Mar 17, 2015 - most Iranian patients with T2DM did not perform self-care activities ...... management among African Americans with diabetes mellitus. ABNF J ...
original article
Oman Medical Journal [2016], Vol. 31, No. 1: 52–59
Impact of Health Literacy, Self-efficacy, and Outcome Expectations on Adherence to Self-care Behaviors in Iranians with Type 2 Diabetes Mahnoush Reisi1, Firoozeh Mostafavi1, Homamodin Javadzade2, Behzad Mahaki3, Elahe Tavassoli4 and Gholamreza Sharifirad5*
Department of Health Education and Health Promotion, Isfahan University of Medical Sciences, Isfahan, Iran Department of Health Education and Health Promotion, Bushehr University of Medical Sciences, Bushehr, Iran 3 Department of Biostatistics and Epidemiology, Isfahan University of Medical Sciences, Isfahan, Iran 4 The Student’s Research Committee Department of Public Health, Shahid Beheshti University of Medical Sciences, Tehran, Iran 5 Department of Public Health, Qom University of Medical Sciences, Qom, Iran 1 2
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Article history: Received: 17 March 2015 Accepted: 9 September 2015
Objectives: Diabetic patients with higher health literacy (HL) may feel more confident in their ability to perform self-care behaviors and may have strong beliefs that diabetesrelated behaviors will lead to specific outcomes. Our study aimed to document the relationships between HL, self-efficacy, outcome expectations, and diabetes self-care of patients with type 2 diabetes mellitus (T2DM) in Iran. Methods: We conducted a crosssectional observational study of 187 patients with T2DM. Participants completed the Functional Communicative and Critical Health Literacy scale, the Summary of Diabetes Self-Care Activities, the Diabetes Management Self-Efficacy Scale, Outcome Expectations Questionnaire, and a demographic questionnaire. Results: Participants who received diabetes education (t = 5.79, p
