Magda M. Mohsen, Nahla A. Saafan Amal Attia and, Amal El-Abassy
Background: Diabetes self-management is defined as a set of skilled behaviors one engages in to manage one's own illness. The Transtheoretical Model (TTM, stage-based model) is one of the six most commonly cited behavior change models frequently assumed to be more effective than a control situation. Aim: This study was conducted in order to investigate the lifestyle behavior of mothers of diabetic children's before and after implementation of intervention strategies incorporating the Transtheoretical Model of Change. Setting: The study was conducted in the Diabetic center in EL Mogamaa EL Teby AL Shamal at Shebin El-kom that serves Menoufyia Governorate. Design: The experimental pre-post-test design was used in carrying out the study. Sample: The study used simple random sample of 100 mothers of diabetic children's who were enrolled in the computerized program for diabetic children registration. Instruments:-a) Trans-theoretical model of change for child questionnaire, b). Transtheoretical model of change for mother questionnaire. The main results: The experimental group, reported that 18.0% not having complications as a result of diabetes at the pre intervention phase, increased to 64.0% at the post intervention phase. Also the results of the studied mothers revealed that there was statistically significant difference between experimental and control groups within the baseline, the first and the second intervention regarding stages of change for dietary management, blood glucose monitoring by using the home device and preparation and insulin administration behaviors. Conclusion: the implementation of the Trans-theoretical Model of change- based behavioral intervention brought a positive change in stages of mothers' behaviors related to dietary management, blood glucose monitoring by using the home device and preparation and insulin administration.
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