﻿<?xml version="1.0" encoding="UTF-8"?>
<ArticleSet>
  <Article>
    <Journal>
      <PublisherName>Hamadan University of Medical Sciences</PublisherName>
      <JournalTitle>Journal of Education and Community Health</JournalTitle>
      <Issn>2820-896X</Issn>
      <Volume>9</Volume>
      <Issue>2</Issue>
      <PubDate PubStatus="ppublish">
        <Year>2022</Year>
        <Month>06</Month>
        <DAY>30</DAY>
      </PubDate>
    </Journal>
    <ArticleTitle>Determinants of Self-care Behaviors in Diabetic Patients in Yazd: An Application of the Protection Motivation Theory</ArticleTitle>
    <FirstPage>104</FirstPage>
    <LastPage>110</LastPage>
    <ELocationID EIdType="doi">10.34172/jech.2022.16</ELocationID>
    <Language>EN</Language>
    <AuthorList>
      <Author>
        <FirstName>Zohreh</FirstName>
        <LastName>Rahaei</LastName>
        <Identifier Source="ORCID">https://orcid.org/0000-0002-5959-5390</Identifier>
      </Author>
      <Author>
        <FirstName>Sorayya</FirstName>
        <LastName>Eshghi</LastName>
      </Author>
      <Author>
        <FirstName>Faezeh</FirstName>
        <LastName>Afkhami</LastName>
      </Author>
      <Author>
        <FirstName>Zahra</FirstName>
        <LastName>Khazir</LastName>
        <Identifier Source="ORCID">https://orcid.org/0000-0001-6066-5037</Identifier>
      </Author>
    </AuthorList>
    <PublicationType>Journal Article</PublicationType>
    <ArticleIdList>
      <ArticleId IdType="doi">10.34172/jech.2022.16</ArticleId>
    </ArticleIdList>
    <History>
      <PubDate PubStatus="received">
        <Year>2021</Year>
        <Month>09</Month>
        <Day>17</Day>
      </PubDate>
      <PubDate PubStatus="accepted">
        <Year>2022</Year>
        <Month>02</Month>
        <Day>10</Day>
      </PubDate>
    </History>
    <Abstract>Background: Diabetes is an increasingly important public health concern. Self-care behaviors should be improved to help diabetic patients better control the disease, highlighting the importance of understanding the factors that affect a diabetic patient’s self-care behaviors. Therefore, the goal of the present study was to determine factors related to self-care behaviors in patients with type 2 diabetes (T2D) using the protection motivation theory (PMT). Methods: In general, 160 type 2 diabetic patients referring to Yazd Diabetes Research Center were randomly selected and included in this analytical cross-sectional study. The data were gathered by a reliable and valid questionnaire, which is a summary of a multi-question questionnaire. It included PMT constructs and demographic information through interviewing the patients. Finally, data were analyzed using t test, ANOVA, linear regression, and Pearson correlation tests. Results: The mean age of the patients and the mean self-care behaviors were 55.87±9.62 years and 37.56±12.94, respectively. In the regression model, perceived susceptibility (β=0.294, P&lt;0.001) and protection motivation (β=0.247, P=0.003) were significant predictors of diabetes self-care behaviors. This model was able to explain 20% of the variance of these behaviors. Conclusion: PMT is effective in recognizing the determinants of diabetes self-care behaviors; therefore, to increase patients’ motivation to adopt diabetes self-care behaviors, a framework similar to this theory can be used to design educational programs. It is suggested that other studies in the field of self-care be conducted with other educational models in different populations of patients, and their results be compared accordingly.</Abstract>
    <ObjectList>
      <Object Type="keyword">
        <Param Name="value">Self-care</Param>
      </Object>
      <Object Type="keyword">
        <Param Name="value">Diabetes mellitus type 2</Param>
      </Object>
      <Object Type="keyword">
        <Param Name="value">Fear</Param>
      </Object>
      <Object Type="keyword">
        <Param Name="value">Self-efficacy</Param>
      </Object>
    </ObjectList>
  </Article>
</ArticleSet>