Type 2 Diabetes Self-management Education Programs in High and Low Mortality Developing Countries

Dube, Loveness; Broucke, Stephan Van den; Housiaux, Marie; D’Hoore, William; Rendall-Mkosi, Kirstie Margaret

doi:10.1177/0145721714558305

Cited by 52 publications

(54 citation statements)

References 49 publications

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“…Despite the importance of contextually adapted interventions, few studies have aimed to contextually adapt programs to the needs of the target population in developing countries (Dube et al, 2015b). Therefore, the aim of this study was to explore chronic patients' experiences of self-management and their perceived support needs and the perspectives of key informants on patient selfmanagement, with a view to develop contextually appropriate disease self-management support tools for chronic patients in South Africa.…”

Section: Self-management Support Needs Of Patients With Chronic Diseamentioning

confidence: 99%

Self-Management Support Needs of Patients with Chronic Diseases in a South African Township: A Qualitative Study

Dube

Rendall-Mkosi

Broucke

et al. 2017

Journal of Community Health Nursing

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Despite the need for chronic disease self-management strategies in developing countries, few studies have aimed to contextually adapt programs; yet culture has a direct impact on the way people view themselves and their environment. This study aimed to explore the knowledge, attitudes, and self-management needs and practices of patients with chronic diseases. Four patient focus groups (n = 32), 2 patient interviews, group observations, and key informant interviews (n = 12) were conducted. Five themes emerged: health-system and serviceprovision challenges, healthcare provider attitudes and behavior, adherence challenges related to medication and lifestyle changes, patients' personal and clinic experiences and self-management tool preferences. The findings provide a window of opportunity for the development of contextually adapted selfmanagement programs for community health nursing in developing countries. ABSTRACTDespite the need for chronic disease self-management strategies in developing countries, few studies have aimed to contextually adapt programs; yet culture has a direct impact on the way people view themselves and their environment. This study aimed to explore the knowledge, attitudes, and self-management needs and practices of patients with chronic diseases. Four patient focus groups (n = 32), 2 patient interviews, group observations, and key informant interviews (n = 12) were conducted. Five themes emerged: health-system and service-provision challenges, healthcare provider attitudes and behavior, adherence challenges related to medication and lifestyle changes, patients' personal and clinic experiences and self-management tool preferences. The findings provide a window of opportunity for the development of contextually adapted self-management programs for community health nursing in developing countries.

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Section: Self-management Support Needs Of Patients With Chronic Diseamentioning

confidence: 99%

Self-Management Support Needs of Patients with Chronic Diseases in a South African Township: A Qualitative Study

Dube

Rendall-Mkosi

Broucke

et al. 2017

Journal of Community Health Nursing

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“…1,7 However, the reality of the situation is inadequate funding for non-communicable disease education programmes and non-availability of qualified health personnel to deliver DSME in most African countries, including Zimbabwe. 7,8 DSME interventions led by diabetes educators or registered dietitians have been shown to reduce HbA1c by 1% and 2% respectively, while also improving other important clinical outcomes such as abnormal lipid profile, weight management, blood pressure management, and in some cases the need for pharmacological treatment. 1,9 Most of these data originate from North America and Europe, and very little is documented concerning the impact of DSME led by both types of health professionals in sub-Saharan Africa.…”

Section: Introductionmentioning

confidence: 99%

The impact of existing diabetes self-management education interventions on knowledge, attitudes and practices in public health care institutions in Harare, Zimbabwe

Nkomani

Ruskaniko

Blaauw

2019

South African Journal of Clinical Nutrition

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Introduction: Diabetes self-management education (DSME) and medical nutrition therapy (MNT), provided by diabetes educators and registered dietitians respectively, considerably improve glycaemic control. However, it is unknown what interventions exist in many African countries and the impact thereof. Aim: To determine the impact of existing DSME interventions on knowledge, attitudes and practices (KAP) of adults with type 2 diabetes attending public health care facilities in Harare, Zimbabwe. Methods: A cross-sectional, researcher-administered survey was designed to assess DSME KAP at eight outpatient diabetes clinics that provide diabetes services. Participants were conveniently sampled. Associations between mean scores for knowledge, attitudes and practices were compared between characteristics of DSME interventions. Results: A total of 154 participants were recruited and divided evenly between two tertiary (n = 77) and six primary outpatient clinics (n = 77). The mean age was 61.8 years (SD ± 12.7), mean years since diagnosis with diabetes was 8.1 years (SD ± 8.3) and the majority were females (66.9%, n = 103). Most participants (90.3%, n = 139) reported receiving some DSME. Participants most frequently cited a tertiary clinic as the place where DSME was received. Fewer had consulted a dietitian (49.0%, n = 76) or diabetes educator (52.0%, n = 80). Higher levels of diabetes knowledge were observed for tertiary clinic attendees (p = 0.00), consultation with a dietitian (p < 0.01) and diabetes educator (p = 0.00). Only those who had consulted a dietitian reported better adherence to dietary guidelines (p = 0.00) and physical activity (p = 0.02) self-care behaviours. Conclusion: Dietitian-led interventions significantly improved both knowledge and practices, highlighting a need to scale up dietetic intervention, particularly in primary clinics where limited interventions occur.

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“…2 Diabetic patients often have inadequate knowledge about the nature, risk factors and associated complications of diabetes and this negatively affect their attitudes and practices towards its care. 3 Hence, diabetes education and on-going diabetes support are considered an integral part of comprehensive diabetes care to achieve better control of diabetes. Also, patient self-management education has an important role in preventing acute complications and reducing the risk of long-term complications.…”

Section: Introductionmentioning

confidence: 99%

The effect of educational intervention on knowledge, attitude and glycemic control in patients with type 2 diabetes mellitus

Ahmed

Degwy

Ali

et al. 2015

Int J Community Med Public Health

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Type 2 Diabetes Self-management Education Programs in High and Low Mortality Developing Countries

Abstract: The limited studies available suggest that diabetes self-management education programs in developing countries are effective in the short term but must be tailored to conform to the cultural aspects of the target population.

Cited by 52 publications

References 49 publications

Self-Management Support Needs of Patients with Chronic Diseases in a South African Township: A Qualitative Study

Self-Management Support Needs of Patients with Chronic Diseases in a South African Township: A Qualitative Study

The impact of existing diabetes self-management education interventions on knowledge, attitudes and practices in public health care institutions in Harare, Zimbabwe

The effect of educational intervention on knowledge, attitude and glycemic control in patients with type 2 diabetes mellitus

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