A SYSTEMATIC REVIEW OF KAP-O FRAMEWORK FOR DIABETES
Main Article Content
Abstract
A majority of diabetes self-management programs have been shown to improve knowledge, attitude, practice, and health care outcomes. However, in the literature the underlying causal mechanisms for the improvement attributable to health education interventions have not been systematically explored, especially to show how diabetes educational intervention may affect diabetes care outcomes. The purpose of this scientific review is to identify the underlying causal mechanisms responsible for improved knowledge, attitude, preventive practice and outcomes, so that educational interventions can be tailored efficiently and effectively to patients who are most likely to benefit from self-care management. The review examines multiple causes of the variation in each of the clinical or health outcomes such as glycated hemoglobin (A1C), low-density lipoprotein cholesterol (LDLC), functional capacity (FC), and poor perceived health (PPH).We include behavioral theories relevant to changing diabetes patients’ behaviors: 1) the health belief model, 2) the theory of planned behavior, 3) social cognitive theory, 4) the trans-theoretical model of stages of change, and 5) the patient empowerment model. These theories seek to identify the determinants or predictors of health behavior and change. Future research on diabetes care could be benefited from employing information technology and self-monitoring devices.
Article Details
How to Cite
WAN, Thomas T.H.; RAV-MARATHE, Karen; MARATHE, Sam.
A SYSTEMATIC REVIEW OF KAP-O FRAMEWORK FOR DIABETES.
Medical Research Archives, [S.l.], v. 3, n. 9, apr. 2016.
ISSN 2375-1924.
Available at: <https://esmed.org/MRA/mra/article/view/483>. Date accessed: 21 dec. 2024.
Keywords
diabetes control and research, KAP-O model, information technology
Section
Articles
The Medical Research Archives grants authors the right to publish and reproduce the unrevised contribution in whole or in part at any time and in any form for any scholarly non-commercial purpose with the condition that all publications of the contribution include a full citation to the journal as published by the Medical Research Archives.
References
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Adepu, R. R., Rasheed, A. A., & Nagavi, B. G. (2007). Effect of Patient Counseling on Quality of Life in Type-2 Diabetes Mellitus Patients in Two Selected South Indian Community Pharmacies: A Study. Indian Journal of Pharmaceutical Sciences, 69(4), 519.
American Diabetes Association. Standards of Medical Care in Diabetes (2012). Diabetes Care. 2013 Jan; 33 Suppl 1:S11-61.
American Diabetes Association. Standards of Medical Care in Diabetes (2011). Diabetes Care. 2011 Jan; 34 Suppl 1:S11-61.
Anderson, R. M., Fitzgerald, J. T., Funnell, M. M., & Gruppen, L. D. (1998). The Third Version of the Diabetes Attitude Scale. Diabetes Care, 21(9), 1403.
Ardena, G. A., Paz-Pacheco, E., Jimeno, C. A., Lantion-Ang, F., Paterno, E., & Juban, N. (2010). Knowledge, attitudes and practices of persons with type 2 diabetes in a rural community: Phase I of the 1community-based Diabetes Self-Management Education (DSME) Program in San Juan, Batangas, Philippines. Diabetes Research and Clinical Practice, 90(2), 160-166.
Bains, S. S., & Egede, L. E. (2011). Associations between health literacy, diabetes knowledge, self-care behaviors, and glycemic control in a low income population with type 2 diabetes. Diabetes Technology & Therapeutics, (3), 335.
Baradaran, H. R., Knill-Jones, R. P., Wallia, S., & Rodgers, A. (2006). A controlled trial of the effectiveness of a diabetes education program in a multi-ethnic community in Glasgow. BMC Public Health, 6134-9.
Bloomgarden, Z. T., Karmally, W., Metzger, M., Brothers, M., Nechemias, C., Bookman, J., & Brown, W. (1987). Randomized, Controlled Trial of Diabetic Patient Education: Improved Knowledge Without Improved Metabolic Status. Diabetes Care, 10(3), 263.
Centers for Disease Control and Prevention. National center for health statistics. (Online). Available: http://www.cdc.gov/nchs.htm (Accessed 1 October 2012).
Cranor, C., Bunting, B., & Christensen, D. (2003). The Asheville Project: long-term clinical and economic outcomes of a community pharmacy diabetes care program. Journal Of The American Pharmaceutical Association (Washington, D.C.: 1996), 43(2), 173-184.
Delahanty, L., & Wylie-Rosett, J. (2006). Lifestyle for Prevention: Choices, Changes, Challenges. In C. Mensing, M. Cypress, C. Halstenson, S. McLaughlin, E. Walker (Eds.), The Art and Science of Diabetes of Self-Management Education. (pp. 21-42). Chicago: American Association of Diabetes Educators.
Dickeson, B., Scheel J. Apparatus, System, and Method for Determining a Change in Test Results, U.S. Patent and Trademark Office. Patent No. 8,721,345. May 13, 2014.
Eigenmann, C. A., Colagiuri, R., Skinner, T. C., Trevena, L. (2009). Are current psychometric tools suitable for measuring outcomes of diabetes education? Diabetes Med. 26(4):425-36.
European Quality of Life 5D 5L. (Online.) Available: http://euroqol.org.html.
Farina, K. (2013). Can financial incentives improve self-management behaviors? The American Journal of Managed Care, 19 Spec No. 2E8.
Fradkin, J. (2012). Confronting The Urgent Challenge Of Diabetes: An Overview. Health Affairs, 31(1), 12-19.
Garrett, N., Hageman, C., Sibley, S., Davern, M., Berger, M., Brunzell, C., Malecha, K., Richards, S. (2005). The Effectiveness of an Interactive Small Group Diabetes Intervention in Improving Knowledge, Feeling of Control, and Behavior. Health Promotion Practice, 6(3), 320.
Glanz, K., Rimer, R. K., & Lewis, F. M. (2002). Health Behavior and Health Education. San Fransico: Jossey-Bass.
Healthy Tutor Modules. (Online). Available: http://www.healthytutor.com.htm.
Hogue, V. W., Babamoto, K. S., Jackson, T. B., Cohen, L. B., & Laitinen, D. L. (2003). Pooled Results of Community Pharmacy-Based Diabetes Education Programs in Underserved Communities. Diabetes Spectrum, 16(2), 129-133.
Holmes, V., Spence, M., McCance, D., Patterson, C., Harper, R., & Alderdice, F. (2012). Evaluation of a DVD for women with diabetes: impact on knowledge and attitudes to preconception care. Diabetic Medicine, 29(7), 950-956.
King, H., Aubert, R., & Herman, W. (1998). Global burden of diabetes, 1995-2025: prevalence, numerical estimates, and projections. Diabetes Care, 21(9), 1414-1431.
Knowler, W. C., Barrett-Connor, E. E., Fowler, S. E., Hamman, R. F., Lachin, J. M., Walker, E. A., & Nathan, D. M. (2002). Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. New England Journal Of Medicine, 346(6), 393-403.
Korhonen, T., Huttunen J. K., Aro, A., Hentinen, M., Ihalainen, O., Majander, H., & Pyorala, K. (1983). A Controlled Trial on the Effects of Patient Education in the Treatment of Insulin-dependent Diabetes. Diabetes Care, 6(3), 256.
Leslie, R. (1999). United Kingdom Prospective Diabetes Study (UKPDS): What now or so what?. Diabetes-Metabolism Research And Reviews, 15(1), 65-71.
Maez, L., Erickson, L., & Naumuk, L. (2014). Diabetic education in rural areas. Rural And Remote Health, 14(2), 2742.
Malathy, R., Narmadha, M., Ramesh, S., Alvin, J., & Dinesh, B. (2011). Effect of a diabetes counseling program on knowledge, attitude and practice among diabetic patients in Erode district of South India. Journal Of Young Pharmacists, 3(1), 65-72.
Manabe, T., Hanh, T., Lam, D., Do, T., Pham, T., Dinh, T., & Kudo, K. (2012). Knowledge, Attitudes, Practices and Emotional Reactions among Residents of Avian Influenza (H5N1) Hit Communities in Vietnam. Plos One, 7(10).
Manabe, T., Pham, T., Vu, V., Takasaki, J., Dinh, T., Nguyen, T., & Kudo, K. (2011). Impact of educational intervention concerning awareness and behaviors relating to avian influenza (H5N1) in a high-risk population in Vietnam. Plos One, 6(8).
Morales, L. S., Lara, M., Kington, R. S., Valdez, R. O., & Escarce, J. J. (2002). Socioeconomic, cultural, and behavioral factors affecting Hispanic health outcomes. Journal Of Health Care For The Poor And Underserved, 13(4), 477-503.
Norris, S., Engelgau, M., & Narayan, K. (2001). Effectiveness of self-management training in type 2 diabetes: a systematic review of randomized controlled trials. Diabetes Care, 24(3), 561-587.
Norris, S. L., Lau, J., Smith, S. J., Schmid, C. H., Engelgau, M. M. (2002). Self-management education for adults with type 2 diabetes: a meta-analysis of the effect on glycemic control. Diabetes Care, 25(7), 1159–1171.
Or, C.K.L. & Tao, D. (2016). A 3-month randomized controlled pilot trial of a patient-centered computer-based self monitoring system for the care of type 2 diabetes mellitus and hypertension. Journal of Medical Systems 40(4), 1-13.
Perneger, T., & Courvoisier, D. (2011). Exploration of health dimensions to be included in multi-attribute health-utility assessment. International Journal For Quality In Health Care, 23(1), 52-59.
Pi-Sunyer, X., Blackburn, G., Brancati, F., Bray, G., Bright, R., Clark, J., & ... Yanovski, S. (2007). Reduction in weight and cardiovascular disease risk factors in individuals with type 2 diabetes: one-year results of the look AHEAD trial. Diabetes Care, 30(6), 1374-1383.
Rosenstock, I. (1974). Historical Origins of the Health Belief Model. Health Education Monographs. Vol. 2 No. 4.
Tilly, K. F., Belton, A. B., & McLachlan, J. C. (1995). Continuous Monitoring of Health Status Outcomes: Experience With a Diabetes Education Program. Diabetes Educator, 21(5), 413.
Vimalavathini, R., Agarwal, S., & Gitanjali, B. (2008). Educational program for patients with type-1 diabetes mellitus receiving free monthly supplies of insulin improves knowledge and attitude, but not adherence. International Journal of Diabetes In Developing Countries, 28(3), 86-90.
Wan, T. T. H. (2014). A Transdisciplinary Approach to Health Policy Research and Evaluation. Int. J. Public Policy, 10(4/5), 161-177.
Williams, G., Freedman, Z., & Deci, E. (1998). Supporting autonomy to motivate patients with diabetes for glucose control. Diabetes Care, 21(10), 1644-1651.
Zyskind, A., Jones, K., Pomerantz, K. L., & Barker, A. (2009). Exploring the use of computer based patient education resources to enable diabetic patients from underserved populations to self-manage their disease. Information Services & Use, 29 (1), 29-43.
Adepu, R. R., Rasheed, A. A., & Nagavi, B. G. (2007). Effect of Patient Counseling on Quality of Life in Type-2 Diabetes Mellitus Patients in Two Selected South Indian Community Pharmacies: A Study. Indian Journal of Pharmaceutical Sciences, 69(4), 519.
American Diabetes Association. Standards of Medical Care in Diabetes (2012). Diabetes Care. 2013 Jan; 33 Suppl 1:S11-61.
American Diabetes Association. Standards of Medical Care in Diabetes (2011). Diabetes Care. 2011 Jan; 34 Suppl 1:S11-61.
Anderson, R. M., Fitzgerald, J. T., Funnell, M. M., & Gruppen, L. D. (1998). The Third Version of the Diabetes Attitude Scale. Diabetes Care, 21(9), 1403.
Ardena, G. A., Paz-Pacheco, E., Jimeno, C. A., Lantion-Ang, F., Paterno, E., & Juban, N. (2010). Knowledge, attitudes and practices of persons with type 2 diabetes in a rural community: Phase I of the 1community-based Diabetes Self-Management Education (DSME) Program in San Juan, Batangas, Philippines. Diabetes Research and Clinical Practice, 90(2), 160-166.
Bains, S. S., & Egede, L. E. (2011). Associations between health literacy, diabetes knowledge, self-care behaviors, and glycemic control in a low income population with type 2 diabetes. Diabetes Technology & Therapeutics, (3), 335.
Baradaran, H. R., Knill-Jones, R. P., Wallia, S., & Rodgers, A. (2006). A controlled trial of the effectiveness of a diabetes education program in a multi-ethnic community in Glasgow. BMC Public Health, 6134-9.
Bloomgarden, Z. T., Karmally, W., Metzger, M., Brothers, M., Nechemias, C., Bookman, J., & Brown, W. (1987). Randomized, Controlled Trial of Diabetic Patient Education: Improved Knowledge Without Improved Metabolic Status. Diabetes Care, 10(3), 263.
Centers for Disease Control and Prevention. National center for health statistics. (Online). Available: http://www.cdc.gov/nchs.htm (Accessed 1 October 2012).
Cranor, C., Bunting, B., & Christensen, D. (2003). The Asheville Project: long-term clinical and economic outcomes of a community pharmacy diabetes care program. Journal Of The American Pharmaceutical Association (Washington, D.C.: 1996), 43(2), 173-184.
Delahanty, L., & Wylie-Rosett, J. (2006). Lifestyle for Prevention: Choices, Changes, Challenges. In C. Mensing, M. Cypress, C. Halstenson, S. McLaughlin, E. Walker (Eds.), The Art and Science of Diabetes of Self-Management Education. (pp. 21-42). Chicago: American Association of Diabetes Educators.
Dickeson, B., Scheel J. Apparatus, System, and Method for Determining a Change in Test Results, U.S. Patent and Trademark Office. Patent No. 8,721,345. May 13, 2014.
Eigenmann, C. A., Colagiuri, R., Skinner, T. C., Trevena, L. (2009). Are current psychometric tools suitable for measuring outcomes of diabetes education? Diabetes Med. 26(4):425-36.
European Quality of Life 5D 5L. (Online.) Available: http://euroqol.org.html.
Farina, K. (2013). Can financial incentives improve self-management behaviors? The American Journal of Managed Care, 19 Spec No. 2E8.
Fradkin, J. (2012). Confronting The Urgent Challenge Of Diabetes: An Overview. Health Affairs, 31(1), 12-19.
Garrett, N., Hageman, C., Sibley, S., Davern, M., Berger, M., Brunzell, C., Malecha, K., Richards, S. (2005). The Effectiveness of an Interactive Small Group Diabetes Intervention in Improving Knowledge, Feeling of Control, and Behavior. Health Promotion Practice, 6(3), 320.
Glanz, K., Rimer, R. K., & Lewis, F. M. (2002). Health Behavior and Health Education. San Fransico: Jossey-Bass.
Healthy Tutor Modules. (Online). Available: http://www.healthytutor.com.htm.
Hogue, V. W., Babamoto, K. S., Jackson, T. B., Cohen, L. B., & Laitinen, D. L. (2003). Pooled Results of Community Pharmacy-Based Diabetes Education Programs in Underserved Communities. Diabetes Spectrum, 16(2), 129-133.
Holmes, V., Spence, M., McCance, D., Patterson, C., Harper, R., & Alderdice, F. (2012). Evaluation of a DVD for women with diabetes: impact on knowledge and attitudes to preconception care. Diabetic Medicine, 29(7), 950-956.
King, H., Aubert, R., & Herman, W. (1998). Global burden of diabetes, 1995-2025: prevalence, numerical estimates, and projections. Diabetes Care, 21(9), 1414-1431.
Knowler, W. C., Barrett-Connor, E. E., Fowler, S. E., Hamman, R. F., Lachin, J. M., Walker, E. A., & Nathan, D. M. (2002). Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. New England Journal Of Medicine, 346(6), 393-403.
Korhonen, T., Huttunen J. K., Aro, A., Hentinen, M., Ihalainen, O., Majander, H., & Pyorala, K. (1983). A Controlled Trial on the Effects of Patient Education in the Treatment of Insulin-dependent Diabetes. Diabetes Care, 6(3), 256.
Leslie, R. (1999). United Kingdom Prospective Diabetes Study (UKPDS): What now or so what?. Diabetes-Metabolism Research And Reviews, 15(1), 65-71.
Maez, L., Erickson, L., & Naumuk, L. (2014). Diabetic education in rural areas. Rural And Remote Health, 14(2), 2742.
Malathy, R., Narmadha, M., Ramesh, S., Alvin, J., & Dinesh, B. (2011). Effect of a diabetes counseling program on knowledge, attitude and practice among diabetic patients in Erode district of South India. Journal Of Young Pharmacists, 3(1), 65-72.
Manabe, T., Hanh, T., Lam, D., Do, T., Pham, T., Dinh, T., & Kudo, K. (2012). Knowledge, Attitudes, Practices and Emotional Reactions among Residents of Avian Influenza (H5N1) Hit Communities in Vietnam. Plos One, 7(10).
Manabe, T., Pham, T., Vu, V., Takasaki, J., Dinh, T., Nguyen, T., & Kudo, K. (2011). Impact of educational intervention concerning awareness and behaviors relating to avian influenza (H5N1) in a high-risk population in Vietnam. Plos One, 6(8).
Morales, L. S., Lara, M., Kington, R. S., Valdez, R. O., & Escarce, J. J. (2002). Socioeconomic, cultural, and behavioral factors affecting Hispanic health outcomes. Journal Of Health Care For The Poor And Underserved, 13(4), 477-503.
Norris, S., Engelgau, M., & Narayan, K. (2001). Effectiveness of self-management training in type 2 diabetes: a systematic review of randomized controlled trials. Diabetes Care, 24(3), 561-587.
Norris, S. L., Lau, J., Smith, S. J., Schmid, C. H., Engelgau, M. M. (2002). Self-management education for adults with type 2 diabetes: a meta-analysis of the effect on glycemic control. Diabetes Care, 25(7), 1159–1171.
Or, C.K.L. & Tao, D. (2016). A 3-month randomized controlled pilot trial of a patient-centered computer-based self monitoring system for the care of type 2 diabetes mellitus and hypertension. Journal of Medical Systems 40(4), 1-13.
Perneger, T., & Courvoisier, D. (2011). Exploration of health dimensions to be included in multi-attribute health-utility assessment. International Journal For Quality In Health Care, 23(1), 52-59.
Pi-Sunyer, X., Blackburn, G., Brancati, F., Bray, G., Bright, R., Clark, J., & ... Yanovski, S. (2007). Reduction in weight and cardiovascular disease risk factors in individuals with type 2 diabetes: one-year results of the look AHEAD trial. Diabetes Care, 30(6), 1374-1383.
Rosenstock, I. (1974). Historical Origins of the Health Belief Model. Health Education Monographs. Vol. 2 No. 4.
Tilly, K. F., Belton, A. B., & McLachlan, J. C. (1995). Continuous Monitoring of Health Status Outcomes: Experience With a Diabetes Education Program. Diabetes Educator, 21(5), 413.
Vimalavathini, R., Agarwal, S., & Gitanjali, B. (2008). Educational program for patients with type-1 diabetes mellitus receiving free monthly supplies of insulin improves knowledge and attitude, but not adherence. International Journal of Diabetes In Developing Countries, 28(3), 86-90.
Wan, T. T. H. (2014). A Transdisciplinary Approach to Health Policy Research and Evaluation. Int. J. Public Policy, 10(4/5), 161-177.
Williams, G., Freedman, Z., & Deci, E. (1998). Supporting autonomy to motivate patients with diabetes for glucose control. Diabetes Care, 21(10), 1644-1651.
Zyskind, A., Jones, K., Pomerantz, K. L., & Barker, A. (2009). Exploring the use of computer based patient education resources to enable diabetic patients from underserved populations to self-manage their disease. Information Services & Use, 29 (1), 29-43.