Development of diabetes register in low-mid income country: survey of healthcare professionals’ behavioural change wheel

Authors

  • Eunice O. Igumbor Public and Community Health department, Novena University, Kwale
  • Otovwe Agofure Public and Community Health department, Novena University, Kwale
  • Echinei J. Oshionwu California Department of State Hospital, Stockton, CA
  • Phillip T. Bwititi School of Biomedical Sciences, Charles Sturt University
  • Ezekiel U. Nwose School of Community Health, Charles Sturt University http://orcid.org/0000-0003-1318-9853

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20195824

Keywords:

Diabetes register, Healthcare professionals, Perceptions

Abstract

Background: There has been and ongoing research and development on diabetes care in Ndokwa community of Nigeria, and one of the items to be addressed is development of diabetes register in some of the health facilities. This study assesses the behavioural change wheel of the healthcare professionals to address the willingness of the primary healthcare providers willing to scale up and sustain the diabetes register; and how glycaemic control and metabolic syndrome factors in diabetes patients were assessed.

Methods: The study adopted clinical observational approach and survey questionnaires. A descriptive cross sectional method evaluated how glycaemic control among diabetes patients (n=42) was assessed. Clinical observations were at Catholic Hospital Abbi, while the survey of healthcare professionals (n=71) included health facilities in other communities. Data from questionnaire and test results was analysed using Microsoft Excel Data Analysis Toolpak 2010.

Results: It is observed that 62% wished they had a diabetes register. Over 50% of the patients showed presence of >2 metabolic syndrome indices. Further, ≈52% disagreed that diet, exercise, medication, quitting smoking and less stress contributed to effective control and management of diabetes.

Conclusions: Most of the respondents thought that their practice did not have a special interest in diabetes. There is prevalence of metabolic syndrome, but the majority of healthcare professionals did not view lifestyle as effective to control diabetes. These observations highlight the need for diabetic education on healthcare professionals and patients.

 

References

Nwose EU, Richards RS, Bwititi PT, Igumbor EO, Oshionwu EJ, Okolie K, et al. Prediabetes and cardiovascular complications study (PACCS): international collaboration 4 years' summary and future direction. BMC Res Notes. 2017;10:730.

Johnston M. Using behaviour change theory and techniques in implementation research. In: The 4th Biennial Society for Implementation Research Collaboration conference Seattle. 2017; SIRC 2017.

Dixon D, Johnston M. Health behaviour change competency framework. Available at: www.healthscotland.com/documents/4877.aspx. Accessed 26 November 2018.

Otovwe A, Oyewole OE, Igumbor EO, Nwose EU. Diabetes care in delta state of Nigeria: An expository review. Diabetes Updates. 2018;1:1-8.

Nwose EU, Digban KA, Anyasodor AE, Bwititi PT, Richards RS, Igumbor EO. Development of public health program for type 1 diabetes in a university community: preliminary evaluation of behavioural change wheel. Acta Biomed. 2017;88:281-8.

Kenny CJ, Pierce M, McGerty S. A survey of diabetes care in general practice in Northern Ireland. Ulster Med J. 2002;71:10-16.

Pierce M, Agarwal G, Ridout D. A survey of diabetes care in general practice in England and Wales. Br J Gen Pract. 2000;50:542-5.

Raosoft Inc. Sample size calculator. Available at: http://www.raosoft.com/samplesize.html. Accessed 6 June 2016.

Cook JA. Using a diabetes register to improve care and outcomes. Collaborative support Programs of New Jersey Wellness Symposium: Diabetes preventtion and wellness self-management. Edison, NJ; 2012.

Svedbo Engström M, Leksell J, Johansson U-B, Gudbjörnsdottir S. What is important for you? A qualitative interview study of living with diabetes and experiences of diabetes care to establish a basis for a tailored Patient-Reported Outcome Measure for the Swedish National Diabetes Register. BMJ Open. 2016;6:e010249.

O'Mullane M, McHugh S, Bradley CP. Informing the development of a national diabetes register in Ireland: a literature review of the impact of patient registration on diabetes care. Inform Prim Care. 2010;18:157-68.

Ballotari P, Chiatamone Ranieri S, Vicentini M, Caroli S, Gardini A, Rodolfi R, et al. Building a population-based diabetes register: an Italian experience. Diabetes Res Clin Pract. 2014;103:79-87.

Health Service Executive. Setting up a diabetes register using GP practice management system, Available at: https://www.hse.ie/eng/health/hl/ living/diabetes/Diabetesregister.html. Accessed 20 February 2019.

Malka R, Nathan DM, Higgins JM. Mechanistic modeling of hemoglobin glycation and red blood cell kinetics enables personalized diabetes monitoring. Sci Translational Med. 2016;8:359ra130.

Ketema EB, Kibret KT. Correlation of fasting and postprandial plasma glucose with HbA1c in assessing glycemic control; systematic review and meta-analysis. Arch Public Health. 2015;73:43.

Evans M. Current methods of assessing blood glucose control in diabetes. Br J Diabetes. 2016;16:S7-9.

Orru MI, Nwose EU, Bwititi PT, Igumbor EO. Screening for gestational diabetes: evaluation of prevalence in age-stratified subgroups at Central hospital Warri Nigeria. Int J Reprod Contracept Obstet Gynecol. 2018;7:63-8.

Downloads

Published

2019-12-25

How to Cite

Igumbor, E. O., Agofure, O., Oshionwu, E. J., Bwititi, P. T., & Nwose, E. U. (2019). Development of diabetes register in low-mid income country: survey of healthcare professionals’ behavioural change wheel. International Journal Of Community Medicine And Public Health, 7(1), 1–8. https://doi.org/10.18203/2394-6040.ijcmph20195824

Issue

Section

Original Research Articles