Improved self-care practices among people with type-2-diabetes following a low budget health literacy intervention; evidence from a before and after quasi experimental study
 
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1
The University of Dodoma Department of Public Health Department of Public Health, The University of Dodoma, P.o.Box 259, Dodoma, Tanzania Tanzania
 
2
The University of Dodoma Department of Nursing Management and Education Department of Nursing Management and Education, The University of Dodoma, P.O.Box 259, Dodoma, Tanzania Tanzania
 
3
The Muhimbili University of Health and Allied Sciences
 
 
Publication date: 2023-04-26
 
 
Popul. Med. 2023;5(Supplement):A1471
 
ABSTRACT
Background:
The role of health literacy based interventions have not been well documented in improving self-care practices among patients with type-2-diabetes. This study aimed at exploring the effectiveness of a low budget educational intervention on improving self-care knowledge, attitude, and practice (KAP) among people with type 2 diabetes mellitus in Tanzania.

Methods:
A quasi-experimental study of 165 randomly selected participants with type 2 diabetes mellitus from different clinics in the Tabora region, Tanzania. A structured questionnaire collected data on knowleadge, attitude and self-care practices at baseline and after the intervention. Paired t-test and linear regression were used to test the effect of the intervention on the outcome variables.

Results:
The mean age was 55.5±13 years and the majority 55.8%, were women. Only 40% of the participants reported good level of knowledge at baseline compared to 87% after intervention. Participant’s attitude towards self-care was overall negative at baseline (87%) and decreased to 33% after the inetrvention. Overall reported self-care practices increased from 9% to 48% after the intervention. Paired t-test showed significant mean differences before and after the intervention; Knowledge score pre-intervention was (n=165, M=64.00, SD=10.92) and post-intervention was (n=165, M=76.21, SD=8.24), mean difference of (12.21, t (164) =15.60, p

ISSN:2654-1459
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