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Research article
Anis Safura Ramli
Institute for Pathology, Laboratory and Forensic Medicine (I-PPerForM), Universiti Teknologi MARA (UiTM)
Corresponding Author
ORCiD: https://orcid.org/0000-0002-9517-1413
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This work is licensed under a CC BY 4.0 License. Read Full License
Background : Offspring of diabetes patients have an absolute risk of 20-40% of developing the condition. Diabetes patients should be encouraged to speak to their offspring regarding diabetes risk and prevention strategies. The Health Belief Model conceptualises that the higher the perceived risk, the more likely an individual will modify their behaviour. The objectives of this study were to i) determine the distribution of type 2 diabetes patients regarding their willingness to accept training to speak to their offspring, ii) determine the distribution of type 2 diabetes patients regarding their willingness to accept training based on the HBM and iii) to determine the factors associated with their willingness to accept training. Methods : This was a cross-sectional study amongst type 2 diabetes patients attending two primary care clinics in Malaysia. Sociodemographic data and knowledge of diabetes risk factors were collected. The adapted, translated and validated Diabetes Mellitus in the Offspring Questionnaire-Malay version (DMOQ-Malay) was self-administered. Statistical analysis included descriptive statistics, univariate and multiple logistic regression. Results : A total of 425 participants were recruited. Of these, 61.6% were willing to accept training. In MLogR, six variables were found to be significantly associated with willingness to accept training. These were i) positive family history Adj. OR 2.06 (95% CI: 1.27, 3.35), ii) having correct knowledge that being overweight is a risk factor Adj. OR 1.49 (95%CI: 1.01, 2.29), iii) correctly identifying age 40 years old as a risk factor Adj. OR 1.88 (95%CI: 1.22, 2.90), iv) agreeing that speaking to their offspring would help them to prevent type 2 diabetes Adj. OR 4.34 (95%: 1.07, 17.73), v) being neutral with the statement ‘I do not have much contact with my offspring’ Adj. OR: 0.31 (95% CI: 0.12, 0.810 and vi) being neutral with the statement ‘my offspring are not open to advice from me’ Adj. OR: 0.63 (95% CI: 0.31, 0.84. Conclusion : The majority of type 2 diabetes patients were willing to accept training to speak to their offspring to prevent diabetes. A training module should be designed to enhance their knowledge, attitude and skills to become family health educators.
Keywords
Diabetes mellitus, offspring, risk perception, training, primary care, Malaysia
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View the published article at BMC Primary Care.
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Posted 04 Mar, 2020
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On 03 Mar, 2020
Editorial decision: Accept
On 03 Mar, 2020
No comments provided
Editorial decision: Minor revision
On 26 Feb, 2020
Review #1 received
Received 07 Feb, 2020
Editor assigned
On 30 Jan, 2020
Reviewers invited
Invitations sent on 30 Jan, 2020
Reviewer #1 agreed
On 30 Jan, 2020
Submission checks complete
On 29 Jan, 2020
Editor invited
On 29 Jan, 2020
No comments provided
Editorial decision: Major revision
On 09 Jan, 2020
Review #2 received
Received 19 Dec, 2019
Reviewer #2 agreed
On 05 Dec, 2019
Review #1 received
Received 09 Oct, 2019
Reviewer #1 agreed
On 23 Sep, 2019
Reviewers invited
Invitations sent on 16 Aug, 2019
Submission checks complete
On 14 Jul, 2019
Editor assigned
On 04 Jul, 2019
Editor invited
On 03 Jul, 2019
First submitted
On 02 Jul, 2019
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Subject Areas
General Practice
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See the published version of this preprint at BMC Primary Care.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Anis Safura Ramli
Institute for Pathology, Laboratory and Forensic Medicine (I-PPerForM), Universiti Teknologi MARA (UiTM)
Corresponding Author
ORCiD: https://orcid.org/0000-0002-9517-1413
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Primary Care.
Version 3
Posted 04 Mar, 2020
No community comments so far
Submission checks complete
On 03 Mar, 2020
Editorial decision: Accept
On 03 Mar, 2020
No comments provided
Editorial decision: Minor revision
On 26 Feb, 2020
Review #1 received
Received 07 Feb, 2020
Editor assigned
On 30 Jan, 2020
Reviewers invited
Invitations sent on 30 Jan, 2020
Reviewer #1 agreed
On 30 Jan, 2020
Submission checks complete
On 29 Jan, 2020
Editor invited
On 29 Jan, 2020
No comments provided
Editorial decision: Major revision
On 09 Jan, 2020
Review #2 received
Received 19 Dec, 2019
Reviewer #2 agreed
On 05 Dec, 2019
Review #1 received
Received 09 Oct, 2019
Reviewer #1 agreed
On 23 Sep, 2019
Reviewers invited
Invitations sent on 16 Aug, 2019
Submission checks complete
On 14 Jul, 2019
Editor assigned
On 04 Jul, 2019
Editor invited
On 03 Jul, 2019
First submitted
On 02 Jul, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
General Practice
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Primary Care.
Background : Offspring of diabetes patients have an absolute risk of 20-40% of developing the condition. Diabetes patients should be encouraged to speak to their offspring regarding diabetes risk and prevention strategies. The Health Belief Model conceptualises that the higher the perceived risk, the more likely an individual will modify their behaviour. The objectives of this study were to i) determine the distribution of type 2 diabetes patients regarding their willingness to accept training to speak to their offspring, ii) determine the distribution of type 2 diabetes patients regarding their willingness to accept training based on the HBM and iii) to determine the factors associated with their willingness to accept training. Methods : This was a cross-sectional study amongst type 2 diabetes patients attending two primary care clinics in Malaysia. Sociodemographic data and knowledge of diabetes risk factors were collected. The adapted, translated and validated Diabetes Mellitus in the Offspring Questionnaire-Malay version (DMOQ-Malay) was self-administered. Statistical analysis included descriptive statistics, univariate and multiple logistic regression. Results : A total of 425 participants were recruited. Of these, 61.6% were willing to accept training. In MLogR, six variables were found to be significantly associated with willingness to accept training. These were i) positive family history Adj. OR 2.06 (95% CI: 1.27, 3.35), ii) having correct knowledge that being overweight is a risk factor Adj. OR 1.49 (95%CI: 1.01, 2.29), iii) correctly identifying age 40 years old as a risk factor Adj. OR 1.88 (95%CI: 1.22, 2.90), iv) agreeing that speaking to their offspring would help them to prevent type 2 diabetes Adj. OR 4.34 (95%: 1.07, 17.73), v) being neutral with the statement ‘I do not have much contact with my offspring’ Adj. OR: 0.31 (95% CI: 0.12, 0.810 and vi) being neutral with the statement ‘my offspring are not open to advice from me’ Adj. OR: 0.63 (95% CI: 0.31, 0.84. Conclusion : The majority of type 2 diabetes patients were willing to accept training to speak to their offspring to prevent diabetes. A training module should be designed to enhance their knowledge, attitude and skills to become family health educators.
Figure 1
Figure 2
This is a list of supplementary files associated with this preprint. Click to download.
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