scholarly journals The effectiveness of an intervention designed based on health action process approach on diet and medication adherence among patients with type 2 diabetes: a randomized controlled trial

2022 ◽  
Vol 14 (1) ◽  
Author(s):  
Soheila Ranjbaran ◽  
Davoud Shojaeizadeh ◽  
Tahereh Dehdari ◽  
Mehdi Yaseri ◽  
Elham Shakibazadeh
Keyword(s):  
Type 2 Diabetes ◽  
Medication Adherence ◽  
Self Efficacy ◽  
Controlled Trial ◽  
Process Approach ◽  
Health Action Process Approach ◽  
Health Action ◽  
Action Process ◽  
Hba1c Levels

Abstract Background Diabetes is a major cause of worldwide morbidity and mortality. Diet and medication non-adherence are common among individuals with diabetes, making glycemic control difficult to attain. This study aimed to evaluate an intervention designed based on Health Action Process Approach (HAPA) to improve adherence to diet and medication among patients with type 2 diabetes in Tehran, Iran. Methods The study was a randomized controlled trial. A total of 248 patients with type 2 diabetes who had low diet and medication adherence were randomly allocated into two intervention (n  = 124) and control (n  = 124) groups. Intervention group received educational intervention during three months. HAPA constructs, diet and medication adherence, and Hemoglobin A1c (HbA1c) levels were assessed at baseline, one month and six months after the intervention. Mixed Model Analysis was used to compare between and within group changes in the outcomes. Results There was a statistically significant improvement in HbA1c levels after six months (7.77 ± 1.36% vs. 8.07 ± 1.52%, 95% CI, p  < 0.001). Diet and medication adherence, intention, task self-efficacy, coping self-efficacy, recovery self-efficacy, action and coping planning, barriers, benefits and perceived social support were significantly improved one month and six months after the intervention (p  < 0.001). Conclusion Our intervention designed based on health action process approach led to improvements in diet and medication adherence, and HbA1c among the patients within one and six months. Trial registration: IRCT, IRCT20151208025431N4. Registered 10 March 2018, https://fa.irct.ir

scholarly journals Determinants of medication adherence among Iranian patients with type 2 diabetes: An application of health action process approach

Heliyon ◽  
2020 ◽  
Vol 6 (7) ◽  
pp. e04442
Author(s):  
Soheila Ranjbaran ◽  
Davoud Shojaeizadeh ◽  
Tahereh Dehdari ◽  
Mehdi Yaseri ◽  
Elham Shakibazadeh
Keyword(s):  
Type 2 Diabetes ◽  
Medication Adherence ◽  
Process Approach ◽  
Health Action Process Approach ◽  
Health Action ◽  
Action Process ◽  
Iranian Patients

scholarly journals Implementation of Health Action Process Approach to Improve Dietary Adherence in Type 2 Diabetic Patient

Jurnal NERS ◽  
2016 ◽  
Vol 10 (2) ◽  
pp. 272
Author(s):  
Kusnanto Kusnanto ◽  
Iqlima Dwi Kurnia ◽  
Dwi Indah Prasetia
Keyword(s):  
Blood Sugar ◽  
Self Efficacy ◽  
Process Approach ◽  
Diabetic Patients ◽  
Dietary Adherence ◽  
Health Action Process Approach ◽  
Health Action ◽  
Action Process ◽  
Type 2 Diabetic

Introduction: Type 2 diabetic patients usually unsuccessful to follow the diet recommendation due to lack of motivation, memory and intention. This study attempts to increase the motivation and also to improve intention in dietary adherence through the implementation of Health Action Process Approach (HAPA). Method: This study was a quasy-experiment. The population were type 2 diabetic patients in Puskesmas Krian Sidoarjo in March-April 2015. Respondents were only 16 and had been divided into experiment and control group. The independent variable was the implementation of HAPA. The dependent variable were self-efficacy, dietary adherence and blood sugar levels. The instruments in this study were questionnaires and blood sugar monitoring devices. Data were analyzed using statistical wilcoxon sign rank test and mann whitney u  test with significance level α ≤ 0.05. Result: Wilcoxon sign rank test showed there were differences between pre and post test significantly on self-efficacy (p=0.014), dietary adherence  (p=0.025), blood sugar levels (p=0.009) in  experiment group, while no significant differences in control group. Mann Witney U test showed that there was significant difference on dietary adherence (p=0.002) between two groups. Discussion: In conclusion, the implementation of HAPA can improve dietary adherence in type 2 diabetic patient. Further, following studies are expected with large number respondents and identify the whole variables in the HAPA theory.Keywords: Health Action Process Approach (HAPA), self efficacy, dietary adherence, blood glucose, Diabetes Mellitus (DM)

scholarly journals Using health action process approach to determine diet adherence among patients with Type 2 diabetes

2020 ◽  
Vol 9 (1) ◽  
pp. 170
Author(s):  
Elham Shakibazadeh ◽  
Soheila Ranjbaran ◽  
Davoud Shojaeizadeh ◽  
Tahereh Dehdari ◽  
Mehdi Yaseri
Keyword(s):  
Type 2 Diabetes ◽  
Process Approach ◽  
Health Action Process Approach ◽  
Diet Adherence ◽  
Health Action ◽  
Action Process

scholarly journals A theory-based intervention to promote medication adherence in patients with rheumatoid arthritis: A randomized controlled trial

2020 ◽  
Vol 40 (1) ◽  
pp. 101-111
Author(s):  
Shahnaz Asgari ◽  
Mahnaz Abbasi ◽  
Kyra Hamilton ◽  
Yu-Pin Chen ◽  
Mark D. Griffiths ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Medication Adherence ◽  
Controlled Trial ◽  
Intervention Group ◽  
Health Action Process Approach ◽  
Treatment As Usual ◽  
Loss To Follow Up ◽  
Health Action ◽  
Action Process

Abstract Introduction/objectives Adherence to prescribed medication regimens is fundamental to the improvement and maintenance of the health of patients with rheumatoid arthritis. It is therefore important that interventions are developed to address this important health behavior issue. The aim of the present study was to design and evaluate a theory-based intervention to improve the medication adherence (primary outcome) among rheumatoid arthritis patients. Methods The study adopted a pre-registered randomized controlled trial design. Rheumatoid arthritis patients were recruited from two University teaching hospitals in Qazvin, Iran from June 2018 to May 2019 and randomly assigned to either an intervention group (n = 100) or a treatment-as-usual group (n = 100). The intervention group received a theory-based intervention designed based on the theoretical underpinnings of the health action process approach (HAPA). More specifically, action planning (making detailed plans to follow medication regimen), coping planning (constructing plans to overcome potential obstacles that may arise in medication adherence), and self-monitoring (using a calendar to record medication adherence) of the HAPA has been used for the treatment. The treatment-as-usual group received standard care. Results Data analysis was conducted based on the principle of intention to treat. Using a linear mixed-effects model (adjusted for age, sex, medication prescribed, and body mass index), the results showed improved medication adherence scores in the intervention group (loss to follow-up = 16) compared to the treatment-as-usual group (loss to follow-up = 12) at the 3-month (coefficient = 3.9; SE = 0.8) and 6-month (coefficient = 4.5; SE = 0.8) follow-up. Intervention effects on medication adherence scores were found to be mediated by some of the theory-based HAPA variables that guided the study. Conclusion The results of the present study support the use of a theory-based intervention for improving medication adherence among rheumatoid arthritis patients, a group at-risk of not adhering to medication regimens. Trial registration (in Iranian Registry of Clinical Trials) irct.ir, IRCT20180108038271N1 Key Points• Theoretical underpinnings of the health action process approach are useful to improve medication adherence for RA patients.

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