A Comparative Study of the Effect of Family-centered and Patient-centered Education on Self-efficacy and Self-esteem of Patients with Type II Diabetes

Given the progression and high prevalence of diabetes in the world, some factors, such as self-efficacy and self-esteem, are among the important issues in disease management. The present study aimed to compare the effects of family-centered and patient-centered education on the self-efficacy and self-esteem of patients with type II diabetes.

This quasi-experimental study was performed on 84 patients with type 2 diabetes. Diabetes Management Self-Efficacy Scale (DMSES) and Coopersmith self-esteem inventory were used for data collection. Participants were randomly assigned to two groups receiving family-centered or patient-centered education in seven 45-minute training sessions. One month after the end of the intervention, the questionnaires were completed and the data were analyzed using Chi-square, as well as paired and independent t-tests in SPSS software (version 20).

Participants did not differ significantly in mean self-efficacy and self-esteem scores before the intervention (P> 0.05). After the intervention, although the mean score of these two variables had increased in both groups, the increase was significantly higher in the family-centered group, as compared to that in the patient-centered group (P<0.001).

As evidenced by the obtained results, family-centered education is more effective than patient-centered education in the enhancement of self-efficacy and self-esteem of diabetic patients. In this regard, it is suggested that family-centered education be considered in other areas of diabetes