Evaluation of the effect of training given according to Pender's Health Promotion Model on psychological insulin resistance

Abstract

This study was conducted to evaluate the effect of training given to individuals with Type 2 Diabetes Mellitus (Type 2 DM) according to Pender's Health Promotion Model on attitudes towards insulin treatment. A randomized controlled design was conducted with a pretest-posttest control group in the endocrinology outpatient clinic of a university hospital in Northern Cyprus with 68 individuals with Type 2 DM who started insulin treatment. The training content was prepared according to Pender's Health Promotion Model and the suitability of the training was ensured by obtaining expert opinions as necessary. Within the scope of the study, individuals were randomly assigned to intervention (n = 34) and control (n = 34) groups. The experimental group received three sessions of training and was followed up for three months. A Patient Enquiry Form and the Insulin Treatment Appraisal Scale were used. An informed consent form was obtained from the patients and all data were collected by the researcher using the face-to-face interview method. To conduct the research, the necessary institutional permission and ethics committee approval were obtained and ethical principles were followed. This study, in which education was given according toPender's Health Promotion Model was evaluated, found that there was no significant difference between the groups in terms of the sociodemographic characteristics and the disease and insulin treatment characteristics of the experimental and control groups (p > 0.05), and both groups were found to be homogenous. The training given according toPender's Health Promotion Model led to a significant improvement in some metabolic control variables and attitudes towards insulin treatment in the experimental group during the three months (p > 0.05). The education provided according to Pender's Health Promotion model helped patients develop a positive attitude towards insulin treatment and it is thus an applicable and reliable resource.