Health education

The worldwide threat of Diabetes Mellitus (DM) has been increasing rapidly, and is now an estimated 463 million, of which 55 million people originate from Middle East and Nort African (“MENA”) region (international Diabetes Federation [“IDF’], 2020). In Saudi Arabia, the prevalence of diabetes has roughly reached a ten-fold increase in the past three decades, placing Saudi Arabia’s incidence as one of the highest globally (Almubark et al., 2022). The purpose of the study was to examine the relationship between health and diabetes self-management among Saudi adults with Type 2 Diabetes Mellitus (T2DM). The study further aimed to explore how Saudi adult with T2DM seek and utilize diabetes knowledge to self-manage their diabetes. The study was guided by Leininger’s Culture Care Diversity and Universality Theory (2002). Leininger’s Sunrise Enabler- Model provided a framework to explore the various factors that affect diabetes self-management through a cultural lens. This model provides a comprehensive understanding pf multiple factors influencing diabetes self-management.
A sample of 66 Saudi adults with T2DM aged 40-61 and older was recruited from diabetes center and Primary Healthcare Center (PHCC) at National Guard Hospital King Abdulaziz Medical City Jeddah, Saudi Arabia. A Parallel Mixed Method (PPM) design was applied, using semi-structured interviews, Diabetes Self-management Questionnaire (DSMQ), Short Test of Functional Health Literacy in Adult (S-TOFHLA), and sociodemographic surveys.

The African American population has persistently suffered a greater disease burden from uncontrolled high blood pressure than any other ethnic/racial group. There have been many attempts to reduce the health disparity but with little changes in adverse outcomes over the years. As African Americans are very religious and incorporate spirituality into their everyday lives, this research followed a faith-based approach and was conducted in the church setting. The study was guided by the Illness Representation Model (IRM) and the Theory of Culture Care Diversity and Universality (TCCDU). One hundred male and female participants were recruited from five African American churches in Southeast Florida. Each participant met the inclusion criteria of being 35-80 years old, diagnosed with high blood pressure, members/attendees of a Judeo Christian church, and able to read and write English. A researcher-developed, five-day faith based health devotional which included high blood pressure education infused with Bible messages was used as the intervention. A quasi-experimental design of pre and posttesting was employed to evaluate high blood pressure knowledge and illness representation. High blood pressure knowledge was tested using the High Blood Pressure Prevention IQ Quiz (HBPP-IQ) and illness representation tested with the Revised Illness Perception Questionnaire (IPQ-R). The results demonstrated statistically significant improvements in four out of the five hypotheses tested, with a caveat for the timeline representation (presented as two separate outcomes). The findings indicated: High blood pressure knowledge (HBPP-IQ): p < .000; Illness Representation (IPQ-R); timeline acute/chronic: p = .003; timeline cyclical: p = .20; consequences: p = .024; personal control: p = .0005; treatment control: p = .002. These results support the use of the faith-based teaching method in educating African Americans about high blood pressure as an effort that might improve illness representation in this population.

The purpose of this study was 1) to examine the significance of a patient’s active
or passive role in terms of his/her health management; 2) to determine if a relationship
exists between one’s active and passive scores and his/her self-directed learning
readiness, and 3) to identify if his/her view of one’s self as a patient (when diagnosed
with a chronic disease) impacted his/her own personal health management.
Utilizing the quantitative analysis of The Self-Directed Learning Readiness Scale
and the Vanderbilt Pain Management Inventory, 81 individuals’ descriptive statistics
were analyzed. Self-directed learning was found to positively influence an individual’s
ability to be an active patient. The moderated demographic characteristics of age,
ethnicity, education level, and gender did not have a direct relationship between selfdirected
learning readiness and active/passive coping groups. Further, it was established that the majority of the participants within the study,
83.75%, considered themselves an active patient managing their lupus diagnosis.
However, 16.25% of the participants did not believe that they were actively managing
their illness.
Self-directed learning characteristics were examined through the responses to an
open-ended question. The two most prevalent themes pertained to active coping and
control. Characteristics of self-directed learning readiness appeared predominant amongst
the responses, particularly goal-orientation and accepting responsibility for learning.
Minimal themes regarding planning and enjoying learning were provided within the data.
These characteristics were identified throughout the study in hopes of further
research and program implementations that will help to develop leadership abilities and
activity levels of self-health management in chronically ill patients. This will enable
lupus patients to have a more positive outcome, it will help them successfully manage
their own health, and it will improve their overall quality of life.