The effectiveness of IMB-model based diabetes self-management education with type 2 diabetes patients in Jordan: clinical trial protocol

Abstract for AADE Annual Meeting conference: Background: According to the World Health Organization in 2014, 9% of adults over 18 years old are diagnosed with diabetes and more than 1.5 million deaths occur directly by diabetes in low and middle-income countries. Ajlouni et al (2008) estimated that...

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Main Authors: Albelbisi, Zaki, Windle, Richard, Blake, Holly
Format: Conference or Workshop Item
Published: 2015
Subjects:
Online Access:https://eprints.nottingham.ac.uk/43334/
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author Albelbisi, Zaki
Windle, Richard
Blake, Holly
author_facet Albelbisi, Zaki
Windle, Richard
Blake, Holly
author_sort Albelbisi, Zaki
building Nottingham Research Data Repository
collection Online Access
description Abstract for AADE Annual Meeting conference: Background: According to the World Health Organization in 2014, 9% of adults over 18 years old are diagnosed with diabetes and more than 1.5 million deaths occur directly by diabetes in low and middle-income countries. Ajlouni et al (2008) estimated that approximately one million people in Jordan have been diagnosed with type 2 diabetes; a figure that is increasing. To prevent diabetes microvascular and macro vascular complications, increased efforts and attention need to be directed towards improving glycaemic levels and improving metabolic outcomes through appropriate glycaemic management and this may be best achieved through educating patients in self-management of diabetes. Barriers in diabetes self-management behaviours were found to be consistent with Information-Motivation-Behavioural skills (IMB) Model of behavioural change. 2- Aim: to examine the effects of IMB Model-based Diabetes Self-Management Educational (DSME) intervention on three self-management activities: patients’ eating habits, physical activity and medications management, in patients who attend the (NCDEG). 3- Research protocol and methods: A two group trial with randomised allocation of 230 participants on 1:1 average for both groups. Intervention group will receive the educational intervention. Control group will receive usual clinical care and referral to diabetes educational consultation if required. This study will implement an individualised DSME program based on Information-Motivation-Behavioural (IMB) skills theory. IMB behavioural change theory assumption proposes that health-related behaviour information, motivation and behavioural skills are primary determinants of promoting health behaviour. Researcher will use a validated DSME toolkit and will be delivered using motivational interviewing techniques through two face-to-face sessions (one at the beginning and one at the end) and several phone calls intervention for each participant during a period of 3 months from participation. Both groups will be assessed at 2 follow-up times (after 3 months and 6 months) for self-management knowledge, motivation, behavioural skills, diabetes level (HbA1c), blood pressure and weight from baseline assessment (time of participation). After delivering the intervention to participants in the intervention group immediately (after 3 month), a purposive sampling approach will be used to choose 15 participants for an interview to ask them to evaluate the process of implementing of the educational intervention. 4- Implications for practice/research: This clinical trial will make a knowledge contribution about conceptualizing behavioural change techniques as well as individually and culturally tailored needs, within self-management educational intervention for patients with DM. Moreover, this trial designed on three main operations: assessing, implementation and evaluation. Competently, each operation is constructed on IMB model elements, which will provide a comprehensive understanding of how Jordanian patients’ Knowledge, Motivation, Behavioural skills and metabolic outcomes changes overtime, in tandem with performing self-management behaviours over three main points of time, pre-and-post intervention and post follow up.
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spelling nottingham-433342020-05-04T17:15:10Z https://eprints.nottingham.ac.uk/43334/ The effectiveness of IMB-model based diabetes self-management education with type 2 diabetes patients in Jordan: clinical trial protocol Albelbisi, Zaki Windle, Richard Blake, Holly Abstract for AADE Annual Meeting conference: Background: According to the World Health Organization in 2014, 9% of adults over 18 years old are diagnosed with diabetes and more than 1.5 million deaths occur directly by diabetes in low and middle-income countries. Ajlouni et al (2008) estimated that approximately one million people in Jordan have been diagnosed with type 2 diabetes; a figure that is increasing. To prevent diabetes microvascular and macro vascular complications, increased efforts and attention need to be directed towards improving glycaemic levels and improving metabolic outcomes through appropriate glycaemic management and this may be best achieved through educating patients in self-management of diabetes. Barriers in diabetes self-management behaviours were found to be consistent with Information-Motivation-Behavioural skills (IMB) Model of behavioural change. 2- Aim: to examine the effects of IMB Model-based Diabetes Self-Management Educational (DSME) intervention on three self-management activities: patients’ eating habits, physical activity and medications management, in patients who attend the (NCDEG). 3- Research protocol and methods: A two group trial with randomised allocation of 230 participants on 1:1 average for both groups. Intervention group will receive the educational intervention. Control group will receive usual clinical care and referral to diabetes educational consultation if required. This study will implement an individualised DSME program based on Information-Motivation-Behavioural (IMB) skills theory. IMB behavioural change theory assumption proposes that health-related behaviour information, motivation and behavioural skills are primary determinants of promoting health behaviour. Researcher will use a validated DSME toolkit and will be delivered using motivational interviewing techniques through two face-to-face sessions (one at the beginning and one at the end) and several phone calls intervention for each participant during a period of 3 months from participation. Both groups will be assessed at 2 follow-up times (after 3 months and 6 months) for self-management knowledge, motivation, behavioural skills, diabetes level (HbA1c), blood pressure and weight from baseline assessment (time of participation). After delivering the intervention to participants in the intervention group immediately (after 3 month), a purposive sampling approach will be used to choose 15 participants for an interview to ask them to evaluate the process of implementing of the educational intervention. 4- Implications for practice/research: This clinical trial will make a knowledge contribution about conceptualizing behavioural change techniques as well as individually and culturally tailored needs, within self-management educational intervention for patients with DM. Moreover, this trial designed on three main operations: assessing, implementation and evaluation. Competently, each operation is constructed on IMB model elements, which will provide a comprehensive understanding of how Jordanian patients’ Knowledge, Motivation, Behavioural skills and metabolic outcomes changes overtime, in tandem with performing self-management behaviours over three main points of time, pre-and-post intervention and post follow up. 2015-08-13 Conference or Workshop Item PeerReviewed Albelbisi, Zaki, Windle, Richard and Blake, Holly (2015) The effectiveness of IMB-model based diabetes self-management education with type 2 diabetes patients in Jordan: clinical trial protocol. In: 2015 American Association of Diabetes Educators Annual Meeting, 5-8 August 2015, New Orleans, USA. IMB model Diabetes Mellitus Diabetes Self Management Education Type 2 Behavioral change model
spellingShingle IMB model
Diabetes Mellitus
Diabetes Self Management Education
Type 2
Behavioral change model
Albelbisi, Zaki
Windle, Richard
Blake, Holly
The effectiveness of IMB-model based diabetes self-management education with type 2 diabetes patients in Jordan: clinical trial protocol
title The effectiveness of IMB-model based diabetes self-management education with type 2 diabetes patients in Jordan: clinical trial protocol
title_full The effectiveness of IMB-model based diabetes self-management education with type 2 diabetes patients in Jordan: clinical trial protocol
title_fullStr The effectiveness of IMB-model based diabetes self-management education with type 2 diabetes patients in Jordan: clinical trial protocol
title_full_unstemmed The effectiveness of IMB-model based diabetes self-management education with type 2 diabetes patients in Jordan: clinical trial protocol
title_short The effectiveness of IMB-model based diabetes self-management education with type 2 diabetes patients in Jordan: clinical trial protocol
title_sort effectiveness of imb-model based diabetes self-management education with type 2 diabetes patients in jordan: clinical trial protocol
topic IMB model
Diabetes Mellitus
Diabetes Self Management Education
Type 2
Behavioral change model
url https://eprints.nottingham.ac.uk/43334/