Journal of Isfahan Medical School

Journal of Isfahan Medical School

Prioritizing standards of the structure and process of patient education for elders in diabetes clinics – Isfahan 2025

Document Type : Original Article(s)

Authors
Maryam Jafari 1
Mousa Alavi 2
Parvaneh Khorasani 3
1 MSc Student in Gerontological Nursing, Department of Community Health and Geriatric Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
2 Professor, Nursing and Midwifery Care Research Center, Department of Mental Health Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
3 Associate Professor, Nursing and Midwifery Care Research Center, Department of Community Health Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran
10.48305/jims.v44.i870.1248
Abstract
Background: With the increasing elderly population,, diabetes clinics are facing distinct challenges . The aim of this study is to determine the priority of key standards of the structure and process of education for elderly people with diabetes.
Methods: This descriptive applied study was conducted in diabetes clinics in Isfahan in 1404 by receiving the opinions of two main stakeholder groups including 170 elderly people with diabetes through convenience sampling and 35 service providers through full enumeration. A valid and reliable researcher-made questionnaire (Cronbach's alpha above 0.78) was used to collect data through questionnaire and self-report methods after receiving the necessary permissions, observing ethical considerations and informed consent, and the data were analyzed in descriptive tables with SPSS21.
Findings: Key priorities of the educational standards for elderly patients were explained in the structure area with 48 items in 6 topics (environmental facilities, preliminary preparations, media and interactive technologies, considerations for social networks, training specialist /human resources and their visit programs) and in the process area with 55 items in 6 topics (training needs assessment, considerations for effective communication, before, during and after training, and overall evaluation of program effectiveness).
Since paying attention to the standards of structure and process of patient education for elders is effective in improving their self-care and quality of life, it is recommende make the necessary efforts to establish standards by policymakers in determined order of the structure and the process priorities for elderly patient education in diabetes gradually.

Highlights

Maryam Jafari: Google Scholar ,PubMed 

Mousa Alavi: Google Scholar ,PubMed

Parvaneh Khorasani: Google Scholar ,PubMed 

Keywords
patient education
elderly
diabetes clinics
Standards of care
structural evaluation
process evaluation
Subjects
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Journal of Isfahan Medical School
Volume 44, Issue 870
2nd Week, September
September and October 2026
Pages 1248-1262

  • Receive Date 17 November 2025
  • Accept Date 25 July 2026