Prediction of self-management behavior among iranian women with type 2 diabetes: application of the theory of reasoned action along with self-efficacy [ETRA]

ABSTRACT

Continuous performing of diabetes self-care behaviors was shown to be an effective strategy to control diabetes and to prevent or reduce its- related complications. This study aimed to investigate predictors of self-care behavior based on the extended theory of reasoned action by self efficacy [ETRA] among women with type 2 diabetes in Iran. A sample of 352 women with type 2 diabetes, referring to a Diabetes Clinic in Khoy, Iran using the nonprobability sampling was enrolled. Appropriate instruments were designed to measure the variables of interest [diabetes knowledge, personal beliefs, subjective norm, self-efficacy and behavioral intention along with self- care behaviors]. Reliability and validity of the instruments using Cronbach's alpha coefficients [the values of them were more than 0.70] and a panel of experts were tested. A statistical significant correlation existed between independent constructs of proposed model and modelrelated dependent constructs, as ETRA model along with its related external factors explained 41.5% of variance of intentions and 25.3% of variance of actual behavior. Among constructs of model, self-efficacy was the strongest predictor of intentions among women with type 2 diabetes, as it lonely explained 31.3% of variance of intentions and 11.4% of variance of self-care behavior. The high ability of the extended theory of reasoned action with self-efficacy in forecasting and explaining diabetes mellitus self management can be a base for educational intervention. So to improve diabetes self management behavior and to control the disease, use of educational interventions based on proposed model is suggested