Volume 9, Issue 3 (2021)
Health Educ Health Promot 2021, 9(3): 271-277 |
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Ghasemnejhad M, Zakizadeh M, Hesamzadeh A, Mohammadpour R, Taraghi Z. Comparison of the Effect of Peer and Family-Based Training on the Quality of Life of Rural Diabetic Elderly. Health Educ Health Promot 2021; 9 (3) :271-277
URL: http://hehp.modares.ac.ir/article-5-49733-en.html
URL: http://hehp.modares.ac.ir/article-5-49733-en.html
1- Diabetes Research Center, Mazandaran University of Medical Sciences, Sari, Iran
2- "Department of Biostatistics, Health Faculty" and "Health Sciences Research Center, Addiction Institute", Mazandaran University of Medical Sciences, Sari, Iran
3- Diabetes Research Center, Mazandaran University of Medical Sciences, Sari, Iran ,ztarair@yahoo.com
2- "Department of Biostatistics, Health Faculty" and "Health Sciences Research Center, Addiction Institute", Mazandaran University of Medical Sciences, Sari, Iran
3- Diabetes Research Center, Mazandaran University of Medical Sciences, Sari, Iran ,
Abstract: (2000 Views)
Aims: Training has an important role in improving quality of life. The current study aimed to compare the effect of peer and family-based training on the quality of life of rural diabetic elderly.
Materials & Methods: In this quasi-experimental study conducted in 2020, 30 older adults referring to Shahid Abad village health center in Babol, northern Iran, were randomly assigned to peer group (N=15) and family-based training group (N=15). The intervention in both groups consisted of 6 sessions of 30 to 60 minutes for six weeks. Quality of life was assessed using the LEIPAD QOL questionnaire before, immediately, and two months after the intervention. Data were analyzed using SPSS software version 21.0., Fisher test, Independent t-test, Paired t-test, and MANCOVA.
Findings: Before the intervention, the mean quality of life in the peer group was 61.35±16.49, and the family-based training group was 53.18±6.98, and there was no significant difference (p=0.147). According to paired t-test, changes in quality of life score in the family-based training group was significant in two time periods (before intervention to two months after intervention (p=0.048)), immediately after intervention to two months after intervention (p=0.036), but was not significant in the peer training group.
Conclusion: Family-based training effectively affects the quality of life of rural diabetic elderly in two time periods.
Materials & Methods: In this quasi-experimental study conducted in 2020, 30 older adults referring to Shahid Abad village health center in Babol, northern Iran, were randomly assigned to peer group (N=15) and family-based training group (N=15). The intervention in both groups consisted of 6 sessions of 30 to 60 minutes for six weeks. Quality of life was assessed using the LEIPAD QOL questionnaire before, immediately, and two months after the intervention. Data were analyzed using SPSS software version 21.0., Fisher test, Independent t-test, Paired t-test, and MANCOVA.
Findings: Before the intervention, the mean quality of life in the peer group was 61.35±16.49, and the family-based training group was 53.18±6.98, and there was no significant difference (p=0.147). According to paired t-test, changes in quality of life score in the family-based training group was significant in two time periods (before intervention to two months after intervention (p=0.048)), immediately after intervention to two months after intervention (p=0.036), but was not significant in the peer training group.
Conclusion: Family-based training effectively affects the quality of life of rural diabetic elderly in two time periods.
Article Type: Original Research |
Subject:
Health Education and Health Behavior
Received: 2021/01/31 | Accepted: 2021/04/13 | Published: 2021/10/17
Received: 2021/01/31 | Accepted: 2021/04/13 | Published: 2021/10/17
References
1. American diabetes association. 12 older adults: Standards of medical care in diabetes-2020. Diabetes Care. 2020;43(Suppl 1):152-62. [Link] [DOI:10.2337/dc20-S012] [PMID]
2. Olfatifar M, Karami M, Shokri P, Hosseini SM. Prevalence of chronic complications and related risk factors of diabetes in patients referred to the diabetes center of Hamedan province. Avicenna J Nurs Midwifery Care. 2016;25(2):69-74. [Persian] [Link] [DOI:10.21859/nmj-25029]
3. Larijani B, Abolhasani F, Mohajeri-Tehrani MR, Tabtabaie O. Prevalence of diabetes mellitus in Iran in 2000. Iran J Diabetes Metab. 2005;4(3):75-83. [Persian] [Link]
4. Kimbro LB, Mangione CM, Steers WN, Duru OK, MacEwen L, Karter A, et al. Depression and all-cause mortality in persons with diabetes mellitus: Are older adults at higher risk. J Am Geriatr Soc. 2014;62(6):1017-22. [Link] [DOI:10.1111/jgs.12833] [PMID] [PMCID]
5. Kirkman MS, Briscoe VJ, Clark N, Florez H, Haas LB, Halter JB, et al. Diabetes in older adults. Diabetes Care. 2012;35(12):2650-64. [Link] [DOI:10.2337/dc12-1801] [PMID] [PMCID]
6. Sudore RL, Karter AJ, Huang ES, Moffet HH, Laiteerapong N, Schenker Y, et al. Symptom burden of adults with type 2 diabetes across the disease course: Diabetes and aging study. J Gen Intern Med. 2012;27(12):1674-81. [Link] [DOI:10.1007/s11606-012-2132-3] [PMID] [PMCID]
7. Laiteerapong N, Karter AJ, Liu JY, Moffet HH, Sudore R, Schillinger D. Correlates of quality of life in older adults with diabetes: The diabetes and aging study. Diabetes Care. 2011;34(8):1749-53. [Link] [DOI:10.2337/dc10-2424] [PMID] [PMCID]
8. Ghaem H, Fakherpour A, Hajipour M, Shafiee M. Quality of life and associated factors among elderly diabetic patients in Shiraz, 2014. J Health Sci Surveill Syst. 2016;4(3):129-36. [Persian] [Link]
9. Patel B, Oza B, Patel K, Malhotra S, Patel V. Health related quality of life in type-2 diabetic patients in Western India using world health organization quality of life-BREF and appraisal of diabetes scale. Int J Diabetes Dev Ctries. 2014;34(2):100-7. [Link] [DOI:10.1007/s13410-013-0162-y]
10. Hajihashemi Z, Vameghi R, Montazeri A, Sohrabi MR, Akbari Kamrani AA. Comparing quality of life among rural and urban elderly outpatients. PAYESH. 2013;12(3):255-62. [Persian] [Link]
11. Maez L, Erickson L, Naumuk L. Diabetic education in rural areas. Rural Remote Health. 2014;14(2):2742. [Link] [DOI:10.22605/RRH2742] [PMID]
12. Massey CN, Appel SJ, Buchanan KL, Cherrington AL. Improving diabetes care in rural communities: An overview of current initiatives and a call for renewed efforts. Clin Diabetes. 2010;28(1):20-7. [Link] [DOI:10.2337/diaclin.28.1.20]
13. Government printing office. Healthy people 2010: Final review. WASHINGTON: Government Printing Office; 2013. [Link]
14. Haji-Arabi E, Nobahar M, Ghorbani R. Relationship between depression and knowledge about diabetes with the amount of self-care in patients with type 2 diabetes. KOOMESH. 2018;20(2):210-20. [Persian] [Link]
15. Ebrahimi H, Sadeghi M, Vahedi H, Kavousi Pouya J. Comparison of patient-centered and family-centered teaching methods (based on empowerment model) on the laboratory variables of patients with type II diabetes. J Clin Nurs Midwifery. 2016;5(1):87-97. [Persian] [Link]
16. Khavasi M, Shamsizadeh M, Varai S, Rezaei M, Elhami S, Masroor D. The effect of peer education on quality of life in patients with type 2 diabetes: A randomized clinical trial. Avicenna J Nurs Midwifery Care. 2017;25(3):8-16. [Persian] [Link]
17. Mohsenikhah M, Esmaili R, Tavakolzadeh J, Khavasi M, Jaras M, Delshad Noghabi A. Effects of peer education on quality of life in adults with type 2 diabetes. Q Horiz Med Sci. 2018;24(1):17-22. [Persian] [Link]
18. SaeidPour J, Jafari M, Ghazi Asgar M, Daryani Dardashti H, Teymoorzade E. The impact of self-care education on life quality of diabetic patients. J Health Adm. 2013;16(52):26-36. [Persian] [Link]
19. Dehghani A, Kermanshahi S, Memarian R, Hojjati H, Shamsizadeh M. The effect of peer led education on depression of Multiple sclerosis patients. Iran J Psychiatr Nurs. 2013;1(1):63-71. [Persian] [Link]
20. Niles-Yokum K, Wagner DL. The aging networks: A guide to programs and services. New York: Springer Publishing Company; 2014. [Link] [DOI:10.1891/9780826196613] [PMID]
21. Mohebi S, Parham M, Sharifirad G, Gharlipour Z, Mohammadbeigi A, Rajati F. Relationship between perceived social support and self-care behavior in type 2 diabetics: A cross-sectional study. J Edu Health Promot 2018;7:48. [Link] [DOI:10.4103/jehp.jehp_73_17] [PMID] [PMCID]
22. Park M, Chesla CA. Understanding complexity of Asian American family care practices. Arch Psychiatr Nurs. 2010;24(3):189-201. [Link] [DOI:10.1016/j.apnu.2009.06.005] [PMID]
23. Ebrahimi H, Ashrafi Z, Masroor Rudsari D, Parsayekta Z, Haghani H. Effect of family based education on the quality of life persons with type 2 diabetes: A randomized clinical trial. J Nurs Res. 2018;26(2):97-103. [Link] [DOI:10.1097/jnr.0000000000000212] [PMID]
24. Khalkhali HR. The effect of family-centered education on self-care in patients with type 2 diabetes. Nurs Midwifery J. 2016;14(2):118-27. [Persian] [Link]
25. Ghotbi N, Seyed Bagher Maddah S, Dalvandi A, Arsalani N, Farzi M. The effect of education of self-care behaviors based on family-centered empowerment model in type II diabetes. Adv Nurs Midwifery. 2014;23(83):43-50. [Persian] [Link]
26. Ahmadi Z, Sadeghi T, Loripoor M, Khademi Z. Comparative assessment of the effect of self-care behavior education by health care provider and peer on HA1C level in diabetic patients. Iran J Endocrinol Metab. 2017;19(3):144-50. [Persian] [Link]
27. amar.org.ir [Internet]. Tehran: Statistical Center of Iran; 2016 [cited 2021 Nov 4]. Available from: https://www.amar.org.ir/english/Population-and-Housing-Censuses/Census-2016-General-Results. [Persian] [Link]
28. Mahdi H, Maddah SMB, Mahammadi F. The effectiveness of self-care training on quality of life among elderlies with diabetes. Iran J Rehabil Res Nurs. 2016;2(4):32-9. [Persian] [Link] [DOI:10.21859/ijrn-02045]
29. De Leo D, Diekstra RF, Lonnqvist J, Trabucci M, Cleiren MH, Frisoni GB, et al. LEIPAD, an internationally applicable instrument to assess quality of life in the elderly. Behav Med. 1998;24(1):17-27. [Link] [DOI:10.1080/08964289809596377] [PMID]
30. Hesamzadeh A, Maddah SB, Mohammadi F, Fallahi Khoshknab M, Rahgozar M. Comparison of elderlys quality of life living at homes and in private or public nursing homes. SALMAND. 2010;4(14):66-74. [Persian] [Link]
31. Zakizadeh M. The effect of educational package based on Islamic teachings on self-care behaviors of nutrition and metabolic control of middle-aged type 2 diabetic patients referring to diabetes center of Mazandaran university of medical sciences [dissertation]. Tehran: Tarbiat Modares University; 2016. [Persian] [Link]
32. Halter JB, Ouslander JG, Studensky S, High KP, Asthana S, Ritchie CS, et al. Hazzard's Geriatric Medicine and Gerontology. New York: McGraw-Hill; 2020. [Link]
33. American diabetes association. Standards of medical care in diabetes-2018. Diabetes care. 2018;41 Suppl 1:1-2. [Link] [DOI:10.2337/dc18-S015] [PMID]
34. Oconell Smeltzer SC, Bare BG, Hinkle JL, Cheever KH. Brunner & Suddarth's textbook of medical surgical nursing. Philadelphia: Lippincott Williams and Wilkins; 2010. [Link]
35. Roopa KS, Rama Devi G. Quality of life of elderly diabetic and hypertensive people-Impact of intervention programme. IOSR J Hum Soc Sci. 2014;19(3):67-73. [Link] [DOI:10.9790/0837-19346773]
36. Rabiei L, Mostafavi F, Masoudi R, Hassanzadeh A. The effect of family-based intervention on empowerment of the elders. J Edu Health Promot. 2013;2:24. [Link] [DOI:10.4103/2277-9531.112700] [PMID] [PMCID]
37. Ghavidel A, Farokhnezhad-Afshar P, Bakhshandeh H, Ghorbanpour F. Effect of family centered education on the quality of life patients after coronary artery bypass graft surgery. Iran J Cardiovasc Nurs. 2015;4(2):6-13. [Persian] [Link]
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