Review of Literature Overview The review of literature section will define diabetes and prediabetes, identify the prevalence and major risk factors for diabetes, and present behavioral changes that can reduced the risk of developing diabetes. This section discusses the types of presentations and teaching methods that have been utilized in diabetes prevention and the health belief model. The final paragraphs in the review of literature present the learning theory and delivery method of instructional designs, which are ideal for a diabetes prevention program. Prediabetes Prediabetes is described as having a fasting blood glucose level higher than normal, but not elevated to the level of the classification of diabetes (CDC, 2014, 2015c). A normal blood glucose level is considered to be less than 100 mg/dL, and diabetes is diagnosed when the blood glucose level rises above 126 mg/dL. Prediabetes falls in between at a level of 100 to 125 mg/dL (CDC, 2014). Individuals with prediabetes are at a higher risk of heart disease and other complications than those without prediabetes (Dorman et al., 2012). Prediabetes does not usually present with any symptoms, and approximately 15% to 30% of individuals with pre-diabetes will progress to type 2 diabetes in 5 years if lifestyle changes are not made (CDC, 2015c). Proper lifestyle and behavioral changes, such as eating healthier foods, increasing physical activity, and maintaining a healthy weight, can reduce a person’s chance of
The Health Belief Model is commonly used for health promotion and health education. Its’ underlying concept is that health behavior is explained by perception of the disease and the strategies available to lower its occurrence. There are four perceptions of the HBM, which are perceived seriousness, perceived benefit, perceived susceptibility and perceived barriers. In addition to that, more constructs are added to health belief model that includes motivating factor, cues to action and self-efficacy. Each of these constructs in combination or individually, could be used to determine health behavior. The HBM also provides guidelines for the program development allowing planners to address reasons for non-compliance with recommended health action. The health belief model is a process used to promote healthy behavior among individuals who may be at risk of developing adverse health outcomes. A person must gauge their perceptions of severity and susceptibility of developing a disease. Then it is essential to feel vulnerable by these perceptions. Environmental factors can play a role as well as cues to action such as media, and close friends. In order to determine that taking action will be meaningful, the benefits to change must be weighed, against the barriers to change behavior (Green & Murphy, 2014).
For the purpose of this paper it will provide an overview of ways that diabetes, type 2, can be prevented if a person is at risk for developing it. Although there has been little research that diabetes can always be prevented there are ways that a person can delay or improve their symptoms.
The goal is to increase the percentage of understanding of diabetes and how to live empowered with diabetes. I will conduct outreach programs in various methods to reach the people to participate in the health program. My objective is done by specific, measurable, achievable, results-focused, and time-bound (SMART) goals. By May 31, 2018, an increase of 40% establishes one-on-one follow up education session with each individual and families through home visits or phone calls to monitor them to improve their lifestyles. By February 30, 2018, an increase of 80% distribution of brochures and with door to door interactions with the individuals in the community. By September 2018, increase 90% of people to engage in community health fair, classes, and exercise activities on diabetes and cardiovascular classes. This will introduce the individuals in social support that allow interactions with teaching and
Diabetes is a serious medical condition that can also be a risk factor for the development of many different diseases and conditions including dementia, heart disease, and CVA. Thus, effective management of diabetes is very important. Patient compliance can be difficult to achieve if the person affected with diabetes is not educated about the illness or treatment, has not fully accepted the diagnosis or its severity, will not change habits or believes that the prescribed treatment regime is too difficult or ineffective, has cultural beliefs conflicting with the treatment regime, experiences stressful events, lacks social support, or suffers from psychiatric issues unrelated to diabetes (Gerard, Griffin, & Fitzpatrick, 2010). As one may expect, adequate education programs are essential tools when dealing with diabetics. Solid education will provide the patient with information as well as teaching the necessary skills to manage the disorder. The primary focus of any diabetes education program must be to empower patients as a part of the multidisciplinary team. This team should be focused at integrating diabetes into the lives of the patients and this focus should be based on the decisions made by the patient, otherwise the treatment plan can be looked on as forced (Gerald et al., 2010). Every patient stricken with diabetes has the right to benefit from an education program of this type. First, basic education and facts should be administered directly following the diagnosis of
Diabetes has become an epidemic in today’s society. Diabetes affects almost every system in the body, and with an estimated 346 million people in the world with diabetes, healthcare has been heavily affected by the disease (Ramasamy, Shrivastava, P., & Shrivastava, S., 2013). One of the biggest issues for healthcare workers when it comes to diabetes, is that it is such a complicated disease. With so many different systems being affected, medical professionals have had to learn how the disease process works, what causes diabetes to work through the systems, and the best treatments to address all these issues. Through much research, the healthcare system has grown very knowledgeable on diabetes. One important aspect of treating diabetes has been in the introduction of diabetic education. In the past, nurses and dieticians had been responsible for educating patients on diabetes, but now that role is also extended to other people in the healthcare team, including the patient (Tomky, 2013). In fact, patients taking an active role in the education process, including learning to self-care has now become a priority in diabetes treatment. The following paper will discuss diabetic education, the importance of self-care and how this affects a patient’s compliance.
The Health Belief Model (HBM) of health behaviour change was originally developed in the 1950s in order to understand and explain why vaccination and screening programs being implemented at the time were not meeting with success (Edberg 2007). It was later extended to account for preventive health actions and illness behaviours (Roden 2004). Succinctly, it suggests that behaviour change is influenced by an individuals’ assessment of the benefits and achievability of the change versus the cost of it (Naidoo and Wills 2000).
Prediabetes is a serious health condition where blood sugar levels are higher than normal, but not high enough to be diagnosed as type 2 diabetes. Despite advances in medical technology, treatments, and diagnoses, uncontrolled diabetes continues to rise in the United States (US) (American Diabetes Association [ADA], 2016). Between 2012-2014, 33.9 % of the US population were diagnosed with prediabetes (Center for Disease Control and Prevention [CDC], 2016). According to the ADA (2016) in 2010 18.8 million of the population was diagnosed with diabetes, 7 million were undiagnosed, compared to 2012 where the numbers continued to increase to 29.1 million. Out of the 29.1 million individuals affected with
My teaching on primary prevention of type II diabetes adheres to HP2020 objectives D-1 to D-16 on diabetes, specifically objective D-1 that deals with reducing the annual number of new cases of diagnosed diabetes in the population. (Target is a 10% improvement from the baseline of 8.0 new cases of diabetes per 1,000 population aged 18 to 84 years occurred in the past 12 months to the target of 7.2 new cases per 1,000 population aged 18 to 84 years). Education on the preventive measures needed to be taken by an at-risk population tackles this issue of reducing the annual number of cases.
Boskey (2014) concludes that a person’s willingness to change their health behaviors includes perceived susceptibility, perceived severity, perceived barriers, and cues to action and self-efficacy. For example, Carpenter (2010) report the Health Belief Model stipulates that a change may occur if individuals see an adverse health outcome to be severe and perceive them to be vulnerable to it. Other perceptions include benefits of behaviors that reduce the likelihood of that outcome to be high, and the barriers to adopting those behaviors low (Carter, 2010). Furthermore, the HBM addresses the relationship between a person’s beliefs and behaviors. It provides a way of understanding and predicting how clients will behave about their health and how they will comply with healthcare therapies (Boskey, 2014).
Both the health belief model (HBM) and theories of reasoned action/planned behavior (TRA/TPB) are two model that has their root from psychology. Both models rely on social cognition as a mechanism to change individuals’ behaviors. Opponent criticizes the models for being unable to target social influence outside of an individual and overlook difference between target audiences.
Annual testing for abnormalities in fasting serum cholesterol, triglyceride, HDL cholesterol, and calculated LDL cholesterol levels (ADA, 2008)
When considering health psychology it is important to recognise the various models it is made up of. The basis of this essay will be to take a look at the health belief model and the theory of planned behaviour, considering their historical origins, the positives and negatives of applying these approaches and examples of when they have been used. After some analysis it may offer some insight into possible improvements that could be implemented from further research. Also included will be an overview of how the models compare to each other and critical evaluation of research from this field.
4. Apply concepts from the Health Belief Model to discuss why some women do not engage in behavior to prevent osteoporosis. In what other settings has the HBM been shown to be useful? Synthesize why the simplicity of the Health Belief Model is both a positive and a negative.
The Health Belief Model (HBM) is one of the first theories of health behavior. It was developed in the 1950s by social psychologists in the U.S. Public Health Services to better understand the widespread failure of tuberculosis screening programs. Today it continues to be one of the most widely used theories. Research studies use it to explain and predict health behaviors seen in individuals. There is a broad range of health behaviors and subject populations that it is applied in. The concepts in the model involve perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, and self-efficacy. Focusing on the attitudes and beliefs of individuals being studied create an understanding of their
The American Diabetes Association recommends that blood glucose screening begin at age 45, or sooner if you have a body mass index above 25 and additional risk factors for prediabetes or type 2 diabetes. Some other risk factors of prediabetes could possibly be: frequently physically inactive, have a family history of diabetes, have had gestational diabetes or have given birth to a child weighing more than 9 pounds, have elevated blood pressure, and many more. My mom is not crazy overweight but could be a little bit more active, and she is only 40, so we most certainly know that she needed to take out some things that stress her out in her daily life. If you do have prediabetes, research shows that doing just two things can help you prevent or delay type 2 diabetes: Lose 5% to 7% of your body weight, which would be 10 to 14 pounds for a 200-pound person; and get at least 150 minutes each week of physical activity, such as simply walking a mile each day. With healthy lifestyle changes such as eating healthy foods, physical activity in your daily routine and upholding a healthy weight, you may be able to bring your blood sugar level back to normal. Something I did not know was, whole grains may reduce your risk of diabetes and help maintain blood sugar levels. Many foods made from whole grains come ready to eat, including several breads, pasta products and many cereals.