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Intervention effect of diabetic high risk population based on self-efficacy theory in Shanghai

ZHU Jing-fen1, DAI Li-hua2, SHEN Tian1, SHI Rong1   

  1. 1.School of Public Health, Shanghai Jiao Tong University, Shanghai 200025, China; 2.Department of Emergency, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200092, China
  • Online:2014-01-28 Published:2014-01-29
  • Supported by:

    Foundation for Young Scientists of Shanghai Municipal Health Bureau, 2009Y023


Objective To study the effect of self-efficacy on the control of disease situation and behavior change in diabetic high risk population. Methods A sample of 145 impaired glucose regulation (IGR) patients was taken from a community in Shanghai and randomly assigned to intervention group or control group. The patients in the intervention group received intervention based on self-efficacy theory for 6 months under the community doctors′ guidance. All patients received questionnaire survey, physical examination, and blood glucose and lipid test before and after intervention. Results The baseline scores of self-efficacy were 27.52±6.45 and 27.16±7.63 in intervention group and control group, respectively. After intervention, the score of self-efficacy in intervention group (30.34±4.38) was significantly higher than that in control group (27.53±7.64)(P<0.05). Fasting plasma glucose(FPG) and postprandial 2 hours glucose (PG2H) decreased in the intervention group after intervention compared with baseline. There was significant difference of FPG level between the two groups (P<0.05)after intervention. PG2H was decreased in intervention group compared to control group among IGT patients (P<0.05). Exercise frequency had no obvious change before and after intervention in the intervention group, but the proportion of the exercise time more than 30 min was increased after intervention (70.5%) compared to before intervention (57.9%)(P<0.05). Six months later, patients in intervention group had higher scores of diabetic knowledge and status than those of control group (P<0.05). Conclusion Changes in the level of self-efficacy has certain effect on control of glucose level and exercise behavior in diabetic high risk population.

Key words: self-efficacy, diabetes, high risk population, intervention