The effect of instructional designed SMS based on Health Belief Model (HBM) on adoption of self-care behavior of patients with type II diabetes

Diabetes is the most common disease related to metabolism disorders with long term complications. It needs lifelong specific self-care. The aimed of this study was effect of instructional designed SMS based on adoption of self-care behavior of patients with type II diabetes.

This quasi-experimental study was conducted on 88 patients with type II diabetes who referred to diabetes clinical Birjand city which selected by convenience sampling and allocated randomly into intervention group (45 patients) and control group (43 patients). Instructional SMS was sent by bulk SMS system into mobile phone of intervention group during one month and there was no intervention for the control group. Data was gathered by a questionnaire including the health belief model constructs, including self-care behaviors and demographic variables were collected through interviews with patients. Cronbach Alpha coefficient was 0.66 to 0.77. Data were analyzed by SPSS version 16 and Chi-Square, Fisher Exact Test, Paired T Test, Independent T Test and Pearson statistical tests with 0.05 significant level.

Before the intervention, there was no significant differences in demographic characteristics, the mean score knowledge, self-care behavior and model parts (HBM) between two groups (P>0.05), after intervention, the mean score variables in the experimental group was significantly increased and significant differences were found between the two groups (P<0.01).

The results of this study showed benefits of educational messages, adopting self-care behaviors among patients with diabetes in the intervention group.