Development of a health dialogue model for patients with diabetes: A complex intervention in a low-/middle income country

Publication date: 2018Source: International Journal of Africa Nursing Sciences, Volume 8Author(s): M. Reid, C. Walsh, J. Raubenheimer, T. Bradshaw, M. Pienaar, C. Hassan, C. Nyoni, M. Le RouxAbstractType 2 diabetes is reaching epidemic proportions in a low-/middle income country such as South Africa, where most patients are managed in the public health sector with limited resources. Poor knowledge, negative attitudes and unhealthy practices are common, highlighting the need for healthcare providers to adapt health communication strategies appropriately. The current study aimed to develop a health dialogue model by applying a multiple-methods design informed by the United Kingdom Medical Research Council’s guidelines for the development and evaluation of complex interventions. Guided by this framework, four separate but inter-related studies were conducted to establish the active components of health dialogue. Participants included patients with type 2 diabetes from a variety of public healthcare settings and healthcare providers who provide services to them. The findings from the four primary studies were then synthesised at a two-day workshop during which three focus areas emerged, including the community, the patient and the healthcare provider. Community awareness could be raised by delivering key messages in the native tongue of patients through combinations of traditional folk media such as drama and storytelling in the waiting rooms of health centres. Self-management ...
Source: International Journal of Africa Nursing Sciences - Category: African Health Source Type: research