Adherence challenges encountered in an intervention programme to combat chronic non-communicable diseases in an urban black community, Cape Town

Abstract

Background: Chronic non-communicable diseases (CNCD) have become the greatest contributor to the mortality rate worldwide. Despite attempts by Governments and various non-governmental organisations to prevent and control the epidemic with various intervention strategies, the number of people suffering from CNCD is increasing at an alarming rate in South Africa and worldwide.Objectives: Study's objectives were to explore perceived challenges with implementation of, and adherence to health messages disseminated as part of a CNCD intervention programme; to gain an understanding of participants' expectations of CNCD intervention programmes;, and to explore the acceptability and preference of health message dissemination methods. In addition, participants' awareness of, and willingness to participate in CNCDs intervention programmes in their community was explored.Methods: Participants were recruited from the existing urban Prospective Urban Rural Epidemiology study site in Langa, Cape Town. Focus group discussions were conducted with 47 participants using a question guide. Summative content analysis was used to analyse the data.Results: Four themes emerged from the data analysis: practical aspects of implementation and adherence to intervention programmes; participants' expectations of intervention programmes; aspects influencing participants' acceptance of interventions; and their preferences for health message dissemination. The results of this study will be used to inform CNCDs intervention programmes.Conclusions: Our findings revealed that although participants found current methods of health message dissemination in CNCDs intervention acceptable, they faced real challenges with implementing and adhering to CNCDs to these messages.

Group-based intervention in a primary healthcare setting was more effective for weight loss than usual care

“…It is possible that the recommendation for increased intake of healthy foods, for example, fruit and vegetables, disseminated in the FBTG sessions may have been difficult to implement by individual participants in our study sample. Love, Maunder and Green (2008) and Solomons, Kruger and Puoane (2017) reported in their qualitative research that some South African population groups consider fruit and vegetables as the more costly items to include regularly in a healthy diet. Temple and Steyn (2011) estimated that an additional R1090.00 per month would be required to cover the costs of healthier food items for a family of five, which is probably not achievable for the majority of participants in our sample who relied on a family income of less than R4166.66 per month.…”

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“…The prevalence of diseases associated with the heart, type 2 diabetes mellitus, some cancers and long-term infections of the respiratory system was reported as the primary cause of death globally in the past few decades (Habib & Saha 2010 ; Horton 2013 ; Nojilana et al 2016 , Solomons, Kruger & Puoane, 2017 ; Yuyun et al 2020 ). In the developed countries, it is reported that non-communicable diseases (NCDs), especially cardiovascular diseases (CVDs), were responsible for high rates of morbidity and mortality, resulting in 90% of all deaths (Yuyun et al 2020 ).…”

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