Clinicians’ Perspectives on Caring for Muslim Patients Considering Fasting During Ramadan

Amin, Mohamed Ezzat Khamis; Abdelmageed, Ahmed

doi:10.1007/s10943-019-00820-y

Cited by 11 publications

(14 citation statements)

References 34 publications

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“…This manuscript is part of a larger study dataset examining clinician-patient communication in relation to Ramadan. The first manuscript used social cognitive theory as a guiding framework to explore factors affecting counseling provided to Muslim patients considering fasting Ramadan from a clinician's perspective [14]. This second manuscript complements earlier findings by proposing a communication tool, RAMCOM, which aims to assist clinicians in communicating with Muslim patients considering fasting during Ramadan.…”

Section: Introductionmentioning

confidence: 94%

“…Moreover, patients have different views in relation to dosage forms that can be used from dawn to sunset while fasting. For instance, some patients believe that the use of dosage forms such as asthma devices, drops, rectal suppositories, and injections would nullify their fasting while other patients believe that some or all of those dosage forms can be used without impacting fasting [12][13][14]. A large study published in 2004 included thousands of Muslim patients in thirteen countries and showed that nearly eight out of ten patients with type 2 diabetes chose to fast although they might have been aware of their religious exemption from fasting [15].…”

Section: Introductionmentioning

confidence: 99%

“…At times, the topic is never addressed in clinical encounters that occur before or during Ramadan. The topic may be addressed in an unsatisfactory fashion leaving key information such as medication regimen adjustment, potential risks of fasting, signs indicating the need to break fasting without being addressed [14].…”

Section: Introductionmentioning

confidence: 99%

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RAMCOM: A qualitative study of clinicians’ viewpoints on a tool for communication with Muslim patients considering fasting during Ramadan

Amin

Abdelmageed

2020

PLoS ONE

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Fasting during the month of Ramadan is a basic pillar of Islam. While patients may be religiously exempted from fasting, literature indicates that the majority decide to fast. Caring for millions of Muslim patients who decide to fast during Ramadan can be challenging for clinicians around the globe. This study proposes a communication tool, RAMCOM, which aims to assist clinicians in communicating with Muslim patients considering fasting during Ramadan. It addresses the following questions: What are the clinicians' preferences for the tool in terms of Content, Format, Style, Length and language? How do clinicians perceive factors that would impact their intentions to sue the tool? What would facilitate the implementation and dissemination of the proposed tool? Methods Semi-structured interviews were conducted with a purposeful sample of clinicians in Egypt (11) and the US (10). Clinicians were purposefully sampled to assure variance in age, gender, time in practice, specialty, and religious background. Directed content analysis was conducted and emerging data were mapped to constructs within the theory of planned behavior. Iterative sampling and analysis continued until saturation was reached. Results In total, 21 clinicians were interviewed. The tool was iteratively revised according to clinicians' comments on format, content, language and usability. Factors contributing to using RAMCOM included perception of tool (need for use, perceived burden of use), perceived norm (perceived patient expectations), and ability to use tool (time, frequency of seeing patients, knowledge of Ramadan and Islam). Practice environment factors that impact the use of RAMCOM include education, early reminders, colored laminated copies, communication training, involvement of support staff, and patient education.

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Section: Introductionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

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RAMCOM: A qualitative study of clinicians’ viewpoints on a tool for communication with Muslim patients considering fasting during Ramadan

Amin

Abdelmageed

2020

PLoS ONE

Self Cite

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“…However, studies have shown that many chronically ill Muslim patients fast during Ramadan and may skip or reduce doses, take medications at closer intervals, or even stop taking medications altogether, often against medical advice [144,176,208]. Chronically ill patients have reported that they tend to fast due to a feeling of improvement in well-being, physiologically, socially, and religiously [208,209]. However, fasting for long hours and medication non-adherence for chronic patients may have a negative impact on health conditions.…”

Section: Religionmentioning

confidence: 99%

“…With regards to the use of antihypertensive and cholesterol-lowering medications, the [209,261]. In the previously mentioned study from the Pharma Use research group on the Norwegian GPs, it has been shown that GPs discovered that Muslim patients had fasted during Ramadan only by noting their fluctuating HbA1c levels after the fasting month [204].…”

Section: Hba1c Values a Positive Association Between Hba1c And Levelmentioning

confidence: 99%

Living with Diabetes: Personal Interviews with Pakistani Women in Norway

Abuelmagd

Håkonsen

Mahmood

et al. 2017

J Immigrant Minority Health

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The prevalence of Type 2 diabetes (T2D) among Pakistani women in Norway is remarkably high. This study aims to assess how they live with the disease and their response to lifestyle and medical information. 120 Pakistani women living in Norway (mean age: 55.7 years) were personally interviewed about their T2D using a structured questionnaire (response rate: 95%). The participants were first-generation immigrants (mean residence time: 28.7 years) of whom 27% were illiterates. Poor health was reported by one-third, and 71% had developed macrovascular comorbidities. A majority reported physical inactivity and an unhealthy diet included religious fasting. One-third was not able to self-measure their blood glucose. There was a great variation in antidiabetic drug regimens and one-fourth had to use insulin in addition to tablets. Pakistani women in Norway showed suboptimal control of their T2D in terms of lifestyle habits, comorbidities and drug use. Low literacy and cultural factors seem to challenge adherence to lifestyle and medical information.

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Ramadan Fasting Increases Socialization in Patients Who Underwent Sleeve Gastrectomy: An Observational Study

Daldal

Dagmura²,

Dasiran

et al. 2021

OBES SURG

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Clinicians’ Perspectives on Caring for Muslim Patients Considering Fasting During Ramadan

Cited by 11 publications

References 34 publications

RAMCOM: A qualitative study of clinicians’ viewpoints on a tool for communication with Muslim patients considering fasting during Ramadan

RAMCOM: A qualitative study of clinicians’ viewpoints on a tool for communication with Muslim patients considering fasting during Ramadan

Living with Diabetes: Personal Interviews with Pakistani Women in Norway

Ramadan Fasting Increases Socialization in Patients Who Underwent Sleeve Gastrectomy: An Observational Study

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