The IMB (Information-Motivation-Behavioral skills) model based diabetes self-management program for the older adults: The development process and structure

Song, Misoon

Monday, 18 November 2013

Misoon Song, RN, PhD¹
Suyoung Choi, PhD, GNP, RN²
Se-an Kim, RN, MSN¹
Soo Jin Lee, RN, MSN¹
Kyoungsan Seo, RN, MSN¹
Eun Ho Kim, RN, MSN³
(1)College of Nursing, Seoul National University, Seoul, South Korea
(2)Research Institute of Nursing Science, College of Nursing Seoul National University, Seoul, South Korea
(3)Department of Family Medicine, Seoul National University Hospital, Seoul, South Korea

Learning Objective 1: The learner will be able to understand the development process of the self-management program based on a health behavior change theory.

Learning Objective 2: The learner will be able to know the structure of the self-management program based on the IMB model for older adults with diabetes.

Purpose: The purpose of this presentation is to describe the development process and structure of the diabetes self-management program based on a behavior change theory. Methods: The program development framework for self-management program by Newman, Steed, and Mulligan (2009) was utilized; needs analysis, identifying theoretical basis of self-management interventions, translation of theory to intervention development, intervention modeling, pilot study, and formal evaluation. The needs of older adult learners were reflected in developing the program, and the program was pilot tested with 10 older adults with diabetes. Outcomes were evaluated for HbA1C, motivation level, and self-management behavior at the beginning of the intervention (T0), at the termination of the intervention (PT1), and at the 3 months after the termination (PT2). Process and participants’ satisfaction were evaluated for each session of the intervention program. Results: The IMB (Information-Motivation-Behavioral skills) model was identified as the theoretical base of health behavior change for this program based on needs analysis and literature review. The 12-session-program was developed by translating IMB model to the intervention. The program was structured with three components of the IMB model to change health behavior of the participants; information, motivation and behavioral skills. The script, instruction materials, and hand out materials for each session utilizing strategies enhancing these three components were developed. Instructors were trained for motivational interview skills. HbA1C showed improvement between PT1 and PT2 of the pilot test. Participants’ attendance rate was 94.2% and mean satisfaction score was 2.6 /4 for the pilot test. The program was modified according to the session evaluations and pilot test results. Conclusion: The diabetes self-management program showed potential benefits and good acceptance by older people with diabetes. The program needs further refinement by formal evaluation in order to provide better clinical evidence.

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