2023-09-28 14:46:10 +00:00
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abstract: 'Aims and objectives To explore patient and healthcare provider (HCP)
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perspectives about patients'' barriers to the performance of diabetic
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self-care behaviours in Ghana. Background Sub-Saharan African urban
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populations are increasingly affected by type 2 diabetes due to
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nutrition transition, sedentary lifestyles and ageing. Diabetic
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self-care is critical to improving clinical outcomes. However, little is
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known about barriers to diabetic self-care (diet, exercise, medication
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taking, self-monitoring of blood glucose and foot care) in sub-Saharan
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Africa. Design Qualitative study that followed the Consolidated Criteria
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for Reporting Qualitative Research (COREQ) guidelines. Methods
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Semi-structured interviews were conducted among 23 people living with
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type 2 diabetes and 14 HCPs recruited from the diabetes clinics of three
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hospitals in Tamale, Ghana. Interviews were audiotaped and transcribed
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verbatim. The constant comparative method of data analysis was used and
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identified themes classified according to constructs of the theory of
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planned behaviour (TPB): attitudes/behavioural beliefs, subjective norms
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and perceived behavioural control. Results Barriers relating to
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attitudes included misconceptions that diabetes was caused by spiritual
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forces or curses, use of herbal medicines, intentional nonadherence,
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difficulty changing old habits, and feeling or lacking motivation to
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exercise. Barriers relating to subjective norms were inadequate family
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support, social stigma (usually by spouses and other members of the
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community) and cultural beliefs. Perceived behavioural control barriers
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were poor income levels, lack of glucometers, busy work schedules, long
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distance to the hospital and inadequate access to variety of foods due
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to erratic supply of foods or seasonality. Conclusions Both patients and
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HCPs discussed similar barriers and those relating to attitude and
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behavioural control were commonly discussed. Relevance to Clinical
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Practice Interventions to improve adherence to diabetic self-care should
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focus on helping persons with diabetes develop favourable attitudes and
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how to overcome behavioural control barriers. Such interventions should
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have both individualised and community-wide approaches.'
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affiliation: 'Mogre, V (Corresponding Author), Univ Dev Studies, Sch Med \& Hlth Sci,
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Dept Hlth Profess Educ \& Innovat Learning, Tamale, Ghana.
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Mogre, Victor, Univ Dev Studies, Sch Med \& Hlth Sci, Dept Hlth Profess Educ \&
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Innovat Learning, Tamale, Ghana.
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Mogre, Victor; Johnson, Natalie A.; Tzelepis, Flora; Paul, Christine, Univ Newcastle,
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Sch Med \& Publ Hlth, Callaghan, NSW, Australia.
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Johnson, Natalie A.; Tzelepis, Flora; Paul, Christine, Hunter Med Res Inst, New
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Lambton, NSW, Australia.
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Tzelepis, Flora, Hunter New England Local Hlth Dist, Hunter New England Populat
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Hlth, Wallsend, NSW, Australia.'
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author: Mogre, Victor and Johnson, Natalie A. and Tzelepis, Flora and Paul, Christine
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author-email: vmogre@uds.edu.gh
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author_list:
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- family: Mogre
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given: Victor
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- family: Johnson
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given: Natalie A.
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- family: Tzelepis
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given: Flora
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- family: Paul
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given: Christine
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da: '2023-09-28'
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doi: 10.1111/jocn.14835
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eissn: 1365-2702
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files: []
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issn: 0962-1067
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journal: JOURNAL OF CLINICAL NURSING
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keywords: 'barriers; diabetic patients; Ghana; qualitative; self-care; sub-Saharan
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Africa'
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keywords-plus: 'PHYSICAL-ACTIVITY; BLOOD-GLUCOSE; MANAGEMENT; EXERCISE; ADHERENCE;
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IMPROVEMENTS; ASSOCIATION; GUIDELINES; OUTCOMES; SUPPORT'
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language: English
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month: JUN
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number: 11-12
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number-of-cited-references: '65'
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orcid-numbers: 'TZELEPIS, FLORA/0000-0002-9914-2732
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Mogre, Victor/0000-0003-0230-5783'
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pages: 2296-2308
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papis_id: fec71082925e84ffbc1fcb066eac0fa5
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ref: Mogre2019barriersdiabetic
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researcherid-numbers: 'TZELEPIS, FLORA/GLN-2873-2022
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Mogre, Victor/H-2883-2019'
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times-cited: '47'
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title: 'Barriers to diabetic self-care: A qualitative study of patients'' and healthcare
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providers'' perspectives'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000467448000025
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usage-count-last-180-days: '3'
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usage-count-since-2013: '37'
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volume: '28'
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web-of-science-categories: Nursing
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year: '2019'
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