Communicating with Clinicians on Fasting during Ramadan: The Patients’ Perspective

Amin, Mohamed Ezzat Khamis; Abdelmageed, Ahmed; Farhat, Marwa J

doi:10.1007/s10943-019-00910-x

Cited by 15 publications

(27 citation statements)

References 31 publications

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“…Similar results were reported in a recent study that has been carried out in six countries with the majority of diabetic patients deciding to fast [16]. In some cases, patients may change their therapeutic regimens without consulting a clinician resulting in patients omitting doses, taking medications at intervals that are too close, or at times stopping one or more medications entirely, which could lead to increased risks for those patients [9,17].…”

Section: Introductionsupporting

confidence: 84%

“…Literature, however, indicated that patients are reluctant to bring this up for a number of reasons, including prior experiences with clinicians and patient concerns about straining their relationship with clinicians and perceptions of Muslims among clinicians with little background of dealing with this group [23,39]. One way of empowering patients to address this issue is to provide them with a patient version of the RAMCOM tool that mirrors the clinician version of the tool [9]. This could increase the chances of having a more goal-concordant care for this class of patients.…”

Section: Discussionmentioning

confidence: 99%

“…Interviews were conducted in-person (11) and over the phone (9). All interviews were conducted by the first author with the exception of one, which was conducted by the second author.…”

Section: Interview Methods and Research Instrumentmentioning

confidence: 99%

“…In fact, they should not be participating in the ritual to prevent self-harm, which is prohibited according to the Qur'an 2:195 "and let not your own hands throw you into destruction." [1] While Muslim patients need not apply for an exemption from a religious authority, literature indicates that some Muslim patients like to "consult imams, religious scholars and clinicians when trying to identify whether they have a religious exemption from fasting or not and which dosage forms may or may not nullify it" [8,9]. This is particularly significant since some differences may exist about the interpretation of exemptions from fasting within and between sects [10,11].…”

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: Introductionsupporting

confidence: 84%

Section: Discussionmentioning

confidence: 99%

“…Interviews were conducted in-person (11) and over the phone (9). All interviews were conducted by the first author with the exception of one, which was conducted by the second author.…”

Section: Interview Methods and Research Instrumentmentioning

confidence: 99%

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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“…Additionally, achieving spiritual satisfaction and abilities to perform religious duties in individuals generate positive emotions, which in turn increase subjective well-being along with a feeling of respect and acceptance [22]. In this context, failure to explore and understand patients' preferences leads to poor communication with health care practitioners which can impede patients' adherence to treatment and dissatisfaction with their medical care [23,24].…”

Section: Introductionmentioning

confidence: 99%

Exploring the experiences and perceptions of haemodialysis patients observing Ramadan fasting: a qualitative study

et al. 2021

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Background The festival of Ramadan is a month of spiritual reflection for Muslims worldwide. During Ramadan, Muslims are required to refrain from eating and drinking during daylight hours. Although exempted from fasting, many patients undergoing maintenance haemodialysis (HD) opt to participate in this religious practice. Many studies have explored the effects of Ramadan on health outcomes, however, the exploration from patients’ own point of view pertaining to this religious practice is lacking. Thus, we aimed to explore the experiences and perceptions of Muslim HD patients observing Ramadan fasting from three HD centres in Klang Valley, Malaysia. Method An exploratory phenomenology qualitative study was conducted whereby subjects were purposively selected based on previous experience in observing Ramadan fasting. Face-to-face in-depth interviews were conducted, and study data were analyzed thematically and iteratively coded using a constant comparison method. Results Four major themes emerged from the data, namely: (i) “fasting experiences”, (ii) “perceived side effects of fasting”, (iii) “health-seeking behavior” and, (iv) “education and awareness needs”. Patients expressed the significance of Ramadan fasting as well as the perceived impact of fasting on their health. Additionally, there is lack of health-seeking behaviour observed among patients thus, raising needs for awareness and education related to Ramadan fasting. Conclusions Findings of this study shed light on patients’ experiences and perceptions regarding Ramadan fasting which warrants the needs for an effective communication between patients and health care practitioners through a structured-Ramadan specific education program.

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Perceptions among Muslims regarding fasting, medication use and provider engagement during Ramadan in the United States

Alshehri

Barner

Wong

et al. 2021

Health Planning & Management

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Background: Muslims with chronic diseases tend to fast during Ramadan, although Islam allows them not to fast. Therefore, understanding their perceptions and how they manage their health, especially as a minority population, is very important. Objective: To examine Muslims' (1) perceptions of fasting exemptions, (2) medication usage behaviour, (3) perceptions of relationships with healthcare providers and (4) factors impacting health management during Ramadan. Method: This was a qualitative study employing four focus groups (two groups of women and two groups of men). Adult Muslims (aged 18 years or more) with chronic diseases were invited to participate. Participants were asked open-ended questions about their fasting ability, medication usage behaviours, healthcare access and collaboration with providers during Ramadan. Trained researchers conducted the focus groups interviews in both English and Arabic. Each focus group was recorded, and three investigators independently transcribed the data and extracted themes and categories. Coding terminology issues were resolved through discussion. Results: Twenty-five Muslims with chronic diseases (e.g., diabetes, hypertension, renal failure and anaemia) participated. The most prominent themes/subthemes were as follows: (1) fasting exemption (e.g., uncontrolled medical

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Communicating with Clinicians on Fasting during Ramadan: The Patients’ Perspective

Cited by 15 publications

References 31 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

Exploring the experiences and perceptions of haemodialysis patients observing Ramadan fasting: a qualitative study

Perceptions among Muslims regarding fasting, medication use and provider engagement during Ramadan in the United States

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