Survey of knowledge-attitude-practice concerning insulin use in adult diabetic patients in eastern India

Choudhury, Sourav Das; Das, Somak Kumar; Hazra, Avijit

doi:10.4103/0253-7613.135957

Cited by 31 publications

(21 citation statements)

References 12 publications

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“…However, studies with migrant British South Asians have found this group to have poor knowledge and understanding of the seriousness of diabetes [ 9 ], lower perceived awareness of its complications, poor knowledge about diet, and poor adherence to medication [ 10 ] resulting in poor diabetes outcomes [ 11 ]. Similar findings in terms of knowledge and attitudes of diabetes have also been reported in South Asians residing in the East [ 12 , 13 ].…”

Section: Introductionsupporting

confidence: 85%

“…Low levels of literacy were also a common barrier to diabetes management [ 13 ]. Choudhury et al (2014) [ 12 ] used a KAP survey to assess insulin use in 358 diabetes patients in tertiary care hospitals in India. Higher educational and socioeconomic status was associated with better understanding of insulin use and complications related to diabetes.…”

Section: Discussionmentioning

confidence: 99%

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“I’m Managing My Diabetes between Two Worlds”: Beliefs and Experiences of Diabetes Management in British South Asians on Holiday in the East—A Qualitative Study

Patel

Kennedy

Blickem

et al. 2016

Journal of Diabetes Research

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Background. Diabetes is disproportionately high among British South Asians compared to the general UK population. Whilst the migrant British South Asians group has received most attention on research related to diabetes management, little consideration has been given to impact of travel back to the East. This study aimed to explore the role of social networks and beliefs about diabetes in British South Asians, to better understand their management behaviours whilst holidaying in the East. Methods. Semistructured interviews were conducted in Greater Manchester. Forty-four participants were recruited using random and purposive sampling techniques. Interviews were analysed thematically using a constant comparison approach. Results. Migrant British South Asians expressed a strong preference to be in a hot climate; they felt they had a healthier lifestyle in the East and often altered or abandoned their diabetes medication. Information acquisition on diabetes and availability of social networks in the East was valued. Conclusion. Social networks in the East are a valued source of information and support for diabetes. The lack of adherence to medication whilst abroad suggests that some migrant British South Asians have a poor understanding of diabetes. Future research needs to explore whether patients are seeking professional advice on diabetes management prior to their extended holiday.

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Section: Introductionsupporting

confidence: 85%

Section: Discussionmentioning

confidence: 99%

“I’m Managing My Diabetes between Two Worlds”: Beliefs and Experiences of Diabetes Management in British South Asians on Holiday in the East—A Qualitative Study

Patel

Kennedy

Blickem

et al. 2016

Journal of Diabetes Research

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“… Chan [ 92 ] 2014 The patient participants are insulin naïve. Choudhury [ 93 ] 2014 It was not possible to differentiate data specific to insulin treated T2DM. Cramer & Pugh [ 94 ] 2005 The focus is on insulin prescriptions issued and not on perceptions or experiences.…”

Section: Resultsmentioning

confidence: 99%

Perceptions of insulin use in type 2 diabetes in primary care: a thematic synthesis

2018

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BackgroundIncreasing numbers of patients with type 2 diabetes mellitus are progressing to insulin therapy, and despite its potency many such individuals still have suboptimal glycaemic control. Insulin initiation and intensification is now often conducted by Practice Nurses and General Practitioners in many parts of the UK. Therefore, gaining insight into perspectives of patients and primary care clinicians is important in determining self-management and engagement with insulin. A thematic synthesis of studies was conducted exploring the views and experiences of people with type 2 diabetes and of healthcare professionals on insulin use and management in the context of primary care.MethodsProtocol based systematic searches of electronic databases (CINAHL, Cochrane Library, EMBASE, MEDLINE, PsycINFO, and Web of Science) were performed on 1 October 2014 and updated on 31 March 2015, to identify studies that identified the views and experiences of adults with type 2 diabetes or primary care clinicians on the use of insulin in the management of type 2 diabetes. Studies meeting the review inclusion criteria were critically appraised using the CASP qualitative research checklist or Barley’s checklist for survey designs. A thematic synthesis was then conducted of the collected studies.ResultsThirty-four studies were selected. Of these, 12 used qualitative interviews (nine with patients and three with healthcare professionals) and 22 were survey based (14 with patients, three with healthcare professionals, and five with both). Twelve key themes were identified and formed three domains, patient perceptions, healthcare professional perceptions, and health professional-patient relationships. The patient-centred themes were: insulin-related beliefs, social influences, psychological factors, hypoglycaemia, and therapy barriers. The clinician-related themes were: insulin skills of general practitioners, healthcare integration, healthcare professional-perceived barriers, hypoglycaemia, and explanations for adherence. Healthcare professional-patient relationship themes were drawn from the perspectives of patients and from clinicians.ConclusionsThis review reveals multiple barriers to optimal insulin use in primary care at both the patient and healthcare professional levels. These barriers indicate the need for multimodal interventions to: improve the knowledge and competencies of primary care professionals in insulin use; provide more effective patient education and self-management support; and introduce integrated insulin support systems.Electronic supplementary materialThe online version of this article (10.1186/s12875-018-0753-2) contains supplementary material, which is available to authorized users.

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“…The result obtained in this study, have showed statistically significant differences in the area of attitude scores of case group after the educational intervention, which is consistent with other conducted studies. [ 23 28 ] The results showed that the patients’ mean field performance of case group has improved after the intervention. Mean paired t -test showed that self care behavior scores in the intervention group had significant difference, but not in the control group.…”

Section: Discussionmentioning

confidence: 99%

The effect of self-care education program on reducing HbA1c levels in patients with type 2 diabetes

Zareban

Karimy

Niknami

et al. 2014

J Edu Health Promot

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Background:Diabetes as the most common diseases caused by metabolic disorders is an important global challenge. This is a disease that requires lifelong self-care because self-care and improved quality of life is cost effective. This study is aimed to determine the impact of self-care education program on reducing HbA1c, type 2 diabetic patients and was conducted in Zahedan.Materials and Methods:This is an experimental study done on 138 diabetic female patients in Zahedan city, in 2011 (1390). This sampling method of patients was based on inclusion and exclusion criteria of the Diabetes Center, at Hazrat Ali Asghar Hospital (AS) in Zahedan. Samples were divided randomly in to two groups: 69 cases and 69 controls. Data collected included validity and reliability confirmed questionnaire. Checklist was based on patients ‘performance of reporting and (HbA1c) testing. Before the educational intervention, the checklist of questions for recording the (HbA1c) test for both the groups were completed, and study samples received 5 sessions of education (with the group discussion and film show) for a month. However, the control group received only routine training. Three months after the educational intervention, both groups completed the questionnaire and the check list and data using SPSS software and the appropriate tests were analyzed.Results:Findings showed that the mean domain scores of area of knowledge, attitude and practice educational groups, were recorded as (46.6 ± 8.57, 46.5 ± 0.86 and 29.06 ± 10.02), respectively. And after education scores of knowledge, attitude and practice were recorded as (52.80 ± 2.20, 12.98 ± 1.02 and 39.69 ± 4.74), respectively, and in study group significant difference (P < 0/001) was seen.Conclusion:Self-care training in striation leads to improve knowledge, attitude and self-care performance of the study samples and also improves the average (HbA1c). Because it seems to increase the active participation of learners in their care that they have experienced with this training method and their motivation enhanced them to learn better self-care. So this type of care education should be given to the attention of nurses and healthcare's staff.

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Survey of knowledge-attitude-practice concerning insulin use in adult diabetic patients in eastern India

Cited by 31 publications

References 12 publications

“I’m Managing My Diabetes between Two Worlds”: Beliefs and Experiences of Diabetes Management in British South Asians on Holiday in the East—A Qualitative Study

“I’m Managing My Diabetes between Two Worlds”: Beliefs and Experiences of Diabetes Management in British South Asians on Holiday in the East—A Qualitative Study

Perceptions of insulin use in type 2 diabetes in primary care: a thematic synthesis

The effect of self-care education program on reducing HbA1c levels in patients with type 2 diabetes

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