Quality of primary care physicians’ communication of diabetes self-management during medical encounters with persons with diabetes mellitus in a resource-poor country
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. Met...
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| Format: | Article |
| Language: | English |
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AOSIS
2018-11-01
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| Series: | South African Family Practice |
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| Online Access: | https://safpj.co.za/index.php/safpj/article/view/5016 |
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| author | O. S. Ojo S. O. Malomo A. O. Egunjobi A. O.A. Jimoh M. O. Olowere |
| author_facet | O. S. Ojo S. O. Malomo A. O. Egunjobi A. O.A. Jimoh M. O. Olowere |
| author_sort | O. S. Ojo |
| collection | DOAJ |
| description | 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 ‘problemsolving 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. |
| format | Article |
| id | doaj-art-4c1853f6342443c2a2a42df87008249e |
| institution | DOAJ |
| issn | 2078-6190 2078-6204 |
| language | English |
| publishDate | 2018-11-01 |
| publisher | AOSIS |
| record_format | Article |
| series | South African Family Practice |
| spelling | doaj-art-4c1853f6342443c2a2a42df87008249e2025-08-20T03:06:53ZengAOSISSouth African Family Practice2078-61902078-62042018-11-0160610.4102/safp.v60i6.50163990Quality of primary care physicians’ communication of diabetes self-management during medical encounters with persons with diabetes mellitus in a resource-poor countryO. S. Ojo0S. O. Malomo1A. O. Egunjobi2A. O.A. Jimoh3M. O. Olowere4Federal Medical Centre, AbeokutaFederal Medical Centre, AbeokutaSacred Heart Hospital, AbeokutaFederal Medical Centre, AbeokutaFederal Medical Centre, AbeokutaBackground: 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 ‘problemsolving 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.https://safpj.co.za/index.php/safpj/article/view/5016diabetes self-managementpatient–physician communicationprimary care physiciansresource-poor countriesnigeria |
| spellingShingle | O. S. Ojo S. O. Malomo A. O. Egunjobi A. O.A. Jimoh M. O. Olowere Quality of primary care physicians’ communication of diabetes self-management during medical encounters with persons with diabetes mellitus in a resource-poor country South African Family Practice diabetes self-management patient–physician communication primary care physicians resource-poor countries nigeria |
| title | Quality of primary care physicians’ communication of diabetes self-management during medical encounters with persons with diabetes mellitus in a resource-poor country |
| title_full | Quality of primary care physicians’ communication of diabetes self-management during medical encounters with persons with diabetes mellitus in a resource-poor country |
| title_fullStr | Quality of primary care physicians’ communication of diabetes self-management during medical encounters with persons with diabetes mellitus in a resource-poor country |
| title_full_unstemmed | Quality of primary care physicians’ communication of diabetes self-management during medical encounters with persons with diabetes mellitus in a resource-poor country |
| title_short | Quality of primary care physicians’ communication of diabetes self-management during medical encounters with persons with diabetes mellitus in a resource-poor country |
| title_sort | quality of primary care physicians communication of diabetes self management during medical encounters with persons with diabetes mellitus in a resource poor country |
| topic | diabetes self-management patient–physician communication primary care physicians resource-poor countries nigeria |
| url | https://safpj.co.za/index.php/safpj/article/view/5016 |
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