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. 2021 Jan 14;61(4):E601–E613. doi: 10.15167/2421-4248/jpmh2020.61.4.1504

Tab. I.

Details of the training program presented in the experimental group.

Session Specific objective Educational strategies Training material Instructional technology
Informing and awareness
  • Explain the blood sugar and its indicators, symptoms and T2D mechanism

  • Identify the risk factors for T2D

  • Describe the consequences of T2D

  • Explain the relationship between risk factors and prevention of the consequences of T2D

Lecture, Q&A Tailored pamphlet, CD, booklet Data projector, white board
Health literacy and self-care
  • Have access to appropriate information about foot care

  • Have sufficient information about how to measure and interpret blood glucose

  • Can learn how to properly evaluate physical activity status

  • Patients understand the importance of taking medicines in a timely manner and in accordance with the physician’s instructions

  • Patients know how to measure the calorie content of different foods and are able to determine the amount of calories they need in meals

Lecture with Q&A Educational booklet and tailored pamphlet Data projector and white board
Attitude change
  • Patients know that the consequence of the disease is preventable

  • Patients know that the consequences of diabetes can be severe

  • Patients know that self-care is the best way to maintain good health

  • Patients emphasize the role of self-care and personal behaviors in comparison to environmental factors, luck, and appreciation

  • Patients know that the consequences are likely to occur for them

  • Understanding and evaluating the importance of self-care in preventing the consequences of diabetes

Focus group discussion Fear appeals photos and videos of diabetic foot ulcer patients White board
Increase self-efficacy
  • Identify the physical barriers to implementing and maintaining self-care behavior

  • Identifying individual potentials and capacities

  • Identify environmental and external opportunities and facilities

  • Examine available solutions for to implement and maintain self-care behavior

  • Dividing tasks into smaller executable and more practical and easier steps

  • Psychological and personal commitment to perform self-care tasks

  • Implement self-care behaviors, group encouragement, and verbal persuasion

Teamwork and role playing, individual counseling - White board
Practical skills
  • Practical display of blood glucose measurement and comparison with standards

  • Practical display of foot examination & care

  • A practical method for evaluating breathing and heart rate during physical activity

  • A practical method for calculating food calories and comparing healthy and unhealthy foods

  • Repeat and practice self-care skills and provide feedback

Teamwork, practical presentation, individual counseling Tailored pamphlet, educational booklet, CD Data projector, white board