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Motivating Self-Care and Enhancing Treatment Adherence in Elderly Type 2 Diabetes: An Extended Parallel Process Model Intervention

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  • Malihe Kabusi
  • Gholam Reza Mahmoodi-Shan
  • Abdurrhman Charkazi
  • Mahin Tatari

Abstract

BackgroundThis study aimed to examine the effectiveness of an intervention based on the Extended Parallel Process Model (EPPM) in improving treatment adherence and self-care among elderly individuals with type 2 diabetes.MethodsThis randomized clinical trial was conducted among 70 elderly individuals with type 2 diabetes attending the Deziani Diabetes Clinic in Gorgan, Iran, during 2022. Participants were aged 60 years or older and capable of participating in the study. They were randomly assigned to either an intervention or a control group. The intervention was delivered over 5 weeks, and a posttest was conducted 4 weeks after the final session.ResultsThe Mann–Whitney U test revealed a statistically significant difference in treatment adherence between the intervention and control groups (U = −5.78, p=0.01). The intervention group showed higher treatment adherence (mean = 102.91 SD = 6.67) than the control group (mean = 88.51, SD = 10.63), with a confidence interval of 11.18, a p-value of 0.001, and an effect size of η = 0.61 (p

Suggested Citation

  • Malihe Kabusi & Gholam Reza Mahmoodi-Shan & Abdurrhman Charkazi & Mahin Tatari, 2025. "Motivating Self-Care and Enhancing Treatment Adherence in Elderly Type 2 Diabetes: An Extended Parallel Process Model Intervention," Nursing Research and Practice, Hindawi, vol. 2025, pages 1-12, December.
    • Handle: RePEc:hin:jnlnrp:9114238
    DOI: 10.1155/nrp/9114238
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