Quality of primary care physicians’ communication of diabetes self-management during medical encounters with persons with diabetes mellitus in a resource-poor country.
| Autor: | Ojo, OS, Malomo, SO, Egunjobi, AO, Jimoh, AOA, Olowere, MO |
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| Předmět: |
TREATMENT of diabetes
PEOPLE with diabetes COMMUNICATION STATISTICAL correlation RESEARCH methodology MEDICALLY underserved areas PHYSICIAN-patient relations GENERAL practitioners PROBLEM solving SCALE analysis (Psychology) HEALTH self-care T-test (Statistics) ADULT education workshops EDUCATIONAL outcomes CROSS-sectional method ONE-way analysis of variance EDUCATION |
| Zdroj: | South African Family Practice; Nov2018, Vol. 60 Issue 6, p197-206, 10p |
| Abstrakt: | Background: Most of the Nigerian studies on the determinants of diabetes self-management have focused on patient-related factors. There is no previous local study that examined the quality of diabetes self-management education provided by primary care physicians to people with diabetes mellitus. Methods: A descriptive cross-sectional study was conducted among 105 primary care physicians during a workshop. The quality of diabetes self-management education provided by the physicians was assessed using a self-designed scale of 39 Likert questions derived from American Association of Diabetes Educators seven domains of diabetes self-management. Cronbach's reliability coefficient of each domain/subscale was ≥ 0.7. The data was analysed using the independent sample t-test and one-way ANOVA. Results: Over half of the physicians provided ‘inadequate quality’ diabetes self-management education in all the domains. Physicians had the highest mean score in the ‘taking medication’ domain (4.35 ± 0.59). The mean scores in the ‘problem-solving domain’ (3.63 ± 0.74) and the ‘being active domain’ (3.57 ± 0.71) were low. The quality of diabetes self-management education provided by the physicians was not associated with any of the physician characteristics. Conclusion: The quality of physicians’ communication of diabetes self-management was suboptimal in this study. The majority of the adequately communicated diabetes self-management behaviours were risk factors reduction related and disease-centred. Thus, training of primary care physicians on diabetes self-management education is recommended because of the key role these physicians play in diabetes management in resource-poor countries. [ABSTRACT FROM AUTHOR] |
| Databáze: | Supplemental Index |
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