Effectiveness of Educational Intervention Based on Information Motivation Behavioral Skill Model on Self-Care and HbA1c among Type 2 Diabetes Patients in Yemen

Theory based intervention to improve diabetes self care behaviors and HbA1c The intervention will be designed based on the Information Motivation Behavioral Skill model to address patients’ diet, physical activity and foot care information, motivation, and behavioral skills deficits. Intervention foci will be derived from an extensive review of the literature and lengthy conversations with experts in the field. The intervention group will receive one session of intervention which will last three hours and the intervention will be conducted in the National Center Of Diabetes in Yemen by the researcher (MBBS, MPH) who is responsible to implement this intervention. All participants in the intervention group will be allocated into small subgroups consisting of twenty participants and each subgroup will be assigned to a specific day The intervention session will include all Information Motivation Behavioral Skills model elements. The Information Motivation Behavioral Skills model is one of recently developed models that provide a framework for a brief health promotion counseling. According to the IMB model improved glycemic control, is function of; individuals information about diabetes self-care behaviors, motivation to engage in self-care implementation & behavioral skills for performing the specific acts involved in self-care activities. The intervention will include information related to the diet, physical activity and foot care. The researcher will use power point presentation to deliver the information. The researcher will use the discussion to enhance motivation to perform diabetes self-care behaviors (diet, physical activity and foot care). The discussion will include asking open-ended questions, affirming desirable behaviors and negotiating goals that are realistic and attainable. The researcher will use role play technique to give the participants behavioral skills training on how to monitor carbohydrates, integrate physical activity into their lifestyle and how to take care of their feet.