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Quality of primary care physicians’ communication of diabetes self-management during medical encounters with persons with diabetes mellitus in a resource-poor country.
- Source :
- South African Family Practice; Nov2018, Vol. 60 Issue 6, p197-206, 10p
- Publication Year :
- 2018
-
Abstract
- 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]
- Subjects :
- 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
Subjects
Details
- Language :
- English
- ISSN :
- 20786190
- Volume :
- 60
- Issue :
- 6
- Database :
- Supplemental Index
- Journal :
- South African Family Practice
- Publication Type :
- Academic Journal
- Accession number :
- 132371695
- Full Text :
- https://doi.org/10.1080/20786190.2018.1504864