program survey results and evaluation. J Hosp Librariansh. 2023;23(3):199-210. doi: 10.1046/j.1365-2532.20.s1.2.x
31. Brown Epstein HA. The Hospital library and hospital librarian contributes to patient-centered care. J Hosp Librariansh. 2023:1-9. doi: 10.1080/15323269.2023.2258719
32. Ahmadzadeh K, Bahrami M, Zare‐Farashbandi F, Adibi P, Boroumand MA, Rahimi A. Patient education information material assessment criteria: A scoping review. Health Info Libr J. 2023;40(1):3-28. doi:10.1111/hir.12467
33. Vassilakaki E, Moniarou-Papaconstaninou V. Librarians’ support in improving health literacy: A systematic literature review. J Librariansh Inf Sci. 2023;55(2):500-514. doi:10.1177/09610006221093794
34. Ong-Artborirak P, Seangpraw K, Boonyathee S, Auttama N, Winaiprasert P. Health literacy, self-efficacy, self-care behaviors, and glycemic control among older adults with type 2 diabetes mellitus: A cross-sectional study in Thai communities. BMC Geriatr. 2023;23(1):297. doi: 10.1186/s12877-023-04010-0
35. Vandenbosch J, Van den Broucke S, Schinckus L, Schwarz P, Doyle G, Pelikan J, et al. The impact of health literacy on diabetes self-management education. Health Educ J. 2018;77(3):349-362. doi: 10.1186/s12877-023-04010-0
36. Niknami M, Mirbalouchzehi A, Zareban I, Kalkalinia E, Rikhtgarha G, Hosseinzadeh H. Association of health literacy with type 2 diabetes mellitus self-management and clinical outcomes within the primary care setting of Iran. Aust J Prim Health. 2018;24(2):162-170. doi: 10.1071/PY17064
37. Caruso R, Magon A, Baroni I, Dellafiore F, Arrigoni C, Pittella F, Ausili D. Health literacy in type 2 diabetes patients: A systematic review of systematic reviews. Acta Diabetol. 2018;55:1-12. doi: 10.1007/s00592-017-1071-1
8. Abdullah A, Liew SM, Salim H, Ng CJ, Chinna K. Prevalence of limited health literacy among patients with type 2 diabetes mellitus: A systematic review. PloS one. 2019;14(5):e0216402. doi: 10.1371/journal.pone.0216402
39. Gurtoo A, Ap M. Level of Health Literacy Among Type 2 Diabetic Persons and its Relation to Glycemic Control. J Assoc Physicians India. 2019 [cited 2024 May 16]; 67(4):59-62. Available from: https://pubmed.ncbi.nlm.nih.gov/31299841/
40. Khoshnoodi far M, Arabnezhad Z, Tehrani H, Akbari farmad S. The effect Blended training on comparison with in-person training on self-care behaviors in type 2 diabetes patients. Iran J Heal Educ Heal Promot. 2020 [cited 2024 May 16]; 7(4):333-342. Available from: http://journal.ihepsa.ir/article-1-1205-en.html. [In Persian].
41. Nacanabo R, Debussche X, Rouamba M, Kamouni P, Mancini J, Kouanda S. Health literacy and health-related quality of life in type 2 diabetes: A cross-sectional study in Burkina Faso. Diabetes Epidemiol Manag. 2021;3:100016. doi: 10.1016/j.deman.2021.100016
42. Ağralı H, Akyar İ. The effect of health literacy-based, health belief-constructed education on glycated hemoglobin (HbA1c) in people with type 2 diabetes: A randomized controlled study. Prim Care Diabetes. 2022;16(1):173-8. doi: 10.1016/j.pcd.2021.12.010
43. Flood D, Hane J, Dunn M, Brown SJ, Wagenaar BH, Rogers EA, et al. Health system interventions for adults with type 2 diabetes in low-and middle-income countries: A systematic review and meta-analysis. PLoS Med. 2020;17(11):e1003434. doi: 10.1371/journal.pmed.1003434
44. Butayeva J, Ratan ZA, Downie S, Hosseinzadeh H. The impact of health literacy interventions on glycemic control and self‐management outcomes among type 2 diabetes mellitus: A systematic review. J Diabetes. 2023;15(9):724-735. doi: 10.1111/1753-0407.13436
45. Zeidi IM, Morshedi H, Otaghvar HA. A theory of planned behavior-enhanced intervention to promote health literacy and self-care behaviors of type 2 diabetic patients. J Prev Med Hyg. 2020;61(4):E601. doi: 10.15167/2421-4248/jpmh2020.61.4.1504
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