Integrating the Health Belief Model and Mobile Applications to Improve Knowledge and Medical Compliance in Diabetic Patients
Wahyu Widodo 1*, Faridah Binti Mohd Said 2, Musheer 2
Journal of Angiotherapy 8(8) 1-5 https://doi.org/10.25163/angiotherapy.889847
Submitted: 16 July 2024 Revised: 02 August 2024 Published: 08 August 2024
Abstract
Background: Standard care for Diabetic foot ulcers (DFU) involves various interventions, but there is limited focus on patients' knowledge and medical compliance. The Health Belief Model (HBM) offers a promising framework to enhance patient knowledge and adherence to medical recommendations by addressing perceived susceptibility, barriers, severity, and benefits. However, its application through mobile technology remains underexplored. Methods: This study conducted a systematic literature review using online databases such as PubMed, ScienceDirect, EBSCO, Springer, Google, and Google Scholar. The search focused on studies published from 2000 to 2022, examining the use of HBM in diabetes care, specifically addressing patient knowledge and medical compliance, and the integration of mobile applications. Keywords included terms such as 'education HBM diabetes patient’s knowledge' and 'mobile application HBM diabetes medical compliance.' After an initial yield of 168 articles, a rigorous screening process resulted in the inclusion of 9 relevant studies. Results: The review indicates that the HBM can effectively promote health behavior changes in diabetes care, improving self-efficacy, knowledge, and medical compliance. Implementing HBM through education has shown benefits in foot care, adherence to medical advice, and the management of diabetes-related complications. However, studies integrating mobile applications with HBM in diabetes care are scarce, highlighting a significant gap in current research. Conclusion: Utilizing the Health Belief Model through mobile applications may offer clinical benefits in diabetes care by preventing severe complications such as DFUs. The role of technology experts is critical in developing effective HBM-based mobile applications.
Keywords: Diabetic Foot Ulcers, Health Belief Model, Mobile Applications, Patient Compliance, Diabetes Management
References
Alatawi, Y. M., Kavookjian, J., Ekong, G., & Alrayees, M. M. (2016). The association between health beliefs and medication adherence among patients with type 2 diabetes. Research in social & administrative pharmacy: RSAP, 12(6), 914–925. https://doi.org/10.1016/j.sapharm.2015.11.006
Alcántara-Aragón V. (2019). Improving patient self-care using diabetes technologies. Therapeutic advances in endocrinology and metabolism, 10, 2042018818824215. https://doi.org/10.1177/2042018818824215
Alemayehu, A. M., Dagne, H., & Dagnew, B. (2020). Knowledge and associated factors towards diabetes mellitus among adult non-diabetic community members of Gondar city, Ethiopia 2019. PloS one, 15(3), e0230880. https://doi.org/10.1371/journal.pone.0230880
Alqarni, A. M., Alrahbeni, T., Qarni, A. A., & Qarni, H. (2018). Adherence to diabetes medication among diabetic patients in the Bisha governorate of Saudi Arabia - a cross-sectional survey. Patient preference and adherence, 13, 63–71. https://doi.org/10.2147/PPA.S176355
Armstrong, D. G., Boulton, A., & Bus, S. A. (2017). Diabetic Foot Ulcers and Their Recurrence. The New England journal of medicine, 376(24), 2367–2375. https://doi.org/10.1056/NEJMra1615439
Bayat, F., Shojaeezadeh, D., Baikpour, M., Heshmat, R., Baikpour, M., & Hosseini, M. (2013). The effects of education based on extended health belief model in type 2 diabetic patients: a randomized controlled trial. Journal of diabetes and metabolic disorders, 12(1), 45. https://doi.org/10.1186/2251-6581-12-45
Burgess, J. L., Wyant, W. A., Abdo Abujamra, B., Kirsner, R. S., & Jozic, I. (2021). Diabetic Wound-Healing Science. Medicina (Kaunas, Lithuania), 57(10), 1072. https://doi.org/10.3390/medicina57101072
Chao, J., Nau, D. P., Aikens, J. E., & Taylor, S. D. (2005). The mediating role of health beliefs in the relationship between depressive symptoms and medication adherence in persons with diabetes. Research in social & administrative pharmacy : RSAP, 1(4), 508–525. https://doi.org/10.1016/j.sapharm.2005.09.002
Dehghani-Tafti, A., Mazloomy Mahmoodabad, S. S., Morowatisharifabad, M. A., Afkhami Ardakani, M., Rezaeipandari, H., & Lotfi, M. H. (2015). Determinants of Self-Care in Diabetic Patients Based on Health Belief Model. Global journal of health science, 7(5), 33–42. https://doi.org/10.5539/gjhs.v7n5p33
Everett, E., & Mathioudakis, N. (2018). Update on management of diabetic foot ulcers. Annals of the New York Academy of Sciences, 1411(1), 153–165. https://doi.org/10.1111/nyas.13569
Hurlow, J. J., Humphreys, G. J., Bowling, F. L., & McBain, A. J. (2018). Diabetic foot infection: A critical complication. International wound journal, 15(5), 814–821. https://doi.org/10.1111/iwj.12932
Jalilian, F., Motlagh, F. Z., Solhi, M., & Gharibnavaz, H. (2014). Effectiveness of self-management promotion educational program among diabetic patients based on health belief model. Journal of education and health promotion, 3, 14. https://doi.org/10.4103/2277-9531.127580
Jalilian, F., Motlagh, F. Z., Solhi, M., & Gharibnavaz, H. (2014). Effectiveness of self-management promotion educational program among diabetic patients based on health belief model. Journal of education and health promotion, 3, 14. https://doi.org/10.4103/2277-9531.127580
Jiang, L., Liu, S., Li, H., Xie, L. and Jiang, Y. (2021), The role of health beliefs in affecting patients’ chronic diabetic complication screening: a path analysis based on the health belief model. J Clin Nurs, 30: 2948-2959. https://doi.org/10.1111/jocn.15802
Jones, C. L., Jensen, J. D., Scherr, C. L., Brown, N. R., Christy, K., & Weaver, J. (2015). The Health Belief Model as an explanatory framework in communication research: exploring parallel, serial, and moderated mediation. Health communication, 30(6), 566–576. https://doi.org/10.1080/10410236.2013.873363
Kashfi, S. M., Khani Jeihooni, A., Rezaianzadeh, A., & Amini, S. h. (2012). The effect of health belief model educational program and jogging on control of sugar in type 2 diabetic patients. Iranian Red Crescent medical journal, 14(7), 442–446. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3438438/
Khodaveisi, M., Azizpour, B., Jadidi, A., & Mohammadi, Y. (2021). Education based on the health belief model to improve the level of physical activity. Physical activity and nutrition, 25(4), 17–23. https://doi.org/10.20463/pan.2021.0022
Martos-Cabrera, M. B., Gómez-Urquiza, J. L., Cañadas-González, G., Romero-Bejar, J. L., Suleiman-Martos, N., Cañadas-De la Fuente, G. A., & Albendín-García, L. (2021). Nursing-Intense Health Education Intervention for Persons with Type 2 Diabetes: A Quasi-Experimental Study. Healthcare (Basel, Switzerland), 9(7), 832. https://doi.org/10.3390/healthcare9070832
Muduli, I. C., P P, A., Panda, C., & Behera, N. C. (2015). Diabetic Foot Ulcer Complications and Its Management Medical College-Based Descriptive Study in Odisha, an Eastern State of India. The Indian journal of surgery, 77(Suppl 2), 270–274. https://doi.org/10.1007/s12262-012-0791-2
Pezeshki, B., Karimi, G., Mohammadkhah, F., Afzali Harsini, P., & Khani Jeihooni, A. (2022). The Effect of Educational Intervention Based on Health Belief Model on Eye Care Practice of Type II Diabetic Patients in Southern Iran. TheScientificWorldJournal, 2022, 8263495. https://doi.org/10.1155/2022/8263495
Rosenstock, I. M. (1974). Historical origins of the health belief model. Health education monographs, 2(4), 328-335. https://doi.org/10.1177/109019817400200403
Shabibi, P., Zavareh, M., Sayehmiri, K., Qorbani, M., Safari, O., Rastegarimehr, B., & Mansourian, M. (2017). Effect of educational intervention based on the Health Belief Model on promoting self-care behaviors of type-2 diabetes patients. Electronic physician, 9(12), 5960–5968. https://doi.org/10.19082/5960
Sharifirad, G., Entezari, M. H., Kamran, A., & Azadbakht, L. (2009). The effectiveness of nutritional education on the knowledge of diabetic patients using the health belief model. Journal of research in medical sciences: the official journal of Isfahan University of Medical Sciences, 14(1), 1–6. https://pubmed.ncbi.nlm.nih.gov/21772854/
Soewondo, P., Ferrario, A., & Tahapary, D. L. (2013). Challenges in diabetes management in Indonesia: a literature review. Globalization and health, 9, 63. https://doi.org/10.1186/1744-8603-9-63
Spampinato, S. F., Caruso, G. I., De Pasquale, R., Sortino, M. A., & Merlo, S. (2020). The Treatment of Impaired Wound Healing in Diabetes: Looking among Old Drugs. Pharmaceuticals (Basel, Switzerland), 13(4), 60. https://doi.org/10.3390/ph13040060
Van Netten, J. J., Bus, S. A., Apelqvist, J., Lipsky, B. A., Hinchliffe, R. J., Game, F., Rayman, G., Lazzarini, P. A., Forsythe, R. O., Peters, E., Senneville, É., Vas, P., Monteiro-Soares, M., Schaper, N. C., & International Working Group on the Diabetic Foot (2020). Definitions and criteria for diabetic foot disease. Diabetes/metabolism research and reviews, 36 Suppl 1, e3268. https://doi.org/10.1002/dmrr.3268
Zareban, I., Niknami, S., Hidarnia, A., Rakhshani, F., Karimy, M., & Shamsi, M. (2013). The Effect of Education Program Based on Health Belief Model on Decreasing Blood Sugar Levels in Diabetic Type 2 Patients in Zahedan. Health scope, 2(2), 73-78. https://doi.org/10.17795/jhealthscope-8690
View Dimensions
View Altmetric
Save
Citation
View
Share