RESUMO
This research explores if a social marketing intervention model based on social representations theory and the health belief model can generate changes regarding treatment adherence and improve patient self-efficacy. As a pilot, a test-retest field quasi-experiment was designed to evaluate the intervention model with type 1 diabetes (T1DM) patients of families with 8- to 17-year-old children. The intervention model was designed to clarify misconceptions, increase awareness of the benefits of following doctors' treatments and improve patients' self-efficacy. In-depth interviews were carried out to gain a richer understanding of the intervention's effect. The pilot intervention generated a favourable change in shared misconceptions, individual health beliefs, glycaemic control and declared treatment adherence. This paper contributes to the social marketing literature and public health by providing early support for the theoretical assumptions regarding the role of shared misconceptions in physiological and behavioural outcomes for patients with T1DM. Contrary to previous studies, instead of only focusing on individual beliefs, this study incorporates shared beliefs between patients and caregivers, generating more comprehensive behavioural change.
Assuntos
Diabetes Mellitus Tipo 1 , Adolescente , Criança , Diabetes Mellitus Tipo 1/tratamento farmacológico , Humanos , Projetos de Pesquisa , Autoeficácia , Marketing Social , Cooperação e Adesão ao TratamentoRESUMO
OBJECTIVE: To generate a scale to measure health beliefs among Mexican adolescents and young people with type 1 diabetes (T1DM) to determine the extent to which they affect adherence to treatment and to be able to develop more effective social marketing campaigns. MATERIAL AND METHODS: Based on the Health Belief Model (HBM), a scale was generated; three field tests were applied, and it was administered in two regions of Mexico to young people with type 1 diabetes.Tests of reliability, stability, convergence-discrimination and predictive validity were developed. RESULTS: The main predictor is perceived barriers to treatment adherence, followed by self-efficacy to disease control, susceptibility/vulnerability to disease complications and perceived benefits of treatment. CONCLUSIONS: This scale may be especially useful for better monitoring young Mexican patients with T1DM and prevent sequelae of disease.
OBJETIVO: Generar una escala para medir las creencias de salud en adolescentes y jóvenes mexicanos con diabetes tipo 1 (T1DM) para determinar el grado en que éstas afectan la adherencia al tratamiento y ser capaces de desarrollar campañas de mercadotecnia social más efectivas. MATERIAL Y MÉTODOS: Con base en el Modelo de Creencias de la Salud (HBM, por sus siglas en inglés), se generó una escala que se sometió a tres pruebas de campo y se administró en dos regiones de México a jóvenes con diabetes tipo 1. Se realizaron pruebas de fiabilidad, estabilidad, validez por convergenciasdiscriminación y validez predictiva. RESULTADOS: El principal predictor son las barreras percibidas para apegarse al tratamiento, seguida de la autoeficacia para controlar la enfermedad, susceptibilidad/vulnerabilidad a complicaciones de la enfermedad y beneficios percibidos del tratamiento. CONCLUSIONES: Esta escala puede resultar especialmente útil para dar un mejor seguimiento a pacientes jóvenes mexicanos con T1DM y evitar secuelas de la enfermedad.
Assuntos
Atitude Frente a Saúde , Cultura , Diabetes Mellitus Tipo 1/psicologia , Cooperação do Paciente , Autorrelato , Adolescente , Adulto , Humanos , México , Adulto JovemRESUMO
Resumen: Objetivo: Generar una escala para medir las creencias de salud en adolescentes y jóvenes mexicanos con diabetes tipo 1 (T1DM) para determinar el grado en que éstas afectan la adherencia al tratamiento y ser capaces de desarrollar campañas de mercadotecnia social más efectivas. Material y métodos: Con base en el Modelo de Creencias de la Salud (HBM, por sus siglas en inglés), se generó una escala que se sometió a tres pruebas de campo y se administró en dos regiones de México a jóvenes con diabetes tipo1. Se realizaron pruebas de fiabilidad, estabilidad, validez por convergencias-discriminación y validez predictiva. Resultados: El principal predictor son las barreras percibidas para apegarse al tratamiento, seguida de la autoeficacia para controlar la enfermedad, susceptibilidad/vulnerabilidad a complicaciones de la enfermedad y beneficios percibidos del tratamiento. Conclusión: Esta escala puede resultar especialmente útil para dar un mejor seguimiento a pacientes jóvenes mexicanos con T1DM y evitar secuelas de la enfermedad.
Abstract: Objective: To generate a scale to measure health beliefs among Mexican adolescents and young people with type 1 diabetes (T1DM) to determine the extent to which they affect adherence to treatment and to be able to develop more effective social marketing campaigns. Materials and methods: Based on the Health Belief Model (HBM), a scale was generated; three field tests were applied, and it was administered in two regions of Mexico to young people with type 1 diabetes. Tests of reliability, stability, convergence-discrimination and predictive validity were developed. Results: The main predictor is perceived barriers to treatment adherence, followed by self-efficacy to disease control, susceptibility/vulnerability to disease complications and perceived benefits of treatment. Conclusion: This scale may be especially useful for better monitoring young Mexican patients with T1DM and prevent sequelae of disease.