Effect of Lifestyle Promotion in the PRECEDE-PROCEED model among pre-diabetic adults based on PERSIAN cohort study: a randomized controlled trial study

Majed Meripour; Hashem Mohamadian; Morteza Abdullatif Khafaie

doi:10.1007/s40200-023-01273-7

Effect of Lifestyle Promotion in the PRECEDE-PROCEED model among pre-diabetic adults based on PERSIAN cohort study: a randomized controlled trial study

J Diabetes Metab Disord. 2023 Aug 17;22(2):1499-1509. doi: 10.1007/s40200-023-01273-7. eCollection 2023 Dec.

Authors

Majed Meripour¹, Hashem Mohamadian¹, Morteza Abdullatif Khafaie²

Affiliations

¹ Department of Health Education and Promotion, Faculty of Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
² Department of Public Health, Faculty of Health, Ahvaz Jundishapur University of Medical Sciences, Golestan St, Ahvaz, 15794_61357 Iran.

PMID: 37975138
PMCID: PMC10638267 (available on 2024-08-17)
DOI: 10.1007/s40200-023-01273-7

Abstract

Background: Diabetes is a chronic disease caused by impaired glucose metabolism. This study aimed to design and evaluate the effect of a lifestyle promotion program based on the PRECEDE-PROCEED model among pre-diabetic individuals.

Methods: This randomized controlled trial evaluated the effect of a lifestyle promotion program using the PRECEDE-PROCEED model among pre-diabetic individuals in Hoveizeh city in 2019. The study collected information on the disease status and risk factors associated with non-communicable conditions from the website of Hoveizeh Cohort Study Center. The primary outcome of the study was the percentage of glycated hemoglobin (HbA1c) with a three-month follow-up.

Results: A total of 240 individuals participated in the study. There was no significant difference in anthropometric characteristics between the intervention and control groups (P < 0.05). Initially, there was no significant difference in the mean HbA1c between the intervention and control groups (P = 0.97). However, after three months of intervention, a statistically significant difference was observed (P > 0.001). The results indicated an increase in the mean quality of life in the intervention group, but no significant difference was found between the two groups or before and after the intervention within each group (P < 0.05).

Conclusion: The findings suggest that the PRECEDE-PROCEED model provides a suitable framework for training pre-diabetic individuals and patients with type 2 diabetes mellitus (T2DM) to promote self-care behaviors.

Supplementary information: The online version contains supplementary material available at 10.1007/s40200-023-01273-7.

Keywords: Diabetes Mellitus, type 2; Epidemiologic studies; Glucose metabolism Disorders; Glycated hemoglobin A; Lifestyle; Prediabetic state.

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