ArticleHealth science reports2026
Application of Pender's Health Promotion Model for Healthy Dietary Practice Promotion Among Type 2 Diabetes Mellitus Patients: A Quasi-Experimental Study in Lalitpur District, Nepal.
Article in Health science reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Knowledge, risk perception, and associated factors of cardiovascular disease among adult with type 2 diabetic mellitus attending public hospitals in Addis Ababa, Ethiopia: A multicenter cross-sectional study.American heart journal plus : cardiology research and practice · 2026Article
- Application of Pender's Health Promotion Model for Healthy Dietary Practice Promotion Among Type 2 Diabetes Mellitus Patients: A Quasi-Experimental Study in Lalitpur District, Nepal.Health science reports · 2026Article
- Application and Effectiveness of the Nola Pender Model in Nursing: A Narrative Review.Iranian journal of nursing and midwifery researchReview
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Authors and funding
5 authors.
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Abstract
Background and Aims: Type 2 Diabetes Mellitus (T2DM) is a serious public health issue that is considered the leading cause of death. However, it can be controlled and treated with simple interventions, including good dietary practices. This study aims to assess the effect of a diabetes management self-care program on dietary practices among patients with T2DM seeking health services at diabetes and thyroid centers in Lalitpur, Nepal. Methods: The quasi-experimental study was conducted in three phases. The first phase employed a cross-sectional, quantitative survey to assess the existing status of dietary practices among patients with T2DM. The second phase was the development of the program. Based on Pender's health promotion model, the Diabetes Self-management Program (DSMP) was designed following the P-process of strategic communication. The third phase involves the post-test in the control group, during which quantitative data were collected. Results: Wilcoxon Signed Rank-test, and there were no statistically significant differences between the intervention and control group in the pretest score of Pender's Health Promotion Model (PHPM) related variables, perceived benefits, perceived barriers, perceived self-efficacy, social support, situational influence, and attitudes towards healthy dietary practice. After 1 month of intervention, the Mann-Whitney Conclusion: The DSMP was found to be effective in changing attitudes toward dietary practices and perceived behavioral control over good nutritional practices, which were considered responsible for the increase in good dietary practice intention in the intervention group compared to the control group. Thus, the practices are not only standard but also play a fundamental role in the effective management of diabetes mellitus, complementing pharmacological and lifestyle interventions.
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