PMID- 38425175
OWN - NLM
STAT- Publisher
LR  - 20240422
IS  - 1475-2662 (Electronic)
IS  - 0007-1145 (Linking)
DP  - 2024 Mar 1
TI  - Educational intervention based on the extended parallel process model improves 
      adherence to diabetic diet and glycaemic control indices: a randomised, 
      double-blind, controlled, factorial field trial.
PG  - 1-12
LID - 10.1017/S0007114524000497 [doi]
AB  - Nutritional education is pivotal in the medical nutritional therapy of type 2 
      diabetes mellitus (T2DM). The extended parallel process model (EPPM) is a health 
      education method for inducing desirable health behaviours. The present study 
      aimed to investigate the effect of nutritional education based on the EPPM in 
      T2DM patients on knowledge, attitude, practice, anthropometric indices, glycaemic 
      factors, lipid profile and adherence to the diabetic diet. A randomised, 
      double-blind, controlled, factorial field trial was designed for T2DM patients 
      aged 30-59 years (n 88). Participants were randomly allocated into four groups to 
      receive EPPM-based nutritional education through gain framed message (GFM), loss 
      framed message (LFM), their combination (G\LFM) or usual diabetic education in 
      the control group (CG). Participants were assessed before and after the study 
      duration. After 3 months of intervention, eighty participants finished the study. 
      The EPPM-based intervention increased participants' knowledge, behavioural 
      intention, perceived sensitivity, severity, self-efficacy (P < 0.001 for all) and 
      response efficacy (P = 0.029) in comparison with CG. GFM (P = 0.004) and G\FLM (P 
      = 0.034) reduced carbohydrate intake and LFM (P = 0.034) and G\LFM (P = 0.047) 
      decreased fat intake. Between-group analysis indicated interventions reduced 
      weight (P = 0.046), BMI (P = 0.038), fasting blood sugar (P = 0.030), 2-hour 
      postprandial blood glucose (P = 0.027) and TAG (P = 0.002) in comparison with the 
      CG. Results were NS for protein intake, waist and hip circumference, waist:hip 
      ratio, HbA1c, total cholesterol, LDL and HDL. Nutritional education based on EPPM 
      could increase the knowledge and awareness of T2DM patients. Also, it could be 
      beneficial for blood glucose amendment. Further investigations are recommended.
FAU - Dehghan, Tayebe
AU  - Dehghan T
AD  - Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
FAU - Mohsenpour, Mohammad Ali
AU  - Mohsenpour MA
AUID- ORCID: 0000-0001-6885-1993
AD  - Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
AD  - Department of Clinical Nutrition, School of Nutrition and Food Sciences, Shiraz 
      University of Medical Sciences, Shiraz, Iran.
FAU - Karimi, Masoud
AU  - Karimi M
AD  - Department of Health Promotion, School of Health, Shiraz University of Medical 
      Sciences, Shiraz, Iran.
FAU - Mehrabi, Manoosh
AU  - Mehrabi M
AD  - Department of E-learning in Medical Sciences, Virtual School, Shiraz University 
      of Medical Sciences, Shiraz, Iran.
FAU - Zare, Morteza
AU  - Zare M
AD  - Nutrition Research Center, School of Nutrition and Food Sciences, Shiraz 
      University of Medical Sciences, Shiraz, Iran.
FAU - Akbarzadeh, Marzieh
AU  - Akbarzadeh M
AD  - Nutrition Research Center, School of Nutrition and Food Sciences, Shiraz 
      University of Medical Sciences, Shiraz, Iran.
FAU - Kohansal, Atefeh
AU  - Kohansal A
AD  - Nutrition Research Center, School of Nutrition and Food Sciences, Shiraz 
      University of Medical Sciences, Shiraz, Iran.
FAU - Fathi, Fatemeh
AU  - Fathi F
AD  - School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
FAU - Sohrabi, Zahra
AU  - Sohrabi Z
AD  - Nutrition Research Center, School of Nutrition and Food Sciences, Shiraz 
      University of Medical Sciences, Shiraz, Iran.
LA  - eng
PT  - Journal Article
DEP - 20240301
PL  - England
TA  - Br J Nutr
JT  - The British journal of nutrition
JID - 0372547
SB  - IM
OTO - NOTNLM
OT  - Extended parallel process model
OT  - Fasting blood sugar
OT  - Health education
OT  - Nutrition education
OT  - TAG
OT  - Type 2 diabetes mellitus
EDAT- 2024/03/01 06:44
MHDA- 2024/03/01 06:44
CRDT- 2024/03/01 02:32
PHST- 2024/03/01 06:44 [pubmed]
PHST- 2024/03/01 06:44 [medline]
PHST- 2024/03/01 02:32 [entrez]
AID - S0007114524000497 [pii]
AID - 10.1017/S0007114524000497 [doi]
PST - aheadofprint
SO  - Br J Nutr. 2024 Mar 1:1-12. doi: 10.1017/S0007114524000497.