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Effects of the Information–Motivation–Behavioral Skills Model on Metabolic Control of Adolescents with Type 1 Diabetes in Turkey: Randomized Controlled Study
To evaluate the effects of information–motivation–behavioral skills model interventions given by nurses during home visits on the knowledge levels, personal and social motivation levels, behavioral skills, and HbA1C levels of adolescents with poor glycemic control. The present study was designed as...
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Published in: | Journal of pediatric nursing 2021-05, Vol.58, p.e19-e27 |
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description | To evaluate the effects of information–motivation–behavioral skills model interventions given by nurses during home visits on the knowledge levels, personal and social motivation levels, behavioral skills, and HbA1C levels of adolescents with poor glycemic control.
The present study was designed as randomized controlled trial. 50 adolescents with type 1 diabetes were equally divided into study and control groups. Socio-Demographic Form, Diabetes Information Evaluation Form, The Child Attitude Toward Illness Scale, The Multidimensional Scale of Perceived Social Support, and Diabetes Management Self-Efficacy Scale were utilized in data collection. The scales were administered at the beginning of the study and six months later. HbA1c levels of adolescents were evaluated in the third and sixth months. Multiple home visits and phone calls were made to each participant in the intervention group. Interventions to improve the information–motivation–behavioral skills model-based knowledge, personal and social motivation, and behavioral skills were applied during the home visits.
As a result of information–motivation–behavioral skills model-based interventions, knowledge levels (p |
doi_str_mv | 10.1016/j.pedn.2020.11.019 |
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The present study was designed as randomized controlled trial. 50 adolescents with type 1 diabetes were equally divided into study and control groups. Socio-Demographic Form, Diabetes Information Evaluation Form, The Child Attitude Toward Illness Scale, The Multidimensional Scale of Perceived Social Support, and Diabetes Management Self-Efficacy Scale were utilized in data collection. The scales were administered at the beginning of the study and six months later. HbA1c levels of adolescents were evaluated in the third and sixth months. Multiple home visits and phone calls were made to each participant in the intervention group. Interventions to improve the information–motivation–behavioral skills model-based knowledge, personal and social motivation, and behavioral skills were applied during the home visits.
As a result of information–motivation–behavioral skills model-based interventions, knowledge levels (p<0.001), personal motivation levels (p = 0.001), social motivation levels (p = 0.004), and behavioral skills (p<0.001) of the study group improved. Additionally, HbA1c levels decreased significantly in the third (p<0.001) and sixth months (p<0.001).
Information-Motivation-Behavioral Skills Model-based intervention effectively improved glycemic control among adolescents with type 1 diabetes.
Nurses should develop strategies to increase personal motivation, social motivation, and behavioral skills to training programs planned for adolescents with type 1 diabetes.
•Diabetes management in adolescence is complicated•Few studies have examined the impact of an intervention guided by the Information-Motivation-Behavioral Skills framework; further, delivery of the intervention by a nurse through home visits has not been evaluated.</description><identifier>ISSN: 0882-5963</identifier><identifier>EISSN: 1532-8449</identifier><identifier>DOI: 10.1016/j.pedn.2020.11.019</identifier><identifier>PMID: 33371976</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Diabetes ; Information motivation behavioral skills model ; Nurse ; Nursing ; Type 1 diabetes</subject><ispartof>Journal of pediatric nursing, 2021-05, Vol.58, p.e19-e27</ispartof><rights>2020 Elsevier Inc.</rights><rights>Copyright © 2020 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c356t-9bcc91909dc2bd09903c9de6c9e3ff3f47b1c60aff1e6759076521f90aadb1cf3</citedby><cites>FETCH-LOGICAL-c356t-9bcc91909dc2bd09903c9de6c9e3ff3f47b1c60aff1e6759076521f90aadb1cf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33371976$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bakır, Elif</creatorcontrib><creatorcontrib>Çavuşoğlu, Hicran</creatorcontrib><creatorcontrib>Mengen, Eda</creatorcontrib><title>Effects of the Information–Motivation–Behavioral Skills Model on Metabolic Control of Adolescents with Type 1 Diabetes in Turkey: Randomized Controlled Study</title><title>Journal of pediatric nursing</title><addtitle>J Pediatr Nurs</addtitle><description>To evaluate the effects of information–motivation–behavioral skills model interventions given by nurses during home visits on the knowledge levels, personal and social motivation levels, behavioral skills, and HbA1C levels of adolescents with poor glycemic control.
The present study was designed as randomized controlled trial. 50 adolescents with type 1 diabetes were equally divided into study and control groups. Socio-Demographic Form, Diabetes Information Evaluation Form, The Child Attitude Toward Illness Scale, The Multidimensional Scale of Perceived Social Support, and Diabetes Management Self-Efficacy Scale were utilized in data collection. The scales were administered at the beginning of the study and six months later. HbA1c levels of adolescents were evaluated in the third and sixth months. Multiple home visits and phone calls were made to each participant in the intervention group. Interventions to improve the information–motivation–behavioral skills model-based knowledge, personal and social motivation, and behavioral skills were applied during the home visits.
As a result of information–motivation–behavioral skills model-based interventions, knowledge levels (p<0.001), personal motivation levels (p = 0.001), social motivation levels (p = 0.004), and behavioral skills (p<0.001) of the study group improved. Additionally, HbA1c levels decreased significantly in the third (p<0.001) and sixth months (p<0.001).
Information-Motivation-Behavioral Skills Model-based intervention effectively improved glycemic control among adolescents with type 1 diabetes.
Nurses should develop strategies to increase personal motivation, social motivation, and behavioral skills to training programs planned for adolescents with type 1 diabetes.
•Diabetes management in adolescence is complicated•Few studies have examined the impact of an intervention guided by the Information-Motivation-Behavioral Skills framework; further, delivery of the intervention by a nurse through home visits has not been evaluated.</description><subject>Adolescent</subject><subject>Diabetes</subject><subject>Information motivation behavioral skills model</subject><subject>Nurse</subject><subject>Nursing</subject><subject>Type 1 diabetes</subject><issn>0882-5963</issn><issn>1532-8449</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kc-OUyEUh4nROHX0BVwYlm5uhcv9U4ybmTqjk0xj4tQ14cIhpUOhAremrnwHn2BezSeRplOXrjhwfufLIR9CrymZUkK7d-vpFrSf1qQuD3RKKH-CJrRldTVrGv4UTchsVlct79gZepHSmhBK254_R2eMsZ7yvpughytjQOWEg8F5BfjGmxA3Mtvg__z6vQjZ7k6XS1jJnQ1ROnx3b51LeBE0OBw8XkCWQ3BW4XnwOQZ3wF3o4CAp8IX-w-YVXu63gCn-aOUAGRK2Hi_HeA_79_ir9Dps7E_QJ4Ir5V0e9f4lemakS_Dq8TxH366vlvPP1e2XTzfzi9tKsbbLFR-U4pQTrlU9aMI5YYpr6BQHZgwzTT9Q1RFpDIWubznpu7amhhMpdekYdo7eHrnbGL6PkLLY2LK9c9JDGJOom571TUcbUqL1MapiSCmCEdtoNzLuBSXioEasxUGNOKgRlIqipgy9eeSPwwb0v5GTixL4cAxA-eXOQhRJWfAKtI1FkdDB_o__F9AbpR8</recordid><startdate>20210501</startdate><enddate>20210501</enddate><creator>Bakır, Elif</creator><creator>Çavuşoğlu, Hicran</creator><creator>Mengen, Eda</creator><general>Elsevier Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20210501</creationdate><title>Effects of the Information–Motivation–Behavioral Skills Model on Metabolic Control of Adolescents with Type 1 Diabetes in Turkey: Randomized Controlled Study</title><author>Bakır, Elif ; Çavuşoğlu, Hicran ; Mengen, Eda</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c356t-9bcc91909dc2bd09903c9de6c9e3ff3f47b1c60aff1e6759076521f90aadb1cf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adolescent</topic><topic>Diabetes</topic><topic>Information motivation behavioral skills model</topic><topic>Nurse</topic><topic>Nursing</topic><topic>Type 1 diabetes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bakır, Elif</creatorcontrib><creatorcontrib>Çavuşoğlu, Hicran</creatorcontrib><creatorcontrib>Mengen, Eda</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bakır, Elif</au><au>Çavuşoğlu, Hicran</au><au>Mengen, Eda</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of the Information–Motivation–Behavioral Skills Model on Metabolic Control of Adolescents with Type 1 Diabetes in Turkey: Randomized Controlled Study</atitle><jtitle>Journal of pediatric nursing</jtitle><addtitle>J Pediatr Nurs</addtitle><date>2021-05-01</date><risdate>2021</risdate><volume>58</volume><spage>e19</spage><epage>e27</epage><pages>e19-e27</pages><issn>0882-5963</issn><eissn>1532-8449</eissn><abstract>To evaluate the effects of information–motivation–behavioral skills model interventions given by nurses during home visits on the knowledge levels, personal and social motivation levels, behavioral skills, and HbA1C levels of adolescents with poor glycemic control.
The present study was designed as randomized controlled trial. 50 adolescents with type 1 diabetes were equally divided into study and control groups. Socio-Demographic Form, Diabetes Information Evaluation Form, The Child Attitude Toward Illness Scale, The Multidimensional Scale of Perceived Social Support, and Diabetes Management Self-Efficacy Scale were utilized in data collection. The scales were administered at the beginning of the study and six months later. HbA1c levels of adolescents were evaluated in the third and sixth months. Multiple home visits and phone calls were made to each participant in the intervention group. Interventions to improve the information–motivation–behavioral skills model-based knowledge, personal and social motivation, and behavioral skills were applied during the home visits.
As a result of information–motivation–behavioral skills model-based interventions, knowledge levels (p<0.001), personal motivation levels (p = 0.001), social motivation levels (p = 0.004), and behavioral skills (p<0.001) of the study group improved. Additionally, HbA1c levels decreased significantly in the third (p<0.001) and sixth months (p<0.001).
Information-Motivation-Behavioral Skills Model-based intervention effectively improved glycemic control among adolescents with type 1 diabetes.
Nurses should develop strategies to increase personal motivation, social motivation, and behavioral skills to training programs planned for adolescents with type 1 diabetes.
•Diabetes management in adolescence is complicated•Few studies have examined the impact of an intervention guided by the Information-Motivation-Behavioral Skills framework; further, delivery of the intervention by a nurse through home visits has not been evaluated.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>33371976</pmid><doi>10.1016/j.pedn.2020.11.019</doi></addata></record> |
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subjects | Adolescent Diabetes Information motivation behavioral skills model Nurse Nursing Type 1 diabetes |
title | Effects of the Information–Motivation–Behavioral Skills Model on Metabolic Control of Adolescents with Type 1 Diabetes in Turkey: Randomized Controlled Study |
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