Abstract:
Background:Self-care behaviors reduce complications and improve quality of life among
diabetic patients. Researches are limited on how patients’ access, process, and respond to
diabetic self-care messages in Ethiopia.
Objective: To determine response to self-care practice message among diabetic patient in
Jimma University Medical center based on the Extended Parallel Process Model
Methods: A facility-based cross-sectional study was conducted among diabetic patients in
Jimma University Medical centerfromApril 12- May 25, 2020. Data was collected using a
structured questionnaire developed based on the constructs of the Extended Parallel Process
Model and by reviewing literatures. Data were entered using Epi data version 3.1 then analyzed
using SPSS version 23. Frequency, proportions, and summative scores were calculated as
descriptive statistics. Analysis of variance and independent sample t-test was done to test
differences in perceptions (perceived threat and perceived efficacy) by sociodemographic
variables and to see self-care practice differences by threat/efficacy interaction. Multivariable
logistic regression was performed and a p-value of less than 0.05 and odds ratio was used to
show the degree of association between the independent and the outcome variable.
Result:in this study the prevalence of controlling the danger of diabetes was 49.6%. 21.3%of the
respondents were responsive, 17.8% belong to fear control, 23.3%were proactive and37.6% were
no response respondents. Those who completed higher education scored high in both perceived
threat and efficacy score compared to those who cannot read and write. Responsive respondents
scored high in self-care practice score as compared to other respondents. educational status,
information sources, knowledge, and preferred message appeals were independent predictors of
controlling the danger of diabetes.
Conclusion and recommendation: There is a significant gap in controlling the danger of
diabetes.Variables like the level of education, knowledge of diabetes mellitus, information
sources, and message appeals were independent predictors of controlling the danger of diabetes.
designingmessage having higher efficacy while maintaining the level of threat is the best that fits
the existing audience's message processing to bring about desired diabetic self-care Practice
