In another semi-experimental study by Kara et al., targeted trainings were found to enhance self-efficacy in COPD patients. Our results reported self-efficacy trainings to be effective in preventing pulmonary disturbances. Catharine et al., in a study performed to evaluate the effects of self-efficacy factors on self-care and self-monitoring of glycosylated hemoglobin in youth with type-I diabetes, found individuals receiving self-efficacy interventions to have higher self-care
behaviors compared to those with solely improved self esteem and no self-efficacy interventions. The latter also indicates high self-efficacy levels to be superior in enhancing self-care and self-monitoring of glycosylated hemoglobin compared to other factors such as self-esteem. Results, outlined above, are an elegant proof to the positive effects of self-efficacy programs in enhancement of self-care in COPD patients. According to our findings, the poor self efficacy levels of most subjects in the control group were made good and very good following intervention. Findings of Aljasem et al. about the effects of self-efficacy on self care behaviors of patients with type-II diabetes and Krichbaum et al. about the relationship between self-efficacy and self-management in diabetic patients[22] indicated the positive effects of self-efficacy on self-care behaviors which were in accordance with our results. Similar findings were
reported by Shakibazadeh et al. in a study performed on the relationship between self-efficacy and perceived barriers of self-care in type-II diabetic patients.