Effects of Social-Behavioural Engagement on Perception of Adults with Type 2 Diabetes on Self-Care Management in Southwestern Nigeria

Authors

  • Daniel-Alpheaus IC Babcock University image/svg+xml
    Competing Interests

    None

  • Olanrewaju MF Babcock University image/svg+xml
    Competing Interests

    None

DOI:

https://doi.org/10.63950/gshh.2026.2.1.34

Keywords:

Adult, Self-care management, Social-behavioural, Type 2 Diabetes Mellitus, Precede-Proceed

Abstract

Introduction: Effective self-care is essential for managing type 2 diabetes mellitus (T2DM), yet adherence is low in Nigeria. We evaluated a theory-guided social-behavioural engagement intervention (social support, role-play, educational sessions) on perceived self-care among adults with T2DM in two teaching hospitals in Ogun State.

Methods: In a quasi-experimental design, 60 adults (30–70 years) were systematically sampled—intervention site: Olabisi Onabanjo University Teaching Hospital; control: Babcock University Teaching Hospital. A validated questionnaire (Cronbach’s α = 0.70–0.82) assessed perceived self-care at baseline, immediately post-intervention, and at 10-week follow-up. The intervention group received two 90-minute group sessions weekly for 10 weeks (20 sessions); controls received standard clinic education. Data were analysed with independent-sample and paired-sample t-tests using IBM SPSS v23 at α = 0.05. Ethical approval was granted by BUHREC and OOUHREC.

Results: Mean change in perception scores was 4.07 ± 1.28 (experimental) versus 0.11 ± 0.85 (control); the between-group difference was significant (t (54) = 12.13, p < 0.001, 95% CI 3.34–4.80, Cohen’s d = 1.46), indicating a large positive effect.

Conclusion: Integrating similar social-behavioural interventions into diabetes care could enhance patient empowerment and sustained glycaemic control.

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Author Biographies

  • Daniel-Alpheaus IC, Babcock University

    Public Health 

  • Olanrewaju MF, Babcock University

    Department of Public Health, Professor, 

References

1. Powers MA, Bardsley J, Cypress M, Funnell MM, Harms D, Hess Fischl A, et al. Diabetes self-management education and support in adults with type 2 diabetes. Diabetes Care. 2020;43(7):1636–1649. https://doi.org/10.2337/dci20-0023

2. Stephani V, Opoku D, Beran D. Self-management of diabetes in Sub-Saharan Africa: a systematic review. BMC Public Health. 2018 Sep 29;18(1):1148. https://doi.org/10.1186/s12889-018-6050-0

3. Atun R, Davies JI, Gale EAM, Bärnighausen T, Beran D, Kengne AP, et al. Diabetes in sub-Saharan Africa: from clinical care to health policy. Lancet Diabetes Endocrinol. 2019;5(8):622–667. https://doi.org/10.1016/S2213-8587(17)30181-X

4. International Diabetes Federation. IDF Diabetes Atlas. 11th ed. Brussels: International Diabetes Federation; 2024.

5. Mogre V, Johnson NA, Tzelepis F, Shaw JE, Paul C. A systematic review of adherence to diabetes self‐care behaviours: Evidence from low‐and middle‐income countries. Journal of Advanced Nursing. 2019 Dec;75(12):3374-89. https://doi.org/10.1111/jan.14190

6. World Health Organization. Diabetes fact sheet [Internet]. Geneva: World Health Organization; 2021 [cited 2026 Jan 3]. Available from: https://www.who.int/news-room/fact-sheets/detail/diabetes

7. Abdullahi MI, Bi Y, Wang M, Ashiru MH, Zheng ZJ, Jin Y. Self-care behaviors and glycemic control in Nigerian patients with type 2 diabetes: a pilot cross-sectional study. Global Health Research and Policy. 2025 Nov 11;10(1):60. https://doi.org/10.1186/s41256-025-00427-9

8. Galaviz KI, Narayan KMV, Lobelo F, Weber MB. Lifestyle and the prevention of type 2 diabetes: a status report. Am J Lifestyle Med. 2018;12(1):4–20. https://doi.org/10.1177/1559827615619159

9. Adu MD, Malabu UH, Malau-Aduli AEO, Malau-Aduli BS. Enablers and barriers to effective diabetes self-management: a multinational investigation. PLoS One. 2019;14(6):e0217771. https://doi.org/10.1371/journal.pone.0217771

10. Aina MA, Agbede CO. Perception of self-care and self-care practice of diabetic patients attending selected hospitals in Oyo State, Nigeria. Int J Public Health Pharmacol. 2021;1(2):50–59. https://doi.org/10.52589/IJPHP-XKALSFE8

T2DM Self care

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Published

28-02-2026

Data Availability Statement

Available upon request.

Issue

Section

Original Research

How to Cite

Effects of Social-Behavioural Engagement on Perception of Adults with Type 2 Diabetes on Self-Care Management in Southwestern Nigeria. (2026). Global South Health Horizons, 2(1), 41-44. https://doi.org/10.63950/gshh.2026.2.1.34

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