A self-efficacy education programme on foot self-care behaviour among older patients with diabetes in a public long-term care institution, Malaysia: a quasi-experimental pilot study
Objective: A pilot self-efficacy education programme was conducted to assess the feasibility, acceptability and potential impact of the self-efficacy education programme on improving foot self-care behaviour among older patients with diabetes in a public long-term care institution. Method: A prequa...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2017
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| Online Access: | http://psasir.upm.edu.my/id/eprint/63953/ http://psasir.upm.edu.my/id/eprint/63953/1/63953.pdf |
| _version_ | 1848854868509327360 |
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| author | Ahmad Sharoni, Siti Khuzaimah Abdul Rahman, Hejar Minhat, Halimatus Sakdiah Shariff Ghazali, Sazlina Azman Ong, Mohd Hanafi |
| 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 |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | Objective: A pilot self-efficacy education programme was conducted to assess the feasibility, acceptability and potential impact of the self-efficacy education programme on improving foot self-care behaviour among older patients with diabetes in a public long-term care institution.
Method: A prequasi-experimental and postquasi-experimental study was conducted in a public long-term care institution in Selangor, Malaysia. Patients with diabetes aged 60 years and above who fulfilled the selection criteria were invited to participate in this programme. Four self-efficacy information sources; performance accomplishments, vicarious experience, verbal persuasion and physiological information were translated into programme interventions. The programme consisted of four visits over a 12-week period. The first visit included screening and baseline assessment and the second visit involved 30 min of group seminar presentation. The third and fourth visits entailed a 20-min one-to-one follow-up discussion and evaluation. A series of visits to the respondents was conducted throughout the programme. The primary outcome was foot self-care behaviour. Foot self-efficacy (efficacy-expectation), foot care outcome expectation, knowledge of foot care, quality of life, fasting blood glucose and foot condition were secondary outcomes. Data were analysed with descriptive and inferential statistics (McNemar's test and Wilcoxon signed-rank test) using the Statistical Package for the Social Sciences V.20.0.
Results: Fifty-two residents were recruited but only 31 met the inclusion criteria and were included in the analysis at baseline and at 12 weeks postintervention. The acceptability rate was moderately high. At postintervention, foot self-care behaviour (p<0.001), foot self-efficacy (efficacy-expectation), (p<0.001), foot care outcome expectation (p<0.001), knowledge of foot care (p<0.001), quality of life (physical symptoms) (p=0.003), fasting blood glucose (p=0.010), foot hygiene (p=0.030) and anhydrosis (p=0.020) showed significant improvements.
Conclusion: Findings from this pilot study would facilitate the planning of a larger study among the older population with diabetes living in long-term care institutions. |
| first_indexed | 2025-11-15T11:16:42Z |
| format | Article |
| id | upm-63953 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T11:16:42Z |
| publishDate | 2017 |
| publisher | BMJ Publishing Group |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-639532018-06-08T00:27:45Z http://psasir.upm.edu.my/id/eprint/63953/ A self-efficacy education programme on foot self-care behaviour among older patients with diabetes in a public long-term care institution, Malaysia: a quasi-experimental pilot study Ahmad Sharoni, Siti Khuzaimah Abdul Rahman, Hejar Minhat, Halimatus Sakdiah Shariff Ghazali, Sazlina Azman Ong, Mohd Hanafi Objective: A pilot self-efficacy education programme was conducted to assess the feasibility, acceptability and potential impact of the self-efficacy education programme on improving foot self-care behaviour among older patients with diabetes in a public long-term care institution. Method: A prequasi-experimental and postquasi-experimental study was conducted in a public long-term care institution in Selangor, Malaysia. Patients with diabetes aged 60 years and above who fulfilled the selection criteria were invited to participate in this programme. Four self-efficacy information sources; performance accomplishments, vicarious experience, verbal persuasion and physiological information were translated into programme interventions. The programme consisted of four visits over a 12-week period. The first visit included screening and baseline assessment and the second visit involved 30 min of group seminar presentation. The third and fourth visits entailed a 20-min one-to-one follow-up discussion and evaluation. A series of visits to the respondents was conducted throughout the programme. The primary outcome was foot self-care behaviour. Foot self-efficacy (efficacy-expectation), foot care outcome expectation, knowledge of foot care, quality of life, fasting blood glucose and foot condition were secondary outcomes. Data were analysed with descriptive and inferential statistics (McNemar's test and Wilcoxon signed-rank test) using the Statistical Package for the Social Sciences V.20.0. Results: Fifty-two residents were recruited but only 31 met the inclusion criteria and were included in the analysis at baseline and at 12 weeks postintervention. The acceptability rate was moderately high. At postintervention, foot self-care behaviour (p<0.001), foot self-efficacy (efficacy-expectation), (p<0.001), foot care outcome expectation (p<0.001), knowledge of foot care (p<0.001), quality of life (physical symptoms) (p=0.003), fasting blood glucose (p=0.010), foot hygiene (p=0.030) and anhydrosis (p=0.020) showed significant improvements. Conclusion: Findings from this pilot study would facilitate the planning of a larger study among the older population with diabetes living in long-term care institutions. BMJ Publishing Group 2017 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/63953/1/63953.pdf Ahmad Sharoni, Siti Khuzaimah and Abdul Rahman, Hejar and Minhat, Halimatus Sakdiah and Shariff Ghazali, Sazlina and Azman Ong, Mohd Hanafi (2017) A self-efficacy education programme on foot self-care behaviour among older patients with diabetes in a public long-term care institution, Malaysia: a quasi-experimental pilot study. BMJ Open, 7. art. no. e014393. pp. 1-10. ISSN 2044-6055 http://bmjopen.bmj.com/content/7/6/e014393 10.1136/bmjopen-2016-014393 |
| spellingShingle | Ahmad Sharoni, Siti Khuzaimah Abdul Rahman, Hejar Minhat, Halimatus Sakdiah Shariff Ghazali, Sazlina Azman Ong, Mohd Hanafi A self-efficacy education programme on foot self-care behaviour among older patients with diabetes in a public long-term care institution, Malaysia: a quasi-experimental pilot study |
| title | A self-efficacy education programme on foot self-care behaviour among older patients with diabetes in a public long-term care institution, Malaysia: a quasi-experimental pilot study |
| title_full | A self-efficacy education programme on foot self-care behaviour among older patients with diabetes in a public long-term care institution, Malaysia: a quasi-experimental pilot study |
| title_fullStr | A self-efficacy education programme on foot self-care behaviour among older patients with diabetes in a public long-term care institution, Malaysia: a quasi-experimental pilot study |
| title_full_unstemmed | A self-efficacy education programme on foot self-care behaviour among older patients with diabetes in a public long-term care institution, Malaysia: a quasi-experimental pilot study |
| title_short | A self-efficacy education programme on foot self-care behaviour among older patients with diabetes in a public long-term care institution, Malaysia: a quasi-experimental pilot study |
| title_sort | self-efficacy education programme on foot self-care behaviour among older patients with diabetes in a public long-term care institution, malaysia: a quasi-experimental pilot study |
| url | http://psasir.upm.edu.my/id/eprint/63953/ http://psasir.upm.edu.my/id/eprint/63953/ http://psasir.upm.edu.my/id/eprint/63953/ http://psasir.upm.edu.my/id/eprint/63953/1/63953.pdf |