The Role of Self-efficacy Program for Self-management of People With Type Diabetes Mellitus
The Role of Self-Efficacy Program for Self-Management of People With Type 2 Diabetes Mellitus: A Mixed Methods Exploratory Study
The goal of this clinical trial is to learn if a self-efficacy program can improve diabetes self-management behaviors in adults with Type 2 Diabetes Mellitus attending primary health centers (Puskesmas) in Yogyakarta, Indonesia. The main questions it aims to answer are:
- Does a self-efficacy program improve diabetes self-management behaviors (measured by the Summary of Diabetes Self-Care Activities/SDSCA)?
- Does a self-efficacy program enhance diabetes self-efficacy (measured by the Diabetes Self-Efficacy Scale)? Researchers will compare participants receiving the self-efficacy program (intervention group) to a waiting-list control group to see if the program leads to greater improvements in self-management and self-efficacy.
Participants will:
- Attend four weekly group sessions (60-90 minutes each) covering diabetes knowledge, goal setting, self-monitoring, and peer support
- Complete questionnaires on diabetes self-management and self-efficacy at baseline and after the intervention period
- Selected participants in the intervention group will take part in semi-structured interviews about their experience with the program
Studie Overzicht
Toestand
Toestand
Conditie
Conditie
Interventie / Behandeling
Interventie / Behandeling
Studietype
Studietype
Inschrijving (Werkelijk)
Inschrijving
Fase
Fase
- Niet toepasbaar
Contacten en locaties
Studie Locaties
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DI Yogyakarta
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Yogyakarta, DI Yogyakarta, Indonesië, 55272
- Puskesmas (Primary Health Care) Gedongtengen
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Deelname Criteria
Geschiktheidscriteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Volwassen
Accepteert gezonde vrijwilligers
Beschrijving
Inclusion Criteria:
- individuals diagnosed with Type 2 Diabetes Mellitus for a minimum of one year;
- exhibiting low or moderate scores on the Diabetes Self-management Scale;
- no prior experience with similar programs or concurrent participation in other related activities
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Ondersteunende zorg
- Toewijzing: Niet-gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Geen (open label)
Aantal wapens
Wapens en interventies
Deelnemersgroep / ArmDeelnemersgroep / Arm |
Interventie / BehandelingInterventie / Behandeling |
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Experimenteel: Self-Efficacy Program Group
Participants at the intervention Puskesmas received a structured self-efficacy program consisting of four weekly group sessions (60-90 minutes each) delivered by a trained nurse researcher.
Sessions covered diabetes knowledge enhancement, personal goal setting, self-monitoring techniques, peer experience sharing, problem-solving strategies, progress review, and relapse prevention planning.
The program was grounded in Bandura's Self-Efficacy Theory, targeting mastery experience, vicarious experience, verbal persuasion, and physiological/emotional states.
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A structured group-based behavioral intervention grounded in Bandura's Self-Efficacy Theory.
The program consisted of four weekly sessions (60-90 minutes each) facilitated by a trained nurse researcher.
Session 1 focused on diabetes knowledge enhancement and personal goal setting.
Session 2 covered self-monitoring techniques and identifying barriers to self-care.
Session 3 involved peer experience sharing and problem-solving strategies.
Session 4 included review of progress, reinforcement of skills, and relapse prevention planning.
The intervention targeted four sources of self-efficacy: mastery experience, vicarious experience, verbal persuasion, and physiological/emotional states.
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Geen tussenkomst: Waiting-List Control Group
Participants at the control Puskesmas received usual care as routinely provided by the primary health center (Puskesmas).
No additional intervention was given during the study period.
Participants in this group were offered the self-efficacy program after data collection was completed.
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Wat meet het onderzoek?
Primaire uitkomstmaten
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
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Diabetes Self-Management
Tijdsspanne: Baseline (pre-intervention) and immediately post-intervention (after 4 weeks)
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Measured using the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire, which assesses self-care behaviors across five domains: general diet, specific diet, exercise, blood glucose testing, and foot care.
Scores represent the number of days per week (0-7) participants performed each self-care activity.
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Baseline (pre-intervention) and immediately post-intervention (after 4 weeks)
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Diabetes Self-Efficacy
Tijdsspanne: Baseline (pre-intervention) and immediately post-intervention (after 4 weeks)
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Measured using the Diabetes Self-Efficacy Scale (DSES), which assesses participants' confidence in performing diabetes self-management tasks.
The scale uses a Likert-type response format with higher scores indicating greater self-efficacy.
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Baseline (pre-intervention) and immediately post-intervention (after 4 weeks)
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Participants' Experiences with the Self-Efficacy Program
Tijdsspanne: Post-intervention (after completion of the 4-week program)
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Qualitative data collected through semi-structured interviews with a purposive subsample of intervention group participants.
Interviews explored participants' perceptions, experiences, and perceived impact of the self-efficacy program on their diabetes self-management.
Data were analyzed using thematic analysis.
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Post-intervention (after completion of the 4-week program)
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Medewerkers en onderzoekers
Sponsor
Sponsor
Studie record data
Bestudeer belangrijke data
Studie start (Werkelijk)
Studie start
Primaire voltooiing (Werkelijk)
Primaire voltooiing
Studie voltooiing (Werkelijk)
Studie voltooiing
Studieregistratiedata
Eerst ingediend
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Eerst geplaatst
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update geplaatst
Laatste update ingediend die voldeed aan QC-criteria
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
Andere studie-ID-nummers
- 6536/UN1/FPSi.1.3/SD/PT/2019
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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