Instructional Program Toward Adolescents Attitudes of Insulin Self-Administration

Abstract

Objective: To identify the level of attitudes adolescents have about self-administering insulin and to determine how that attitudes relates to sociodemographic characteristics.

Study Design: A quasi-experimental study
Place and Duration of Study: This study was conducted at the diabetic and endocrine center of Al-Hilla city from 23rd May 2025 to 7th October 2025.

Methods: 120 adolescents were enrolled. The researcher uses an evaluation instrument, which consists of two sub-parts, where the first sub-part includes 7 questions related to demographic characteristics of adolescents with type I diabetes mellitus disease, the second sub-part includes 16 questions related to the attitudes of adolescents about self-
injection of insulin. Each question has three options (agree, disagree and not sure). Where 3 = agree, 2 = not sure and 1 = disagree, and 3 represent the high value scale. The reliability coefficient of Cronbach Alpha, which
determines the questionnaire's accuracy, is 0.86. Data collection is assessed and analyzed using SPSS-25.

Results: The adolescents attitudes in experimental group in posttest1 &2 is improving, while attitudes of control group is stayed in same level this indicated the instructional program was effective interventional approach to improve adolescents attitudes. Additionally, the findings point to a scientific association between the attitudes of teenagers and demographic information such as age, education level, and prior training. Repeated-measures analysis confirmed significant Time, Group, and Time × Group interaction effects with large effect sizes.

Conclusion: Most of the teenagers in the study samples were between the ages of 15 and 18 and resided in urban areas. Adolescent attitudes in the study group had a significant change, the mean was 23.58±13.65 in the pre-test, before to instructional program sessions 33.41±14.96 in the post-test one, following educational program sessions and 32.31±14.26 in the post-test two.