The effect of feedback-based education on self-efficacy and treatment adherence in elderly diabetic patients after surgery visiting the hospital

Abstract Introduction: The aim of this study was to investigate the effect of feedback-based education on self-efficacy and treatment adherence in elderly diabetic patients after surgery. Methods: This quasi-experimental study used a pre-test and post-test design and was conducted on 80 elderly diabetic patients who visited the hospital after surgery. The participants were randomly assigned into two groups: experimental (40 participants) and control (40 participants). The experimental group received feedback-based education regarding postoperative care and diabetes management, while the control group received standard education. Self-efficacy and treatment adherence were assessed before and after the intervention using validated scales. Results: The results showed that feedback-based education significantly increased self-efficacy in the patients (P < 0.001), and this increase in self-efficacy led to improved treatment adherence (P < 0.001). Structural equation modeling analysis revealed that self-efficacy significantly mediated the association between feedback-based education and treatment adherence. Conclusion: The findings of this study indicate the effectiveness of feedback-based education in enhancing self-efficacy and treatment adherence in elderly diabetic patients after surgery. It can be suggested as an effective strategy for improving healthcare for this group of patients.