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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 con...

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Main Authors: Ahmad Sharoni, Siti Khuzaimah, Abdul Rahman, Hejar, Minhat, Halimatus Sakdiah, Shariff Ghazali, Sazlina, Azman Ong, Mohd Hanafi
Format: Article
Language:English
Published: Public Library of Science 2018
Online Access:http://psasir.upm.edu.my/id/eprint/63954/1/63954.pdf
http://psasir.upm.edu.my/id/eprint/63954/
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0192417
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spelling my.upm.eprints.639542018-06-08T00:27:43Z http://psasir.upm.edu.my/id/eprint/63954/ 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 Ahmad Sharoni, Siti Khuzaimah Abdul Rahman, Hejar Minhat, Halimatus Sakdiah Shariff Ghazali, Sazlina Azman Ong, Mohd Hanafi 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. Public Library of Science 2018 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/63954/1/63954.pdf Ahmad Sharoni, Siti Khuzaimah and Abdul Rahman, Hejar and Minhat, Halimatus Sakdiah and Shariff Ghazali, Sazlina and Azman Ong, Mohd Hanafi (2018) 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. PLOS ONE, 13 (3). art. no. e0192417. pp. 1-23. ISSN 1932-6203 http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0192417 10.1371/journal.pone.0192417
institution Universiti Putra Malaysia
building UPM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Putra Malaysia
content_source UPM Institutional Repository
url_provider http://psasir.upm.edu.my/
language English
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.
format Article
author Ahmad Sharoni, Siti Khuzaimah
Abdul Rahman, Hejar
Minhat, Halimatus Sakdiah
Shariff Ghazali, Sazlina
Azman Ong, Mohd Hanafi
spellingShingle Ahmad Sharoni, Siti Khuzaimah
Abdul Rahman, Hejar
Minhat, Halimatus Sakdiah
Shariff Ghazali, Sazlina
Azman Ong, Mohd Hanafi
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 Ahmad Sharoni, Siti Khuzaimah
Abdul Rahman, Hejar
Minhat, Halimatus Sakdiah
Shariff Ghazali, Sazlina
Azman Ong, Mohd Hanafi
author_sort Ahmad Sharoni, Siti Khuzaimah
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 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
publisher Public Library of Science
publishDate 2018
url http://psasir.upm.edu.my/id/eprint/63954/1/63954.pdf
http://psasir.upm.edu.my/id/eprint/63954/
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0192417
_version_ 1643837883708080128
score 13.211869

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