Maryam Puryaghoob - Department of Medical, Vali-e-Asr Hospital, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran
Mehri Doosti Irani - Department of Operating Room, School of Nursing and Midwifery, Shahrekord University of Medical Sciences, Shahrekord, Iran
Nasrin Masoumi - Master of Science in Medical-Surgical Nursing, Abhar School of Nursing, Zanjan University of Medical Sciences, Zanjan, Iran
Soroor Parvizy - Department of Medical Education, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.

Background: Given the importance of diabetes-related stigma and its coincidence with adolescence and the need to implement a self-care program to strengthen knowledge, improve attitudes and practice in adolescents, the present study aimed to determine the effect of virtual self-care education on the perception of type ۱ diabetes-related stigma in female adolescents with diabetes. Methods: The present quasi-experimental clinical trial was done on ۷۶ girls with type ۱ diabetes as members of the Iranian Diabetes Society (IDS) in ۲۰۱۶. We recruited patients using the convenience sampling, and then randomly assigned to experimental and control groups. We implemented the self-care education in the experimental group through a mobile-based virtual social network for ۱۲ weeks (a media message per day and interactively). The ۳۵-item online questionnaire of type ۱ diabetes-related stigma were fulfilled before intervention, immediately after the intervention and ۴ weeks after the intervention. Data were analyzed using the independent t-test, Fisher's exact test, and Chi-square test in SPSS-۱۶. Results: There was no significant difference between the experimental (۹۴.۰۹±۲۱.۸۹) and control groups (۸۹.۸۷±۲۲.۹۷) in terms of mean scores of stigmas before the intervention (P=۰.۴۱۵). Mean scores of stigmas decreased significantly in the experimental group immediately (۷۸.۲۰±۱۸.۶۶; P=۰.۰۴۳) and ۴ weeks after the intervention (۷۷.۴۷±۱۹.۳۹; P=۰.۰۱۲) compared to control group. Conclusion: Self-care education via virtual social networks was effective in reducing the stigma perception. In general, the more education was separated from its traditional method, lecturing, and was accompanied by attractive and popular methods, such as the use of social networks, the higher the level of learning, and the more enjoyable it became.

Type ۱ diabetes, Self-care, Diabetes-related stigma, Social networks, Adolescents