Predictors of self-care behaviour using health belief model among type 2 diabetes mellitus patients in a district of Penang, Malaysia
Background: The prevalence of diabetes mellitus among Malaysian aged ≥ 18 years increasing from 11.6% in 2006 to 17.5% in 2015. The diabetes prevalence in Penang state was 18.1% in 2015. Only 21% of audited type 2 diabetes mellitus (T2DM) patients in Penang achieved hemoglobin A1c < 6.5% in 2012....
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| Format: | Thesis |
| Language: | English |
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2017
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| Online Access: | http://psasir.upm.edu.my/id/eprint/71092/1/FPSK%28M%29%202017%2037%20-%20IR.pdf |
| _version_ | 1796979282842484736 |
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| author | Kang, Chia Yee |
| author_facet | Kang, Chia Yee |
| author_sort | Kang, Chia Yee |
| collection | UPM |
| description | Background: The prevalence of diabetes mellitus among Malaysian aged ≥ 18 years increasing from 11.6% in 2006 to 17.5% in 2015. The diabetes prevalence in Penang state was 18.1% in 2015. Only 21% of audited type 2 diabetes mellitus (T2DM) patients in Penang achieved hemoglobin A1c < 6.5% in 2012. Positive self–care behaviour leads to good glycaemic control and reduce risk of diabetes complications.
Objective: The objective of this study is to determine the diabetes self-care behaviour and its predictors using Health Belief Model (HBM) among T2DM patients in government health clinics at Seberang Perai Selatan district, Penang.
Methodology: An analytical cross sectional study was conducted on 546 T2DM patients whose aged ≥18 years, they were recruited by simple random sampling method. Validated self-administered questionnaire was used, data were analysed using SPSS version 22.0.
Results: The respondents practised 3.4 (SD = 1.11) days diabetes self-care behaviour for the past 1 week. The predictors of self-care behaviour were self-efficacy (standardized β = 0.257, p < 0.001), knowledge (standardized β = 0.112, p = 0.007), female gender (standardized β = 0.107, p = 0.010), combination oral hypoglycaemic agents (OHA) and insulin (standardized β = -0.182, p = 0.002), monthly income < RM1,000 (standardized β = -0.129, p = 0.002). The entire group of variables significantly predicted self-care behaviour [F (6, 539) = 15.79, p < 0.001, adjusted R2 = 0.140] with the total variance of 14.9%. Self-efficacy was identified as the strongest predictor in self-care behaviour.
Conclusion: The findings enable us to identify the specific targeted groups with predicted lower self-care behaviour. This is useful in future planning and implementation of health intervention. |
| first_indexed | 2024-03-06T10:06:40Z |
| format | Thesis |
| id | upm.eprints-71092 |
| institution | Universiti Putra Malaysia |
| language | English |
| last_indexed | 2024-03-06T10:06:40Z |
| publishDate | 2017 |
| record_format | dspace |
| spelling | upm.eprints-710922019-09-10T06:12:34Z http://psasir.upm.edu.my/id/eprint/71092/ Predictors of self-care behaviour using health belief model among type 2 diabetes mellitus patients in a district of Penang, Malaysia Kang, Chia Yee Background: The prevalence of diabetes mellitus among Malaysian aged ≥ 18 years increasing from 11.6% in 2006 to 17.5% in 2015. The diabetes prevalence in Penang state was 18.1% in 2015. Only 21% of audited type 2 diabetes mellitus (T2DM) patients in Penang achieved hemoglobin A1c < 6.5% in 2012. Positive self–care behaviour leads to good glycaemic control and reduce risk of diabetes complications. Objective: The objective of this study is to determine the diabetes self-care behaviour and its predictors using Health Belief Model (HBM) among T2DM patients in government health clinics at Seberang Perai Selatan district, Penang. Methodology: An analytical cross sectional study was conducted on 546 T2DM patients whose aged ≥18 years, they were recruited by simple random sampling method. Validated self-administered questionnaire was used, data were analysed using SPSS version 22.0. Results: The respondents practised 3.4 (SD = 1.11) days diabetes self-care behaviour for the past 1 week. The predictors of self-care behaviour were self-efficacy (standardized β = 0.257, p < 0.001), knowledge (standardized β = 0.112, p = 0.007), female gender (standardized β = 0.107, p = 0.010), combination oral hypoglycaemic agents (OHA) and insulin (standardized β = -0.182, p = 0.002), monthly income < RM1,000 (standardized β = -0.129, p = 0.002). The entire group of variables significantly predicted self-care behaviour [F (6, 539) = 15.79, p < 0.001, adjusted R2 = 0.140] with the total variance of 14.9%. Self-efficacy was identified as the strongest predictor in self-care behaviour. Conclusion: The findings enable us to identify the specific targeted groups with predicted lower self-care behaviour. This is useful in future planning and implementation of health intervention. 2017-08 Thesis NonPeerReviewed text en http://psasir.upm.edu.my/id/eprint/71092/1/FPSK%28M%29%202017%2037%20-%20IR.pdf Kang, Chia Yee (2017) Predictors of self-care behaviour using health belief model among type 2 diabetes mellitus patients in a district of Penang, Malaysia. Masters thesis, Universiti Putra Malaysia. Diabetes Mellitus - prevention & control Diabetes Mellitus - diet therapy |
| spellingShingle | Diabetes Mellitus - prevention & control Diabetes Mellitus - diet therapy Kang, Chia Yee Predictors of self-care behaviour using health belief model among type 2 diabetes mellitus patients in a district of Penang, Malaysia |
| title | Predictors of self-care behaviour using health belief model among type 2 diabetes mellitus patients in a district of Penang, Malaysia |
| title_full | Predictors of self-care behaviour using health belief model among type 2 diabetes mellitus patients in a district of Penang, Malaysia |
| title_fullStr | Predictors of self-care behaviour using health belief model among type 2 diabetes mellitus patients in a district of Penang, Malaysia |
| title_full_unstemmed | Predictors of self-care behaviour using health belief model among type 2 diabetes mellitus patients in a district of Penang, Malaysia |
| title_short | Predictors of self-care behaviour using health belief model among type 2 diabetes mellitus patients in a district of Penang, Malaysia |
| title_sort | predictors of self care behaviour using health belief model among type 2 diabetes mellitus patients in a district of penang malaysia |
| topic | Diabetes Mellitus - prevention & control Diabetes Mellitus - diet therapy |
| url | http://psasir.upm.edu.my/id/eprint/71092/1/FPSK%28M%29%202017%2037%20-%20IR.pdf |
| work_keys_str_mv | AT kangchiayee predictorsofselfcarebehaviourusinghealthbeliefmodelamongtype2diabetesmellituspatientsinadistrictofpenangmalaysia |