Health Communication Programs Research Articles

Examining the Role of Information Behavior in Linking Cancer Risk Perception and Cancer Worry to Cancer Fatalism in China: Cross-Sectional Survey Study.

Reducing cancer fatalism is essential because of its detrimental impact on cancer-related preventive behaviors. However, little is known about factors influencing individuals' cancer fatalism in China. With a general basis of the extended parallel process model, this study aims to examine how distinct cancer-related mental conditions (risk perception and worry) and different information behaviors (information seeking vs avoidance) become associated with cancer fatalism, with an additional assessment of the moderating effect of information usefulness. Data were drawn from the Health Information National Trends Survey in China, which was conducted in 2017 (N=2358). Structural equation modeling and bootstrapping methods were performed to test a moderated mediation model and hypothesized relationships. The results showed that cancer risk perception and cancer worry were positively associated with online health information seeking. In addition, cancer worry was positively related to cancer information avoidance. Moreover, online health information seeking was found to reduce cancer fatalism, while cancer information avoidance was positively associated with cancer fatalism. The results also indicated that the perceived usefulness of cancer information moderated this dual-mediation pathway. The national survey data indicate that cancer mental conditions should not be treated as homogeneous entities, given their varying functions and effects. Apart from disseminating useful cancer information to encourage individuals to adaptively cope with cancer threats, we advocate for health communication programs to reduce cancer information avoidance to alleviate fatalistic beliefs about cancer prevention.

A review of strategies and levels of community engagement in strengths-based and needs-based health communication interventions.

Community engagement is key in health communication interventions that seek to incorporate community voices in their planning and implementation. Understanding what approaches and strategies are currently being used can help tailor programs in different social and cultural contexts. This review explores needs-based and strengths-based approaches and consensus and conflict strategies in community-based global health communications programs. Our objective is to examine the current state of the field, outline lessons learned, and identify gaps in existing programming to help guide future interventions. PubMed and Web of Science were searched for articles published between 2010 and 2023. Studies were included if they described a community-based health communication intervention and an ongoing or completed implementation. Interventions were coded then categorized according to their level of community engagement and as single, hybrid, or complex, depending upon the number of approaches and strategies used. The search yielded 678 results and 42 were included in the final review and analysis. A vast majority 34 (81.0%) interventions utilized a needs-based approach and 24 (57.1%) utilized a strengths-based approach. Consensus as a strategy was utilized in 38 (90.5%) of the manuscripts and 9 (21.4%) implemented a conflict strategy. Interventions that combined approaches and strategies were more likely to leverage a higher level of community engagement. These results showcase the complicated nature of global health communication program planning and implementation. There is a lack of interventions that use conflict as a strategy to empower communities to act on their own behalf, even when at odds with existing power structures. Complex interventions that include all approaches and strategies demonstrate the potential for global health communication interventions to be at the cutting edge of public health practice.

Examining impact of Twitter sentiment & source on COVID-19 info sharing by public

Abstract Introduction Public health communication programs have the power to affect change in people and groups by increasing awareness, enhancing knowledge, modifying attitudes and altering behaviours when they are properly designed, meticulously executed and maintained over time. There has been an influx of public health communication on social media during COVID-19. Aim To investigate if the Twitter user category (source) and/or message type (sentiment) impacts sharing behaviour of the public during COVID which would help understand how to use social media when communicating health messages. Methods All tweets in English were extracted using Twitter API and Python script. Data was extracted from 1 Jan 2020 to 31 Mar 2022 for Ireland and UK which resulted in 867,485 tweets in total. Four coders identified user categories by studying the user descriptions in an iterative process and sentiment analysis was conducted to identify message types during the pandemic. For sentiment categorisation, a similar approach was followed where four message categories were identified from existing public health literature and additional categories were created through the analysis of Twitter messages by five coders. Different Machine learning (ML) models and Chat GPT were applied to assign user categories and sentiments to the entire dataset and the model with the highest level of agreement with human coders was chosen. Results Overall the public sentiment was negative during the pandemic. Twelve user categories and seven message types were identified from our analysis. Conclusions Further detail of this ongoing analysis will be presented at the conference. Key messages • The abstract introduces a study that investigates the impact of Twitter user categories on the sharing behaviour of the public during COVID-19. • The study investigates the impact of message types on the sharing behaviour of the public during COVID-19 on Twitter.

Mass Media and Health Communication Messages: Implications for Rural Development in the 21st Century Nigeria

This paper explores the role of mass media in health communication campaigns for rural development in the 21st century Nigeria. Mass media have been found to be critical components of Nigeria’s rural development because of their role in disseminating health communication messages with the aim of empowering and improving the health knowledge and skills as well as changing health behaviours of rural dwellers to improve their living conditions. The paper meticulously pinpoints the contributions of mass media in health communication; identified some select health communication programmes that succeeded in Nigeria courtesy of mass media amplification role as well as explored the challenges of mass media channels in rural health communication efforts. The paper is anchored on the agenda setting theory. The paper concluded that mass media are catalysts to rural development in Nigeria. The study recommended that communication should be the priority of government and development programme designers because of the pivotal role it plays in combating ignorance and misinformation in public health issues in Nigeria.

The health communication for the acceleration of stunting reduction in Garut regency

Background: The stunting prevalence rate is still a significant concern that must be resolved in Indonesia, especially in West Java. The latest data obtained from SSGI (2022) states that out of 27 districts/cities in West Java, four districts/cities have a high stunting prevalence (30%-39.9%) which are Garut Regency, Cianjur Regency, Bandung Regency, and Cirebon City. Garut is in the public spotlight because it has the highest stunting prevalence in West Java. Purpose: Therefore, referring to these data, researchers are interested in knowing the health communication polemic in responding to Garut Regency’s acceleration of reducing stunting prevalence. Method: The research approach used is qualitative research with a case study method. In Garut, stunting is a critical issue and is still being worked on. This study used in-depth interviews to collect data from five informants, participatory observation, and a literature study. Results: The results of the study showed exciting findings, including First, the existence of social, cultural, and economic factors as the cause of the health communication polemic in the acceleration of reducing Garut Regency’s stunting prevalence; Secondly, the health communication process has been conducted to accelerate a stunting reduction in Garut Regency; and thirdly, the need for health communication planning evaluation for accelerating stunting reduction so that even this has become a polemic until now. Conclusion: The health communication program planning evaluation carried out should be able to determine the next steps that must be taken so that this health communication polemic can be resolved immediately. Implications: The findings from this research have implications for the development of the next accelerated stunting reduction program, especially in Garut. The existence of an evaluation of the communication program is an important note that can be considered to realize the achievement of Indonesia Emas 2024.

Food Hygiene and Fecal Contamination on the Household Compound are Associated with Increased Pediatric Diarrhea in Urban Bangladesh (CHoBI7 Program).

In this prospective cohort study, we explored individual- and household-level risk factors associated with diarrheal diseases among 251 children younger than 5 years in slum areas of urban Dhaka, Bangladesh. During the 3-month study period, diarrhea surveillance was conducted monthly, and spot checks of the household compound were performed at baseline to assess the presence of feces (animal or human) in the household compound and in cooking and food storage areas, and to assess whether cooked food was covered and refrigerated. We also collected caregiver reports on child mouthing behaviors. Children living in households with feces within 10 steps of cooking and food storage areas (odds ratio [OR], 8.43; 95% CI, 1.01-70.18), those with visible feces found on the ground of the household compound (OR, 4.05; 95% CI, 1.24-13.22), and those in households found to keep cooked food uncovered and without refrigeration (OR, 6.16; 95% CI, 1.11-34.25) during spot checks had a significantly greater odds of diarrhea. There was no significant association between pediatric diarrhea and caregiver-reported child mouthing behaviors or presence of animals in the cooking area. These study findings demonstrate that presence of visible feces in the household compound and near cooking and food storage areas, and poor household food hygiene practices, were significant risk factors for diarrheal disease among young children in Dhaka, Bangladesh. Health communication programs are needed to target these exposure pathways to fecal pathogens.

Can we design the next generation of digital health communication programs by leveraging the power of artificial intelligence to segment target audiences, bolster impact and deliver differentiated services? A machine learning analysis of survey data from rural India

ObjectivesDirect to beneficiary (D2B) mobile health communication programmes have been used to provide reproductive, maternal, neonatal and child health information to women and their families in a number of countries...

Oral hygiene behaviour and its determinants among preparatory school students in Gondar city, Northwest Ethiopia: A cross-sectional study.

This study aimed to evaluate oral hygiene behaviour and its determinants among preparatory school students in Gondar city, Northwest Ethiopia. Institutional-based cross-sectional study was conducted among 423 students to evaluate their oral hygiene behaviour and determinant factors (sociodemographic attributes, oral hygiene knowledge, and attitude to oral hygiene behaviours). Linear regression was employed to identify factors associated with oral hygiene behaviour. A p-value of <0.05 and a 95% confidence interval were used to declare statistical significance. A total of 407 students participated with a response rate of 96.2%. The mean age of the participants was 18 (SD ±1.3). The mean oral hygiene behaviour (OHB) score was about 7.89 ± 3.43. Only 9.2%, 21.4%, and 5.7% were brushing their teeth at least twice a day, cleaning their tongue, and flossing at least once a day respectively. Father's educational status (able to read and write (β=1.99, 95% CI: 0.62, 3.38), completed secondary school (β=1.68, 95% CI: 0.18, 3.18), and diploma and higher (β=1.75, 95% CI: 0.33, 3.18)), being from private school (β=3.25, 95%CI: 2.30, 4.19), knowledge about OHB (β=0.16, 95% CI: 0.01, 0.30), and attitude towards OHB (β=0.11, 95% CI: 0.08, 0.14) were significant factors positively associated with better oral hygiene behaviour. Oral hygiene behaviour was poor among preparatory school students in Gondar city. Father's educational status, students' oral hygiene knowledge, and attitude were found to be significant factors affecting students' oral hygiene behaviour. Thus, tailored school-based oral health communication programs are highly required to improve students' oral hygiene behaviour.

A Six-Month Outcome Evaluation of Media Aware Parent, a Parent-Based Media Mediation and Sexual Health Communication Program to Promote Adolescent Sexual Health

ABSTRACT The purpose of this study was to evaluate the sustained effects of a web-based program for parents of adolescents designed to help them engage in media mediation and high-quality parent-adolescent communication about sex, relationships, and media. A randomized control trial was conducted with parent-adolescent pairs (n=375 pairs). Adolescents were in 7th-9th grade. Pairs were randomly assigned to either the intervention Media Aware Parent or active control (medically accurate adolescent sexual health information). This study analyzed the impact of Media Aware Parent 6 months after pretest. Several outcomes significant at one-month posttest were sustained at 6 months, including enhanced parents’ media-related cognitions (e.g. media skepticism) and adolescent awareness of family media rules. Parents’ reports of restrictive media mediation and adolescents’ reports of their parent engaging in supportive parenting, which were not significant at posttest, emerged as significant at 6 months, signifying that the program resulted in changes in parent behavior and the parent-adolescent relationship over time. The impact of the program on parent-adolescent communication quality and adolescent sexual health and media-related outcomes diminished over time, suggesting the need for program boosters to encourage parents to continue engaging in high-quality conversations with their adolescent children about sex, relationships, and media.

Evaluation of a water arsenic filter in a participatory intervention to reduce arsenic exposure in American Indian communities: The Strong Heart Water Study

Many rural populations, including American Indian communities, that use private wells from groundwater for their source of drinking and cooking water are disproportionately exposed to elevated levels of arsenic. However, programs aimed at reducing arsenic in American Indian communities are limited. The Strong Heart Water Study (SHWS) is a randomized controlled trial aimed at reducing arsenic exposure among private well users in American Indian Northern Great Plains communities. The community-led SHWS program installed point-of-use (POU) arsenic filters in the kitchen sink of households, and health promoters delivered arsenic health communication programs. In this study we evaluated the efficacy of these POU arsenic filters in removing arsenic during the two-year installation period. Participants were randomized into two arms. In the first arm households received a POU arsenic filter, and 3 calls promoting filter use (SHWS mobile health (mHealth) & filter arm). The second arm received the same filter and phone calls, and 3 in-person home visits and 3 Facebook messages (SHWS intensive arm) for program delivery. Temporal variability in water arsenic concentrations from the main kitchen faucet was also evaluated. A total of 283 water samples were collected from 50 households with private wells from groundwater (139 filter and 144 kitchen faucet samples). Ninety-three percent of households followed after baseline had filter faucet water arsenic concentrations below the arsenic maximum contaminant level of 10 μg/L at the final visit during our 2 year study period with no difference between study arms (98 % in the intensive arm vs. 94 % in the mHealth & filter arm). No significant temporal variation in kitchen arsenic concentration was observed over the study period (intraclass correlation coefficient = 0.99). This study demonstrates that POU arsenic filters installed for the community participatory SHWS program were effective in reducing water arsenic concentration in study households in both arms, even with delivery of the POU arsenic filter and mHealth program only. Furthermore, we observed limited temporal variability of water arsenic concentrations from kitchen faucet samples collected over time from private wells in our study setting.

Covid-19 health communication barriers in multicultural communities in Indonesia

The central government and local governments conducted a series of health communication efforts to deal with the Covid-19 pandemic. However, there is still a behaviour of rejection in the community that is published in the news in mass media, including online media. In public health, including health communication programs, especially in the health belief model, a person’s behaviour to follow or refuse can be influenced by health beliefs. Uncertainty can be an obstacle to behaviour. From a multicultural perspective, beliefs are one of the things that affect public health behaviour. This study tried to uncover the barriers to Covid-19 health communication in multicultural communities in Indonesia using online news content analysis methods on the five most popular news websites in Indonesia, namely okezone.com, tribunnews.com, pikiran-rakyat.com, kompas.com, and detik.com. The results revealed that the top five barriers to health communication were religion (17.2%), survival (12.67%), beliefs that Covid-19 does not exist (9.9%), self-immunity confidence (9.9%), and stigma (9.9%).

Knowledge, attitude on prevention from Human Papilloma Virus infection (HPV) and related factors among parents of male students at junior high schools in Hue city

Introduction: Human Papilloma Virus (HPV) is a common sexually transmitted virus. HPV causes many diseases and the risk for many types of cancer which has been reported in both sexes, not just cervical cancer in females. However, the prevention of HPV infection is quite limited among males in Vietnam. The study is to evaluate knowledge, attitude on prevention of HPV infection among parents of male students at some junior high schools in Hue city and explore some related factors. Methods: A cross-sectional study was conducted among 785 parents of male students at four junior high schools in Hue city. Data were collected by direct interviews with structured questionnaire. Multivariate logistic regression model was used to identify the related factors. Results: Participants who got good knowledge and positive attitude of HPV infection prevention accounted for 18.9% and 15.2%, respectively. Occupation, educational level of parents, number of sons and family history of HPV related diseases influenced on knowledge about HPV infection prevention. Relations with son, educational level of parents, defect/chronic disease of son and knowledge of parents were significantly associated with their attitude toward HPV infection prevention (p &lt; 0.05). Conclusions: This study highlighted that knowledge, attitude on HPV infection prevention of the parents of male students in Hue city was still low. The health sector needs to implement comprehensive health education and communication programs to improve knowledge, attitude about prevention of HPV infection for people, especially males. Key words: knowledge, attitude, human papilloma virus, HPV, parents, male students

Lessons learnt from applying a human-centred design process to develop one of the largest mobile health communication programmes in the world

‘Design with the user’ is a guiding principle for creating digital solutions to solve systemic developmental challenges. According to this principle, digital solutions are more likely to be effective if...

Informational needs and predictors of Jordanian breast and colorectal cancer survivors: a national cross-sectional study

PurposeTo investigate the informational gap and predictors of information-seeking behaviour amongst survivors to inform survivorship planning and supportive cancer services for the population.MethodsA national cross-sectional survey of breast and colorectal cancer survivors was conducted in 2020 using a representative sample of those diagnosed in 2015/2016 as recruited from Jordan’s Cancer Registry (JCR). Participants responded to a 3-domain questionnaire: background information (9 items); information typologies (13 items) measured on a 5-point Likert scale (from very interested to extremely not interested); timing of developing the information needs (13 items) (ranging from immediately after diagnosis to after recurrence). Logistic regression was used to determine the independent association between demographics and information-seeking behaviour amongst survivors. The chi-square test was employed to examine the association between categorical variables. ANOVA was used to compare the means of interest in cancer-related information between more than two groups.ResultsResults show a relatively high overall information needs amongst survivors (3.68 ± 1.53). The most prevalent typologies were cancer staging (3.77 ± 1.593), treatment options (3.76 ± 1.55), and doctors’ communications (3.73 ± 1.62). ANOVA revealed no statistically significant differences between cancer types. 55.8% of patients desired information immediately after diagnosis and 23.3% developed their needs within 2 months. There was a statistically significant difference across all information typologies and educational attainment, age groups, monthly income, and employment (P < 0.05). Age was the only independent predictor of high information requirements amongst cancer survivors.ConclusionSurvivors reported high cancer information needs, suggesting that they may have been under-informed. Effective health communication programmes should be implemented to meet the informational needs.

In Our Sacred Voice – An Exploration of Tribal and Community Leader Perceptions as Health Communicators of Disease Prevention among American Indians in the Plains

ABSTRACT American Indians (AI) are disproportionately and significantly impacted by disease morbidity, mortalityand poor behavioral health outcomes. Health promotion and health communication programs exist to address these health disparities and health conditions; however, few programs fully integrate holistic approaches when targeting AI populations. The objective of this study was to explore how tribal and community leaders throughout the Central Plains (Kansas, Iowa, Missouri, and South Dakota) viewed themselves as health communicators and health promoters within their communities. Members of the Center for American Indian Community Health (CAICH) conducted 39 in-depth interviews with members of federally recognized tribes living in reservation communities as well as urban tribal communities across the region. Results from the sample show that these individuals do not necessarily see themselves as the “authority” health communicator or health promoter within their tribe or community. They did perceive themselves and others as gatekeepers of pertinent health information. Social and cultural authority within culturally centered messaging and collective delivery of this type of health information from trusted sources within tribes and communities is perceived to bolster health communication programs and positively impact health outcomes among AI populations.

KNOWLEDGE, PRACTICE TOWARD COVID-19 PREVENTION AMONG PEOPLE LIVING IN TAN PHU DISTRICT, HO CHI MINH CITY 2020

This study aims to assess the accessibility of information ressources and knowledge, practice toward COVID-19 prevention among people living in Tan Phu district, at Ho Chi Minh City. Cross-sectional study was performed from June 2020 and used two-stage random sampling. Data was collected by self-management questionnaire. Television and the Internet are most commonly accessed. Many people underrate COVID-19 infected risk in healthy people, children, and young people, and misperception that only wearing masks properly does not need to use other precautions, limiting hand washing practices and cleaning surfaces. Health education and communication programs need to pay more attention to the limitations of knowledge and practice, and choose appropriate communication channels to improve the effectiveness of COVID-19 prevention and control

The adaptation of Turkish health literacy scale for literate Syrian adult refugees living in Turkey: a reliability\u2013validity study

BackgroundTurkey hosts the world’s largest refugee population of whom 3.5 million are Syrians and this population has been continuously growing since the year 2011. This situation causes various problems, mainly while receiving health-care services. In planning the migrant health-care services, for the policy makers of host countries, health literacy level of migrants is an important measure. Determination of health literacy level of Syrian refugees in Turkey would be supportive for planning some interventions to increase health-care service utilization, as well as health education and health communication programs. An “original health literacy scale” for 18–60 years of age Turkish literate adults (Hacettepe University Health Literacy Scale-HLS) was developed to be used as a reference scale in 2018. Since it would be useful to compare the health literacy levels of Turkish adults with Syrian adult refugees living in Turkey with an originally developed scale, in this study, it was aimed to adapt the HLS-Short Form for Syrian refugees.MethodsThis methodological study was carried out between the years 2019–2020 in three provinces of Turkey where the majority of Syrians reside. The data was collected by pre-trained, Arabic speaking 12 interviewers and three supervisors via a questionnaire on household basis. At first, the original Scale and questionnaire were translated into Arabic and back translated into the original language. The questionnaire and the Scale were pre-tested among 30 Syrian refugees in Ankara province. A total of 1254 refugees were participated into the main part of the study; 47 health-worker participants were excluded from the validity-reliability analysis. Confirmatory factor analysis (CFA) was performed. Cronbach’s alpha and Spearman–Brown coefficients were calculated.ResultsOf the participants, 52.9% was male; 26.1% had secondary education level or less; almost half of them had moderate economic level; 27.5% could not speak Turkish. The Cronbach’s Alpha was 0.75, Spearman–Brown Coefficient was 0.76; RMSEA = 0.073, CFI = 0.93, TLI = 0.92 and GFI = 0.95 for the Scale. The Cronbach’s Alpha was 0.76, Spearman–Brown Coefficient was 0.77; RMSEA = 0.085, CFI = 0.93, TLI = 0.91 and GFI = 0.95 for self-efficacy part.ConclusionIn conclusion, the adapted HLS would be a reliable instrument to evaluate the health-literacy level of Syrian refugees living in Turkey and could allow for a comparison of the host country’s health literacy level to that of the refugees using the same scale.

Acceptance and willingness to pay for COVID-19 vaccine among school teachers in Gondar City, Northwest Ethiopia

BackgroundVaccination is one of the strategies to prevent the COVID-19 pandemic. COVID-19 vaccine acceptance and cost are important factors affecting its uptake. However, little is known about acceptance and willingness to pay (WTP) for the vaccine.ObjectiveThis study aimed to assess acceptance and WTP for the COVID-19 vaccine and its associated factors among school teachers.MethodsAn institution-based cross-sectional study was conducted among school teachers. A stratified simple random sampling technique was employed to select the participants. The contingent valuation method was used to assess each respondent’s willingness to pay for the COVID-19 vaccination. A multivariable logistic regression analysis was employed to identify significant factors associated with WTP for the COVID-19 vaccine. A p value of less than 0.05 and a 95% confidence interval were used to declare statistical significance.ResultA total of 301 school teachers participated with a response rate of 99.6%. The mean age of participants was 39.5 (SD ± 8.7 years). The mean WTP for the COVID-19 vaccine is US$ 4.98 (± US$ 1.6). Less than half (40.8%) of participants were willing to accept the COVID-19 vaccine whereas only 36.9% (95% CI, (31.6%, 42.5%)) of them were WTP for the vaccine. Being male (AOR = 3.23; 95% CI, (1.70, 6.14)), being a private school teacher (AOR = 3.27; 95% CI, (1.76, 6.10)), having high perceived susceptibility to COVID-19 (AOR = 2.69; 95% CI, (1.38, 5.24)), having high perceived seriousness of COVID-19 (AOR = 4.04; 95% CI, (1.80, 9.1)), and having high perceived benefit of COVID-19 vaccine (AOR = 3.0; 95% CI, (1.41, 6.34) were significant factors associated with WTP for COVID-19 vaccination.Conclusion and recommendationThe magnitude of acceptance and WTP for the COVID-19 vaccine was low among school teachers. Male sex, private school affiliation, high perceived risk of COVID-19, and benefit of COVID-19 vaccine were the most important factors affecting school teacher’s WTP for COVID-19 vaccine. Thus, health communication programs should give due emphasis to raising teacher’s perceived risk of COVID-19 and the benefit of the COVID-19 vaccine to improve their acceptance and WTP for the vaccine. Furthermore, subsidizing the cost of the vaccine may improve their WTP.

Ten lessons learnt: scaling and transitioning one of the largest mobile health communication programmes in the world to a national government

There has been exponential growth in the numbers of ‘digital development’ programmes seeking to leverage technology to solve systemic challenges. However, despite promising results and a shift from pilots to...

Does Patients' Perception Affect Self-Care Practices? The Perspective of Health Belief Model.

BackgroundPoor lifestyle choices contribute to the continued growth of chronic illness and disability. Patients with diabetes require continuous self-care choices and management to minimize the short- and long-term impact of the disease. This study aimed at assessing the use of the health belief model to describe self-care practices among patients with diabetes.MethodsAn institutional-based cross-sectional study was conducted from February to March 2019 in Gondar City, Northwest Ethiopia. A total of 396 diabetics patients were selected using a systematic random sampling technique. Pretested, structured, and interview administered questionnaire was used for data collection. The collected data were analyzed using STATA 14. Bivariate and multivariate logistic regression models were fitted to identify the factors associated with self-care behavior. Adjusted odds ratio (AOR) with 95% confidence interval (CI) and p-values <0.05 were used to declare statistical association.ResultsHealth belief model described 48% of the variance in self-care practices of patients with diabetes. More than half (55.6%) of diabetic patients had good self-care practice. Of the participants, 45.8% and 49.9% had low perceived susceptibility and perceived severity, respectively. The strongest correlation was found between cues to action and perceived severity of health belief model constructs (P<0.001). Formal education, longer duration of diabetes, high social support, high perceived severity, and high self-efficacy contributed to good self-care practices, whereas comorbidities, high perceived benefit, and high perceived barrier were associated with poor self-care practices.ConclusionSelf-care practice of diabetes patients in Gondar City was considerably low. Health professionals need to strengthen delivering tailored health messages on the benefit self-care practices and means of overcoming the potential barriers. Health communication programs are also better to consider for individuals with comorbidities, lack of social support, and lower education.