Effect of intervention based on BASNEF model on quality of life in patients with type 2 diabetes

Document Type : Original Quantitative and Qualitative Research Paper


MSc in Community Health Nursing, Faculty member, School of Nursing and Midwifery, University of Medical Sciences, Mashhad, Iran


Background Type 2 diabetes is the most common metabolic disorder that has a lot of consequences on the quality of life in diabetic patients.
Aim: To evaluate the effectiveness of interventions based on BASNEF model on quality of life in patients with type 2 diabetes.
Methods: this before-and-after quasi-experimental study was performed on one group of 45 patients with type 2 diabetes, using convenience sampling method, who were admitted in three hospitals in Mashhad, Iran from 2011 to 2012. To collect data a questionnaire developed based on constructs of BASNEF model (knowledge, attitude, subjective norms and enabling factors) as well as the short version of the world health organization quality of life (WHOQOL-BREF) questionnaire. At the biggining of the study quality of life was assessed, and then the intervention was conducted in three 45-minute sessions. Quality of life score was again measured one month later and compared with the baseline score. Data were analyzed with SPSS Software, version 11.5 using paired t-test in 95% level.
Results: The mean age of sample was 47.5 ± 6.7 and most of them (%55.5) were male. Based on paired t-test a significant increase was observed in scores of both QOL dimensions and also BASNEF model constructs after as compared with before the intervention (P < 0.05).
Conclusion: BASNEF model is an effective model to design programs to improve the quality of life in patients with type 2 diabetes.


  1. Copado CA, Palomar VG, Urena AM, Mengual FA, Martinez MS, Serralta JR. Improvement of Control in Subjects with Type 2 Diabetes after a Joint Intervention: Diabetes Education and Physical Activity. Aten Primaria 2011; 43: 398-406.
  2. Zwar NA, Hermiz O, Comino EJ, Shortus T, Burns J, Harris M. Do Multidisciplinary Care Plans Result in Better Care for Patients with Type 2 Diabetes? Aust Fam Physician 2007; 36: 85-9.
  3. Rhee MK, Cook CB, EL-Kebbi I, Lyles RH, Dunbar VG, Panayioto RM, et al. Barriers to Diabetes Education in Urban Patients: Perceptions, Patterns and Associated Factors. Diabetes Educ. 2005; 31(3):410-7.
  4. Moghadasian S, Ebrahimi H, Mahdipour N, Haririan H. Assessment of Quality of Life in  Diabetic patients in Tabriz. Journal of Nursing and Midwifery. 2008; 10, 38-44. (Persian)
  5. Braun A, Samann A, Kubiak T, Ziescang T, Kloos C, Muller UA et al. Effects of Metabolic Control, Patient Education and Initiation of Insulin Therapy on the Quality of Life of Patients with Type 2 Diabetes Mellitus. Patient Educ Couns. 2008; 73(1):50-9.
  6. Jordan DN, Jordan J. Self-Care Behaviors of Filipino American Adult with Type 2 Diabetes Mellitus. Journal of Diabetes and Its Complication.2010; 24 (4): 250-58.
  7. Shakibazadeh E, Rashidian A, Larijani B, Shojaeezadeh D, Forouzanfar MH, Karimi Shahanjarini A.Perceived Barriers and Self-efficacy: Impact on Self-care Behaviors in Adults with Type 2 Diabetes. The Journal of Faculty of Nursing & Midwifery 2010; 15(4): 69-78.  (Persian)
  8. Sharifirad G, Entezari MH, Kamran A, Azadbakht L. The Effectiveness of Nutritional Education on the Knowledge of Diabetic Patients Using the Health Belief Model. JRMS 2008;14(1):1-6. (Persian)
  9. Saffari M,Shojaeizade D.Principles and Foundations of Health Promotion & Education.Tehran: Samat:2008. (Persian)
  10. Saffari M, Shojaizadeh D, Gofranipour F, Heidarnia A, Pakpour A. Health Education and Promotion; Theories, Models and Method. Tehran: Sobhan: 2008. (Persian)
  11. Hazavehei MM, Khani Jyhouni A, Hasanzade A, Rashidi M. The Effect of Educational Program Based on BASNEF Model on Diabetic (Type II) Eyes Care in Kazemi's Clinic, (Shiraz). Iranian Journal of Endocrinology and Metabolism.2008; 10(2):145-55. [Persian]
  12. Baghianimoghadam MH. The study of BASNEF Model Effectiveness in Controlling Yazd Diabetic Patients (Thesis MSc Health Education), Tehran: Tarbiatmodares University; 2001. (Persian)
  13. Glanz K, Rimer B, Lewis FM. Health behavior and Health education Theory, Research and Practice.4th ed . San Francisco. Jossey –Bass publisher 2008, P67.
  14. Taghdisi MH, Borhani M, Solhi M, Afkari ME, Hosseini ME. Effect of Educational Program Based on PRECED Model on Quality of Life in Patients with Type II Diabetes. Journal of Gorgan University of Medical Sciences. Spring 2011; Volume 13, Number 129-36. (Persian)
  15. Baghianimoghadam MH, Afkhami Ardekani M. The Effect of Educational Intervention on Quality of Life of Diabetic Patients Type 2, Referee to Diabetic Research Centre of Yazd. Ofoghe Danesh.2007; 13(4):21-29. (Persian)
  16. Aghamolaei T, Eftekhar H, Mohammad K, Sobhani AR, Shojaizadeh D, Nakhjavani M,et al. Influence of Education Intervention Interaction Approach on Behavior Change, HBA1c and Health Related Quality of Life in Diabetic Patients. Iranian Journal of Diabetes and Lipid .2004; 3(4)71-80. (Persian)
  17. Khani A, Hazavehei MM. The Effect of Educational Program Based on BASNEF Model on Blood Sugar in Patients with Type 2 Diabetes Mellitus. Iranian Journal of Diabetes and Lipid. 2010; 10(1)67-75. (Persian)
  18. Najimi A1, Azadbakht L, Hassanzadeh A, Sharifirad GR. The Effect of Nutritional Education on Metabolic Outcomes Based on BASNEF Model in Elderly Patients with Type 2 Diabetes. J Res Health Sci 2010; 6(3):549-58. (Persian)
  19. Kartel A, Altugozsoy S. Validity and Reliability Study of the Turkish Version of Health Belief Model Scale in Diabetic Patients. International Journal of Nursing Studies 2007; 44: 1448-58.
  20. Sharifirad Gh, Mohebbi S, Matlabi M. Survey of the Feet Care Based on Health Belief Model in Diabetes Type II Patients Referring to the Diabetes Research Center of Kermanshah in 2006. J Birjand University of Medical Sciences.2008; 15(4):84-91. (Persian)
  21. Haghayegh A.S, Ghasemi N, Neshatdoost HT, Kajbaf M, Khanbani M. Psychometric Properties of Diabetes Management Self-Efficacy Scale (DMSES). Iranian Journal of Endocrinology and Metabolism. 2010; 12(2):111-15. (Persian)
  22. Hazavehei MM, Sharifirad GhR, Kargar M. The Comparison of Educational Intervention Effect Using BASNEF and Classic Models on Improving Assertion Skill Level. J Res Health Sci 2008; 8(1):1-11. (Persian)
  23. Noohi E, Khandan M, Mirzazadeh. Effective of Electronic Education on Knowledge Attitude and Self-Care in Patient’s Diabetic Type 2 Refer to Diabetic Center of Kerman University of Medical Science. Iranian Journal of Nursing Research.2011; 6(22):72-80. (Persian)
  24. Baghaei P, Zandi M, Vares Z, Masoodialavi N, Adidhajbagheri M. Self-Care Behaviour of Patients with Diabetes in Kashan Centers of Diabetes. Quarterly Journal of Feiz.2008; 12(1):88-93. (Persian)
  25. Rahimian Boogar I, Besharat M.A, Mohajeri-Tehrani M.R, Talepasand S. Diabetes Self Management: Social, Demographical and Disease Factors. Journal of Clinical Psychology. 2010; 1(4):43-57. (Persian)