ABSTRACT
BACKGROUND: The prevalence of diabetes makes considerable costs for health-care organizations. The increase of patient's self-care abilities by use of personalizing health information prescription can reduce these costs. This study was conducted to explore the benefits and challenges related to personalizing health information prescription in diabetes clinical settings. MATERIALS AND METHODS: The samples included diabetes education officials working in specialized diabetes clinics and Diabetes Research Centre managers of Iran and Tehran Universities of Medical Sciences. They were 21 cases and selected through purposeful sampling method. Semi-structured interview and focus discussion groups were used to collect the viewpoints of specialists. Interview guide, based on literature review and the documents of diabetes, was used in interviews and focus groups. Their validity was affirmed by specialists. The interview texts were coded in MAXQDA10 software and analyzed through content analysis method. RESULTS: The most important benefits of personalizing health information prescription were classified into five themes as follows: medical services improvement, facilitation of consumers to information resources, improvement in patients' knowledge and awareness, increase in self-care ability and disease management, reinforcing the relation between physician and patient and keeping physician in the information prescription cycle. The challenges of personalizing of health information prescription were revealed as follows: Recognition of patients' personal characteristics at the turn of entering the system, systems' functional modifiers especially bilateral interaction and relation to patient's health file, content recognition, and creating suitable protocol. CONCLUSION: This study showed that diabetes clinical settings face different organizational and process challenges for establishing the personalization of health information prescription. The most important challenges which should be considered in designing information prescription in diabetes clinical environments are as follows: reinforcing physicians' recognition of information prescription benefits, lack of integrative electronic health information system, and patient primary assessment in the first stage of entering the patient into the system in respect of clinical and personal aspects in information needs of consumer.
ABSTRACT
INTRODUCTION: An important construct to consider within diabetes management and the changing landscape of diabetes therapies is self-efficacy. Self-efficacy research holds the potential to inform and assist the diabetes team as well as patients with type 1 diabetes. METHODS: In this descriptive-correlation study, 200 adolescents with type 1 diabetes were enrolled. To measure spiritual intelligence, the 24-question Spiritual Intelligence Self-Report Inventory questionnaire and to measure self-efficacy of diabetes, the Self-efficacy Questionnaire (8 questions) were used. Data collection was conducted by simple sampling. Data were analyzed using Pearson analysis, mean, and standard deviation analysis tests. RESULTS: Nearly 66% of the participants were female, the mean age of the samples was 17.10 ± 1.85 years, the mean duration of diabetes was 5.98 ± 3.79 years, and 62.5% had a history of diabetes in first-degree relatives. Almost 42% of the participants were the first children of the family and 29.5% were studying at the university. The mean score of spiritual intelligence was 60.42 ± 12.9. The mean self-efficacy score was 5.41 ± 1.87. The mean scores in the critical thinking, personal meaning production, transcendental awareness, conscious state expansion were 18.31 ± 4.33, 13.17 ± 3.36, 11.26 ± 3.36, 46.14 ± 1.04, 11.33 ± 1.04, and 11.89 ± 3.9, respectively. Cronbach's alpha level on the level of spiritual intelligence and self-efficacy was 0.903 and 0.082, respectively, at 95% confidence level. There was a significant relationship between spiritual intelligence and self-efficacy (P = 0.026). There was no significant relationship between self-efficacy with spiritual intelligence subscales. CONCLUSION: This study showed that spiritual intelligence correlates with self-efficacy and has a decisive role in improving the health of adolescents with diabetes.
