Effect of health literacy-based teach-back training on quality of life and treatment adherence in type 2 diabetes: an experimental study

Abstract Education for patients with type 2 diabetes is an essential part of the treatment and control process. This study aimed to determine the effect of education based on health literacy strategies on adherence to treatment and quality of life in type 2 diabetic patients. This classic experiment...

Full description

Saved in:
Bibliographic Details
Main Authors: Mahdieh Roshan-Nejad, Meimanat Hosseini, Parvaneh Vasli, Malihe Nasiri, Sima Hejazi
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
Subjects:
Online Access:https://doi.org/10.1038/s41598-024-84399-9
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1841559768677744640
author Mahdieh Roshan-Nejad
Meimanat Hosseini
Parvaneh Vasli
Malihe Nasiri
Sima Hejazi
author_facet Mahdieh Roshan-Nejad
Meimanat Hosseini
Parvaneh Vasli
Malihe Nasiri
Sima Hejazi
author_sort Mahdieh Roshan-Nejad
collection DOAJ
description Abstract Education for patients with type 2 diabetes is an essential part of the treatment and control process. This study aimed to determine the effect of education based on health literacy strategies on adherence to treatment and quality of life in type 2 diabetic patients. This classic experimental study was performed on 94 patients with type 2 diabetes selected by convenient sampling method and then randomly allocated to intervention and control groups. The research instruments were a demographic information questionnaire, a Diabetes Quality of Life Brief Clinical Inventory, and an adherence to treatment questionnaire in patients with chronic disease. The educational intervention was five sessions of the virtual class of 80–90 min. All respondents completed the tools again two months after the intervention. Independent t-tests and paired t-tests were used for data analysis. The difference in the mean score of quality of life in the intervention group between the time before (53.21 ± 7.6) the intervention and two months after (55.28 ± 6.87) was statistically significant (p˂0.05). Comparison of the mean score of quality of life between the control and intervention groups, before the intervention (p > 0.05) and two months after (p > 0.05), neither showed a statistically significant difference. A comparison of the mean scores of adherence to treatment before (69.31 ± 5.32) and after the intervention (70.59 ± 5.21) showed that there was a statistically significant difference in the intervention group (p˂0.001). Comparison of the mean scores of adherence two months after the intervention revealed that, there is a significant statistical difference between the scores of the two groups (p˂ 0.001). Based on the findings of this study, it seems that providing training sessions based on health literacy strategies can improve the quality of life and adherence to treatment in patients with type 2 diabetes.
format Article
id doaj-art-cfea620d60cb44bb9731db60b8fa84aa
institution Kabale University
issn 2045-2322
language English
publishDate 2025-01-01
publisher Nature Portfolio
record_format Article
series Scientific Reports
spelling doaj-art-cfea620d60cb44bb9731db60b8fa84aa2025-01-05T12:15:40ZengNature PortfolioScientific Reports2045-23222025-01-011511910.1038/s41598-024-84399-9Effect of health literacy-based teach-back training on quality of life and treatment adherence in type 2 diabetes: an experimental studyMahdieh Roshan-Nejad0Meimanat Hosseini1Parvaneh Vasli2Malihe Nasiri3Sima Hejazi4Student Research Committee, Department of Community Health Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical SciencesDepartment of Community Health Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical SciencesDepartment of Community Health Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical SciencesDepartment of Basic Sciences, School of Nursing and Midwifery, Shahid Beheshti University of Medical SciencesAddiction and Behavioral Sciences Center, North Khorasan University of Medical SciencesAbstract Education for patients with type 2 diabetes is an essential part of the treatment and control process. This study aimed to determine the effect of education based on health literacy strategies on adherence to treatment and quality of life in type 2 diabetic patients. This classic experimental study was performed on 94 patients with type 2 diabetes selected by convenient sampling method and then randomly allocated to intervention and control groups. The research instruments were a demographic information questionnaire, a Diabetes Quality of Life Brief Clinical Inventory, and an adherence to treatment questionnaire in patients with chronic disease. The educational intervention was five sessions of the virtual class of 80–90 min. All respondents completed the tools again two months after the intervention. Independent t-tests and paired t-tests were used for data analysis. The difference in the mean score of quality of life in the intervention group between the time before (53.21 ± 7.6) the intervention and two months after (55.28 ± 6.87) was statistically significant (p˂0.05). Comparison of the mean score of quality of life between the control and intervention groups, before the intervention (p > 0.05) and two months after (p > 0.05), neither showed a statistically significant difference. A comparison of the mean scores of adherence to treatment before (69.31 ± 5.32) and after the intervention (70.59 ± 5.21) showed that there was a statistically significant difference in the intervention group (p˂0.001). Comparison of the mean scores of adherence two months after the intervention revealed that, there is a significant statistical difference between the scores of the two groups (p˂ 0.001). Based on the findings of this study, it seems that providing training sessions based on health literacy strategies can improve the quality of life and adherence to treatment in patients with type 2 diabetes.https://doi.org/10.1038/s41598-024-84399-9Patient educationHealth literacyHealth Related Quality of LifeTreatment adherence and complianceDiabetes MellitusType II
spellingShingle Mahdieh Roshan-Nejad
Meimanat Hosseini
Parvaneh Vasli
Malihe Nasiri
Sima Hejazi
Effect of health literacy-based teach-back training on quality of life and treatment adherence in type 2 diabetes: an experimental study
Scientific Reports
Patient education
Health literacy
Health Related Quality of Life
Treatment adherence and compliance
Diabetes Mellitus
Type II
title Effect of health literacy-based teach-back training on quality of life and treatment adherence in type 2 diabetes: an experimental study
title_full Effect of health literacy-based teach-back training on quality of life and treatment adherence in type 2 diabetes: an experimental study
title_fullStr Effect of health literacy-based teach-back training on quality of life and treatment adherence in type 2 diabetes: an experimental study
title_full_unstemmed Effect of health literacy-based teach-back training on quality of life and treatment adherence in type 2 diabetes: an experimental study
title_short Effect of health literacy-based teach-back training on quality of life and treatment adherence in type 2 diabetes: an experimental study
title_sort effect of health literacy based teach back training on quality of life and treatment adherence in type 2 diabetes an experimental study
topic Patient education
Health literacy
Health Related Quality of Life
Treatment adherence and compliance
Diabetes Mellitus
Type II
url https://doi.org/10.1038/s41598-024-84399-9
work_keys_str_mv AT mahdiehroshannejad effectofhealthliteracybasedteachbacktrainingonqualityoflifeandtreatmentadherenceintype2diabetesanexperimentalstudy
AT meimanathosseini effectofhealthliteracybasedteachbacktrainingonqualityoflifeandtreatmentadherenceintype2diabetesanexperimentalstudy
AT parvanehvasli effectofhealthliteracybasedteachbacktrainingonqualityoflifeandtreatmentadherenceintype2diabetesanexperimentalstudy
AT malihenasiri effectofhealthliteracybasedteachbacktrainingonqualityoflifeandtreatmentadherenceintype2diabetesanexperimentalstudy
AT simahejazi effectofhealthliteracybasedteachbacktrainingonqualityoflifeandtreatmentadherenceintype2diabetesanexperimentalstudy