نوع مقاله : Original Article(s)
تازه های تحقیق
نفیسه حکمتی پور: Google Scholar , PubMed
عنوان مقاله English
نویسندگان English
Background: Type 1 diabetes is a chronic disease during adolescence that requires active patient participation and the development of self-management skills for effective control. Adolescence is a challenging period for achieving optimal glycemic control due to physiological, psychological, and social changes. Strengthening self-care behaviors and providing structured support can contribute to reducing complications and improving health outcomes. The 5A model, emphasizing individual assessment, education, collaborative goal setting, practical support, and continuous follow-up, provides an empowering approach to disease management. This study aimed to investigate the effect of a self-management model based on the 5A framework on three-month glycemic control (HbA1c) among adolescents aged 15–18 years with type 1 diabetes.
Methods: This randomized controlled clinical trial was conducted using a pretest–posttest design with a three-month follow-up in (2025) at diabetes clinics of teaching hospitals in Mashhad, Iran. Thirty eligible adolescents were randomly assigned to intervention and control groups using simple randomization. The intervention group received six weekly 45-minute self-management training sessions based on the 5A model, while the control group received routine clinic care. HbA1c levels were measured before the intervention, immediately after the intervention, and three months later. Data were analyzed using appropriate statistical tests and analysis of covariance (ANCOVA).
Findings: The findings showed that the mean HbA1c level in the intervention group decreased from 8.35% at baseline to 6.91% after the intervention, and this reduction was maintained at the three-month follow-up (P < 0.001). No significant change in HbA1c levels was observed in the control group (P = 0.34). Furthermore, comparison between the two groups demonstrated a significant difference in HbA1c levels at the post-intervention and three-month follow-up stages (P < 0.001).
Conclusion: The results indicated that implementing a self-management model based on the 5A framework can improve glycemic control among adolescents with type 1 diabetes. By enhancing patient participation, strengthening self-care skills, establishing individualized goals, and providing continuous support, this model facilitates better disease management and reduction of HbA1c levels. Incorporating this approach into nursing care programs may serve as an effective strategy for empowering adolescents with type 1 diabetes.
کلیدواژهها English
