Health belief model in prevention of type II diabetes among high-risk individuals

Fateme Behesht aeen, Fateme Afrasiabi, Marzieh Kargar jahromi


Objective: This descriptive study aimed to determine the diabetes prevention behaviors based on the health belief model among high-risk individuals.

Methods: 220 randomly selected patients at risk of type II diabetes completed a 65-item questionnaire based on the constructs of the health belief model. Data analyzed by SPSS.

Results: The mean score of knowledge among responders was 5.54+2.60, which indicated that 50.36% of the participants had gained the maximum score of knowledge. The results indicated that the constructs of the health belief model determined 19% of the variance in type II diabetes prevention behaviors.  Perceived barriers, perceived self-efficacy, and knowledge were the significant positive predictors of diabetes prevention behaviors. Based on the results, single respondents had higher knowledge levels, higher perceived severity, and lower perceived barriers compared to married ones. In addition, a significant relationship was observed between age, economic status, and education level and some constructs of the health belief model.

Conclusion: The results indicated that the high-risk patients obtained moderate mean scores in type II diabetes prevention behaviors. These results could help improve educational programs with regard to beliefs, attitudes, and behaviors in order to promote type II diabetes prevention and self-care behaviors among at-risk populations, eventually enhancing their quality of life.


Khodaveisi M, Peyghani Asl S, Purabdollah M, Tapak L, Cheragi F, Amini R. An investigation on the Effect of Health Belief Model-based Education on Preventive Behaviors of Diabetes Type 2 in Male Adolescences. Health Education and Health Promotion. 2020;8(4):209-16.

Dehghani-Tafti A, Mahmoodabad SSM, Morowatisharifabad MA, Ardakani MA, Rezaeipandari H, Lotfi MH. Determinants of Self-Care in Diabetic Patients Based on Health Belief Model. Global Journal of Health Science. 2015; 7(5):33-42.

Abbasi M, Khorasani ZM, Etminani K, Rahmanvand R. Determination of the most important risk factors of gestational diabetes in Iran by group analytical hierarchy process. Int J Reprod BioMed. 2017;15(2):109-14.

IDF Diabetes Atlas. 2019. Available from: https:// diabetesatlas. org/ atlas/ ninth- edition/. Accessed 30 Apr 2020). .

Animaw W, Seyoum Y. Increasing prevalence of diabetes mellitus in a developing country and its related factors. PloS one. 2017;12(11):e0187670.

Mirzaei M, Rahmaninan M, Mirzaei M, Nadjarzadeh A, Dehghani tafti AA. Epidemiology of diabetes mellitus, pre-diabetes, undiagnosed and uncontrolled diabetes in Central Iran: results from Yazd health study. BMC Public Health. 2020;20(1):166.


Vazini H, Barati M. The Health Belief Model and Self-Care Behaviors among Type 2 Diabetic Patients. IRANIAN JOURNAL OF DIABETES AND OBESITY. 2014;6(3).

Yee KC. predictors of self care behaviour using health belief model among type 2 diabetes mellitus patients in a district of penang, Malaysia. Malaysia: university Putra Malaysia; 2017.

Al-Mutairi RL, Bawazir AA, Ahmed AE, Jradi H. Health Beliefs Related to Diabetes Mellitus Prevention among Adolescents in Saudi Arabia. clinical & basic research. 2015;15(3):e398–404.

Ali AD, Mehrass AA-KO, Al-Adhroey AH, Al-Shammakh AA, Amran AA. Prevalence and risk factors of gestational diabetes mellitus in Yemen. International Journal of Women’s Health. 2016;5:35-41.

Mekonnen CK, Abate HK, Tegegne ET. Knowledge, Attitude, and Practice Toward Lifestyle Modification Among Diabetes Mellitus Patients Attending the University of Gondar Comprehensive Specialized Hospital Northwest, Ethiopia. Diabetes, metabolic syndrome and obesity : targets and therapy. 2020;13:1969-77.

Dastjani FF, Shamsi M, Khorsandi M, Rezvanfar M, Ranjbaran M. To Study the Factors Affecting Medication Adherence in diabetic Patients based on Health Belief Model in Arak, 2014. Arak Medical University Journal (AMUJ). 2016;19(107):49-58.

Mikhael EM, Hassali MA, Hussain SA. Effectiveness of Diabetes Self-Management Educational Programs For Type 2 Diabetes Mellitus Patients In Middle East Countries: A Systematic Review. 2020;13:117-38.

Hatamzadeh N, Jouybari TA, Nasirzadeh M, Aghaei A, Gharibnavaz H, Khashij S. Cognitive Determinants of Diabetes Preventive among at Risk Group: an Application of the Health Belief Model. International Journal of Advanced Biotechnology and Research (IJBR). 2017;8(4):112-7.

Asril NM, Tabuchi K. Predicting Healthy Lifestyle Behaviours Among Patients With Type 2 Diabetes in Rural Bali, Indonesia. 2020;13:1179551420915856.

Sadeghi R, Hesary FB, Khanjani N. A Systematic Review about Educational Interventions based on the Health Belief Model (HBM) aimed to prevent and control diabetes in Iran. International Journal of Ayurvedic Medicine.11(1):15-22.

Sadeghi R, Rezaian M, Khanjani N, Iranpour A. The Applied of Health Belief Model in Knowledge, Attitude and Practice in People Referred for Diabetes Screening Program: An Educational Trial. Journal of Rafsanjan University of Medical Sciences. 2015;13(11):1061-72.

Khiyali Z, Manoochri M, Jeihooni AK, Heydarabadi AB, Mobasheri F. Educational Intervention on Preventive Behaviors on Gestational Diabetes in Pregnant Women: Application of Health Belief Model. Int J Pediatr. 2017;5(5):4821-31.

Mazloumi S, Hajizadeh A, Alaei MR, Alavijeh MM, Afkhami AM, Fattahi M. Status of preventive behaviors of type 2 diabetes in high-risk individuals: Application of health belief model. Iranian Journal of Diabetes and Lipids. 2012;11(6):544-50.

Costa MF. Health belief model for coronavirus infection risk determinants. Revista de saude publica. 2020;54:47.

Harvey JN, Lawson VL. The importance of health belief models in determining self-care behaviour in diabetes. Diabetic medicine : a journal of the British Diabetic Association. 2009;26(1):5-13.

Mazloumi S, Mirzaei A, Ardakani MA, Moghaddam MHB, zade HF. The Role of Health Beliefs in Preventing Behaviors of Type 2 Diabetes in High-Risk People. Journal of Shaheed Sadoughi University of Medical Sciences. 2010;18(1):24-31.

Cohen J. statistical power analysis for the behavioral sciences. New Jersey: Lawrence Erlbaum Associates; 1988.

Hallgren EA, McElfish PA, Rubon-Chutaro J. Barriers and opportunities: a community-based participatory research study of health beliefs related to diabetes in a US Marshallese community. The Diabetes educator. 2015;41(1):86-94.

Soltani R, Eslami AA, Norozi E, Motamedi M. Factors Related to Treatment Adherence in Type 2 Diabetic People Referring to the Tabriz Diabetes Clinic in 2015: Based on the Health Belief Model. J Health Sci Technol. 2017;1(4):163-9.

Calhoun N, Vorderstrasse A, Chang J. Are Demographic Factors Associated with Diabetes Risk Perception and Preventive Behavior? J Best Pract Health Prof Divers. 2020;12(2):128–40.

Adejoh SO. Diabetes Knowledge, Health Belief, and Diabetes Management Among the Igala, Nigeria. SAGE Open. 2014:1-8.

Jiang L, Liu S, Li H, Xie L, Jiang Y. The role of health beliefs in affecting patients’ chronic diabetic complication screening: a path analysis based on the health belief model. Journal of Clinical Nursing.00.

Shabibi P, Zavareh MSA, Sayehmiri K, Qorbani M, Safari O, Rastegarimehr B, et al. Effect of educational intervention based on the Health Belief Model on promoting self-care behaviors of type-2 diabetes patients. Electronic Physician. 2017;9(12):5960-8.

Mohammadi S, Karim NA, Talib RA, Amani R. The impact of self-efficacy education based on the health belief model in Iranian patients with type 2 diabetes: a randomised controlled intervention study. Asia Pac J Clin Nutr. 2018;27(3):546-55.



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