Assessing the effectiveness of targeted educational interventions on enhancing self-efficacy and foot care practices among diabetic women in Jordan

BackgroundDiabetic foot is a major public health issue, leading to increased morbidity and mortality among diabetic patients. This study aimed to evaluate the effectiveness of targeted health education interventions on self-efficacy and foot care practices among diabetic women in Jordan.MethodsA pre...

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Main Authors: Heba Hijazi, Rabah Al Abdi, Sawsan Abuhammad, Wegdan Bani Issa, Alham Al-Sharman, Nesreen Saadeh, Alounoud AlMarzooqi, Fatma Refaat Ahmed, Ahmed Hossain, Hadia Radwan, Muhammad Arsyad Subu, Mohamad Alameddine
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2024.1502781/full
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author Heba Hijazi
Heba Hijazi
Rabah Al Abdi
Rabah Al Abdi
Sawsan Abuhammad
Sawsan Abuhammad
Wegdan Bani Issa
Alham Al-Sharman
Alham Al-Sharman
Nesreen Saadeh
Alounoud AlMarzooqi
Fatma Refaat Ahmed
Fatma Refaat Ahmed
Ahmed Hossain
Hadia Radwan
Muhammad Arsyad Subu
Mohamad Alameddine
author_facet Heba Hijazi
Heba Hijazi
Rabah Al Abdi
Rabah Al Abdi
Sawsan Abuhammad
Sawsan Abuhammad
Wegdan Bani Issa
Alham Al-Sharman
Alham Al-Sharman
Nesreen Saadeh
Alounoud AlMarzooqi
Fatma Refaat Ahmed
Fatma Refaat Ahmed
Ahmed Hossain
Hadia Radwan
Muhammad Arsyad Subu
Mohamad Alameddine
author_sort Heba Hijazi
collection DOAJ
description BackgroundDiabetic foot is a major public health issue, leading to increased morbidity and mortality among diabetic patients. This study aimed to evaluate the effectiveness of targeted health education interventions on self-efficacy and foot care practices among diabetic women in Jordan.MethodsA pretest-posttest, quasi-experimental design was used to collect data from 76 diabetic women at a tertiary hospital in northern Jordan. Participants were assigned to three groups: a control group receiving standard care; Intervention Group 1, receiving standard care with weekly text reminders and follow-up calls; and Intervention Group 2, receiving the same components as Intervention Group 1, plus small group education sessions and hands-on foot care training. Generalized Estimating Equations models were used to assess the impact of the interventions on foot care practices and self-efficacy over an 8-week period.ResultsThe findings revealed that participants in Intervention Group 2 demonstrated the most significant improvements in both foot care practices and self-efficacy. For foot care practices, Intervention Group 2 had adjusted odds ratios (aORs) of 2.5 (95% CI: 1.3–5.1) and 1.7 (95% CI: 1.2–2.9) when compared to the control group and Intervention Group 1, respectively. Similarly, for self-efficacy, the aORs for Intervention Group 2 were 2.7 (95% CI: 1.4–5.2) relative to the control group, and 1.8 (95% CI: 1.1–3.2) compared to Intervention Group 1.ConclusionOur study demonstrates that interactive educational approaches—featuring group discussions, real-time problem-solving, immediate feedback, and family support—can empower diabetic women to take a more active role in managing their foot health. Routine clinical care alone is insufficient to promote proactive foot care behaviors, highlighting the need for healthcare providers to incorporate educational materials tailored to the local cultural context into standard care to enhance patient outcomes.
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spelling doaj-art-1640eaa415ea434a866c907f83f51dbc2025-01-07T06:49:36ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-01-011210.3389/fpubh.2024.15027811502781Assessing the effectiveness of targeted educational interventions on enhancing self-efficacy and foot care practices among diabetic women in JordanHeba Hijazi0Heba Hijazi1Rabah Al Abdi2Rabah Al Abdi3Sawsan Abuhammad4Sawsan Abuhammad5Wegdan Bani Issa6Alham Al-Sharman7Alham Al-Sharman8Nesreen Saadeh9Alounoud AlMarzooqi10Fatma Refaat Ahmed11Fatma Refaat Ahmed12Ahmed Hossain13Hadia Radwan14Muhammad Arsyad Subu15Mohamad Alameddine16Department of Health Care Management, College of Health Sciences, University of Sharjah, Sharjah, United Arab EmiratesDepartment of Health Management and Policy, Faculty of Medicine, Jordan University of Science and Technology, Irbid, JordanDepartment of Electrical, Computer, and Biomedical Engineering, College of Engineering Abu Dhabi University, Abu Dhabi, United Arab EmiratesDepartment of Biomedical Engineering, Faculty of Engineering, Jordan University of Science and Technology, Irbid, JordanNursing Department, College of Health Sciences, University of Sharjah, Sharjah, United Arab EmiratesDepartment of Maternal and Child Health, Faculty of Nursing, Jordan University of Science and Technology, Irbid, JordanNursing Department, College of Health Sciences, University of Sharjah, Sharjah, United Arab EmiratesDepartment of Physiotherapy, College of Health Sciences, University of Sharjah, Sharjah, United Arab EmiratesRehabilitation Sciences Department, Faculty of Applied Medical Sciences, Jordan University of Science and Technology, Irbid, JordanDepartment of Internal Medicine, Faculty of Medicine, Jordan University of Science and Technology, Irbid, JordanDepartment of Health Care Management, College of Health Sciences, University of Sharjah, Sharjah, United Arab EmiratesNursing Department, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates0Critical Care and Emergency Nursing Department, Faculty of Nursing, Alexandria University, Alexandria, EgyptDepartment of Health Care Management, College of Health Sciences, University of Sharjah, Sharjah, United Arab Emirates1Department of Clinical Nutrition, College of Health Sciences, University of Sharjah, Sharjah, United Arab EmiratesNursing Department, College of Health Sciences, University of Sharjah, Sharjah, United Arab EmiratesDepartment of Health Care Management, College of Health Sciences, University of Sharjah, Sharjah, United Arab EmiratesBackgroundDiabetic foot is a major public health issue, leading to increased morbidity and mortality among diabetic patients. This study aimed to evaluate the effectiveness of targeted health education interventions on self-efficacy and foot care practices among diabetic women in Jordan.MethodsA pretest-posttest, quasi-experimental design was used to collect data from 76 diabetic women at a tertiary hospital in northern Jordan. Participants were assigned to three groups: a control group receiving standard care; Intervention Group 1, receiving standard care with weekly text reminders and follow-up calls; and Intervention Group 2, receiving the same components as Intervention Group 1, plus small group education sessions and hands-on foot care training. Generalized Estimating Equations models were used to assess the impact of the interventions on foot care practices and self-efficacy over an 8-week period.ResultsThe findings revealed that participants in Intervention Group 2 demonstrated the most significant improvements in both foot care practices and self-efficacy. For foot care practices, Intervention Group 2 had adjusted odds ratios (aORs) of 2.5 (95% CI: 1.3–5.1) and 1.7 (95% CI: 1.2–2.9) when compared to the control group and Intervention Group 1, respectively. Similarly, for self-efficacy, the aORs for Intervention Group 2 were 2.7 (95% CI: 1.4–5.2) relative to the control group, and 1.8 (95% CI: 1.1–3.2) compared to Intervention Group 1.ConclusionOur study demonstrates that interactive educational approaches—featuring group discussions, real-time problem-solving, immediate feedback, and family support—can empower diabetic women to take a more active role in managing their foot health. Routine clinical care alone is insufficient to promote proactive foot care behaviors, highlighting the need for healthcare providers to incorporate educational materials tailored to the local cultural context into standard care to enhance patient outcomes.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1502781/fulldiabetic footfoot care practiceself-efficacydiabetic womenfoot ulcers
spellingShingle Heba Hijazi
Heba Hijazi
Rabah Al Abdi
Rabah Al Abdi
Sawsan Abuhammad
Sawsan Abuhammad
Wegdan Bani Issa
Alham Al-Sharman
Alham Al-Sharman
Nesreen Saadeh
Alounoud AlMarzooqi
Fatma Refaat Ahmed
Fatma Refaat Ahmed
Ahmed Hossain
Hadia Radwan
Muhammad Arsyad Subu
Mohamad Alameddine
Assessing the effectiveness of targeted educational interventions on enhancing self-efficacy and foot care practices among diabetic women in Jordan
Frontiers in Public Health
diabetic foot
foot care practice
self-efficacy
diabetic women
foot ulcers
title Assessing the effectiveness of targeted educational interventions on enhancing self-efficacy and foot care practices among diabetic women in Jordan
title_full Assessing the effectiveness of targeted educational interventions on enhancing self-efficacy and foot care practices among diabetic women in Jordan
title_fullStr Assessing the effectiveness of targeted educational interventions on enhancing self-efficacy and foot care practices among diabetic women in Jordan
title_full_unstemmed Assessing the effectiveness of targeted educational interventions on enhancing self-efficacy and foot care practices among diabetic women in Jordan
title_short Assessing the effectiveness of targeted educational interventions on enhancing self-efficacy and foot care practices among diabetic women in Jordan
title_sort assessing the effectiveness of targeted educational interventions on enhancing self efficacy and foot care practices among diabetic women in jordan
topic diabetic foot
foot care practice
self-efficacy
diabetic women
foot ulcers
url https://www.frontiersin.org/articles/10.3389/fpubh.2024.1502781/full
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