Volume 14, Issue 1, 2026

Effectiveness of Health Education Programme on Self-Care Management of Diabetic Patients Attending Primary Health Care Service in Lagos State

Waliu Babatunde Ogunbamowo, Adeyemi Olugbenga Bodunrin & Zainab Ayomide Lamidi

Abstract

This study evaluates the effectiveness of health education programme on self
care management of diabetic patients attending primary health care service in
Lagos State. The sample for this study consisted of 150 respondents who
submitted their consent forms, formed the study population. The purposive
sampling technique was used to select the sample. The instrument used for
data collection was self-developed questionnaire titled “Health Education
Programme on Diabetes Self-Care Management Questionnaire (HEPSCMQ)
designed in line with Likert 4-point rating scale. The instrument was in two
sections. Section A focused on bio-data, section B was used to collect
information on the established variables of the study. The section consists of
four questions on each of the variables selected for the study. The reliability
of the instrument was carried out using the test-retest method. A total of 10
diabetic patients attending primary health Care at Ojo Primary Health centre
who were not part of the sample were used for the reliability test. Data
collected was subjected to Pearson Product Moment Correlation Coefficient
[PPMCC) which yielded 0.87 after computation, indicating that the
questionnaire is reliable. Data collected was analysed with SPSS software
version 23.0. All hypotheses were tested at 0.05 level of significance. Findings
from the study revealed that health education programme was effective on
healthy eating, F (1, 148) = 23.550, p < .0005, R2 =.137, regular physical
Activity, F (1, 148) = 38.488, p < .0005 and R2 =.340, blood glucose checking
among diabetic patients attending primary health care service in Lagos State.
It was recommended that Alimosho primary health centre should invite
nutritionist to talk and educate the patients on eating of healthy food, health
education to organize physical activity for the patients during clinic days and
encourage patients who can purchase blood glucose test machine and make the
test accessible to all patients at the health centre.

Keywords

Self-Care Management, Healthy Eating, Physical Activity, Blood Glucose Checking, Adherence to Medication

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References

American Diabetes Association, (2017). Standards
of medical care in diabetes-2017. Diabetes
care;40(Suppl 1): S1
Berhanu, H., Feyissa, G. T., & Geleta, D. (2022).
Diabetes
mellitus
self-management
education at Jimma University Medical
Center: Evidence based implementation
project. JBI Evid Implement; 20:280?8.
Canadian Diabetes Association. (2008). Diabetes
Educator Section. Building competency in
diabetes education: The essentials. Toronto:
Diabetes Educator Section, Canadian
Diabetes Association.
Cho, N. H., Shaw, J. E., Karuranga, S., Huang, Y.,
da Rocha Fernandes, J. D. & Ohlrogge, A.
W. (2018). IDF Diabetes Atlas: Global
estimates of diabetes prevalence for 2017
and projections for 2045. Diabetes Res
Clin Pract. 2018 Apr;138: 271- 281.
Church, T. S., LaMonte, M. J. & Barlow, C. E,
(2015). Cardio-respiratory fitness and body
mass index as predictors of cardiovascular
disease mortality among men with diabetes.
Arch Intern Med; 165:2114–20.
81
INTERNATIONAL JOURNAL OF EDUCATIONAL PERSPECTIVES, VOLUME 14, ISSUE 1, (2026)
Gregory, G. A., Robinson, T. I. & Linklater, S. E.
(2022). Global incidence, prevalence, and
mortality of type 1 diabetes in 2021 with
projection to 2040: A modeling study.
Lancet Diabetes Endocrinol; 10:741?60.
Haskell, W. L, Lee, I. M., Pate, R. R, Powell, K. E.,
Blair, S. N., & Franklin, B. A. (2007).
Physical activity and public health: updated
recommendation for adults from the
American college of sports medicine and
the American heart association. Med Sci
Sports Exerc, 39(8):1423–1434.
Hoogeveen, E. K. (2022). The epidemiology of
diabetic kidney disease. Kidney Dial;
2:433?42.
International
Diabetes
Federation,
(2017).
International Diabetes Federation atlas 8th
edition. International Diabetes Federation;
905: 11.
Karter, A. J., Ackerson, L. M. & Darbinian, J. A.
(2001). Self-monitoring of blood glucose
levels and glycemic control: The Northern
California Kaiser Permanente Diabetes
registry. Am J Med; 111:1–9.
Karter, A. J., Parker, M. M. & Moffet, H. H.
(2006). Longitudinal study of new and
prevalent use of self-monitoring of blood
glucose. Diabetes Care; 29:1757–63.
Kulzer, B., Hermanns, N. & Reinecker, H. (2007).
Effects of self-management training in Type 2
diabetes: A randomized, prospective trial. Diabet
Med; 24:415-23.
Lee, S. K., Shin, D. H., Kim, Y. H. & Lee, K. S.
(2019). Effect of diabetes education
through pattern management on self-care
and self-efficacy in patients with type 2
diabetes,"
International
Journal
of
Environmental Research and Public
Health, vol. 16, no. 18, pp. 3323.
Mary, J. J., & Dongre, A. R. (2022). Effect of a
community-based intervention on self-care
among diabetes patients in rural Tamil
Nadu: a mixed-method study," Primary
Care Diabetes, vol. 16, no. 4, pp. 484–490.
s
Olatunde, O. I. (2025). Evaluating the challenges
and opportunities for diabetes care policy in
Nigeria" Open Health, vol. 6, no. 1, 2025,
pp. 20230056.
Opperman, A. M., Venter, C. S. & Oosthuizen, W.
(2004). Meta-analysis of the health effects
of using the glycaemic index in meal
planning. British Journal of Nutrition;
92:367–81.
Patel, M. R., Kruger, D. J., Cupal, S. &
Zimmerman, M. A. (2016). Effect of
Financial Stress and Positive Financial
Behaviors on Cost-Related Non-adherence
to Health Regimens Among Adults in a
Community Based Setting. Prev Chronic
Dis;13(3).
Pinchevsky, Y., Butkow, N. & Raal, F. J, (2020).
Demographic
and
clinical
factors
associated with development of type 2
diabetes: A review of the literature. Int J
Gen Med; 13:121?9.
Pearson, T. L., Bardsley, J. & Weiner, S. (2019).
Population health: The diabetes educator’s
evolving role. Diabetes Educ; 45:333?48.
Polonsky, W. H., Fisher, L. & Schikman, C. H.
(2011). Structured self-monitoring of blood
glucose significantly reduces A1C levels in
poorly controlled, non-insulintreated type 2
diabetes: Results from the Structured
Testing Program study. Diabetes Care;
34:262–7
Polonsky, W. H., Hajos, T. R. & Dain, M. P,
(2011). Are patients with type 2 diabetes
reluctant to start insulin therapy? An
examination
of
the
scope
and
underpinnings of psychological insulin
resistance
in
a large, international
population. Current Medical Research
Opinion; 27:1169–74.
Rahman, H. F., Sukmarini, L. Efikasi, D.
Kepatuhan, D. & Kualitas Hidup, P. (2017).
Diabetes Melitus Tipe 2 (Self Efficacy,
Adherence, and Quality of Life of Patients
with Type 2 Diabetes;2:108–13.
Rahman, M. S., Hossain, K. S. & Dsas, S. (2021).
Role of insulin in health and disease: An
update. Int J Mol Science; 22:6403.
Romero-Castillo,
R.,
Pabón-Carrasco,
M.,
Jiménez-Picón, N., Ponce-Blandón, J.A.,
(2022). Effects of a diabetes self
management education program on glucose
levels and self care in type 1 diabetes: a
pilot
randomized
controlled
trial,"
International Journal of Environmental
82
INTERNATIONAL JOURNAL OF EDUCATIONAL PERSPECTIVES, VOLUME 14, ISSUE 1, (2026)
Research and Public Health, vol. 19, no.
23, pp. 16364.
Schmitt, A., Gahr, A., Hermanns, N., Kulzer, B.,
Huber, J. & Haak, T. (2013). The Diabetes
Self-Management Questionnaire (DSMQ):
Development and evaluation of an
instrument to assess diabetes self-care
activities
associated
with
glycaemic
control. Health Qual Life Outcomes
[Internet];11(1):1. Available from: Health
and Quality of Life Outcomes
Seligman, H. K., Smith, M. & Rosenmoss, S.
(2018).
Comprehensive
diabetes
self?management support from food banks:
A randomized controlled trial. Am J Public
Health; 108:1227?34.
Shah, A., Isath, A., & Aronow, W. S. (2022).
Cardiovascular complications of diabetes.
Expert Rev Endocrinol Metab; 17:383?8.
Shiferaw, W. S., Akalu, T. Y., Desta, M., Kassie,
A. M., Petrucka, P. M., & Aynalem, Y. A.,
(2021). Effect of Educational Interventions
on Knowledge of the Disease and Glycemic
Control in Patients with Type 2 Diabetes
Mellitus: A Systematic Review and Meta
Analysis of Randomized Controlled
Trials," BMJ Open, vol. 11, no. 12, pp.
e049806
Sittipreechachan, P., Pichayapinyo, P., Lagampan,
S., & Chongsuwat, R. (2022). A community
health volunteer involvement programme
for glycated hemoglobin reduction among
Thai patients with uncontrolled type 2
diabetes: a mixed-method study," Journal
of Primary Care & Community Health, vol.
13, pp. 1–8.
Sturt, J. A., Whitlock, S. & Fox, C. (2008). Effects
of the diabetes manual 1:1 structured
education in primary care. Diabetes Med;
25:722-31.
Taaon, C., Kraithaworn, P., & Piaseu, N. (2024).
The effects of nursing case management on
self-care behaviours, clinical outcomes, and
quality of life among community-dwelling
older adults with poorly controlled type 2
diabetes
in
Thailand,"
Journal of
Community Health Nursing, vol. 41, no. 1,
pp. 11–20.
Tan, C. C. L., Cheng, K. K. F., Hwang, S. W.,
Zhang, N., Holroyd, E., & Wang, W.
(2020). Effect of a diabetes self-efficacy
enhancing programme on older adults with
type 2 diabetes: a randomized controlled
trial," Clinical Nursing Research, vol. 29,
no. 5, pp. 293–303,
Umpierre, D., Ribeiro, P. A. & Schaan, B. D.
(2013). Volume of supervised exercise
train-ing impacts glycaemic control in
patients with type 2 diabetes: A systematic
review with meta-regression analysis.
Diabetologia;56: 242–51.
United States Department of Health and Human
Services,
(2008).
Guidelines
for
Physical
Americans
Activity
Online.
Available at https://www.health.gov
Ventegodt, S., Kandel, I., Ervin, D. A., & Merrick,
J. (2016). Concepts of Holistic Care. In
Health Care for People with Intellectual and
Developmental Disabilities across the
Lifespan, Cham: Springer, pp. 148.
Wang, H., Li, N., & Chivese, T. (2022). IDF
diabetes atlas: Estimation of global and
regional gestational diabetes mellitus
prevalence for 2021 by international
association of diabetes in pregnancy study
group’s criteria. Diabetes Res Clin Pract;
183:109050.
Word Organization Health, (2016). Monitoring
health for the Sustainable Development
Goals (SDGs). World Health Organization.
World
Health
Organization,
Noncommunicable
Diseases
(2018).
Country
Profiles 2018. Geneva; World Health
Organization.
World Health Organization, (2023). Diabetes
situation. World Health Organization.
Online.
Available
from
https://www.who.int
World Health Organization, (2023). One Health: A
Holistic Approach to Health and Well
Being," World Health Organization, online.
Available at https://www.who.int

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