The ability of health promoters to deliver group diabetes education in South African primary care
| Autor: | Robert Mash, Buyelwa Majikela-Dlangamandla, Anna S. Botes |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
health promotion
Motivational interviewing lcsh:Medicine motivational interviewing law.invention Randomized controlled trial Nursing law health education Medicine Active listening Original Research business.industry lcsh:Public aspects of medicine Diabetes lcsh:R Public sector Public Health Environmental and Occupational Health Attendance lcsh:RA1-1270 General Medicine mid-level health workers Focus group Health promotion Health education Family Practice business group education |
| Zdroj: | African Journal of Primary Health Care & Family Medicine, Vol 5, Iss 1, Pp e1-e8 (2013) African Journal of Primary Health Care & Family Medicine |
| ISSN: | 2071-2936 2071-2928 |
| DOI: | 10.4102/phcfm.v5i1.484 |
| Popis: | Background Diabetes makes a significant contribution to the burden of disease in South Africa. This study assesses a group diabetes education programme using motivational interviewing in public sector health centres serving low socio-economic communities in Cape Town. The programme was delivered by mid-level health promotion officers (HPOs). Objectives The aim of the study was to explore the experience of the HPOs and to observe their fidelity to the educational programme. Methods Three focus group interviews were held with the 14 HPOs who delivered the educational programme in 17 health centres. Thirty-three sessions were observed directly and the audio tapes were analysed using the motivational interviewing (MI) integrity code. Results The HPOs felt confident in their ability to deliver group education after receiving the training. They reported a significant shift in their communication style and skills. They felt the new approach was feasible and better than before. The resource material was found to be relevant, understandable and useful. The HPOs struggled with poor patient attendance and a lack of suitable space at the facilities. They delivered the majority of the content and achieved beginning-level proficiency in the MI guiding style of communication and the use of open questions. The HPOs did not demonstrate proficiency in active listening and continued to offer some unsolicited advice. Conclusion The HPOs demonstrated their potential to deliver group diabetes education despite issues that should be addressed in future training and the district health services. The findings will help with the interpretation of results from a randomised controlled trial evaluating the effectiveness of the education. |
| Databáze: | OpenAIRE |
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