Use of the socio-ecological model to explore factors that influence the implementation of a diabetes structured education programme (EXTEND project) inLilongwe, Malawi and Maputo, Mozambique: a qualitative study.
Use of the socio-ecological model to explore factors that influence the implementation of a diabetes structured education programme (EXTEND project) inLilongwe, Malawi and Maputo, Mozambique: a qualitative study.
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DOI：
10.1186/s12889-021-11338-y
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发表时间：
2021-07-08
影响因子：
4.5
通讯作者：
Hadjiconstantinou M
中科院分区：
文献类型：
--
作者：
Bamuya C;Correia JC;Brady EM;Beran D;Harrington D;Damasceno A;Crampin AM;Magaia A;Levitt N;Davies MJ;Hadjiconstantinou M
糖尿病自我管理教育和支持（DSMES）项目对2型糖尿病（T2DM）的管理至关重要。然而，它们在撒哈拉以南非洲（SSA）是有限的。为了解决这一差距，在利隆圭（马拉维）和马普托（莫桑比克）开发了一个名为extend的中小企业。本质性研究旨在探讨在这些环境中影响DSMES实施的因素。运用社会生态模型，探讨影响中小企业实施的因素。数据分析采用框架方法和恒定比较技术。66人参与了这项研究：2型糖尿病患者参加了EXTEND项目；医疗保健专业人员（HCPs）、EXTEND教育者、EXTEND培训师和利益相关者。我们的研究结果表明，有必要在SSA医疗保健系统中开发一个综合的和专门的糖尿病服务，将文化适应的DSMES和量身定制的糖尿病培训纳入糖尿病管理的所有专业。有人提议，传统媒体和社区领导人的参与是帮助参与和促进地方社区中小企业方案的重要因素。在DSMES的设计和实施过程中，重要的是要考虑个人和社会的自我保健障碍。本研究的结果表明，多方面的因素对低收入国家实施DSMES计划起着重要作用。在未来，EXTEND可以被纳入SSA医疗保健系统的糖尿病培训和专门的糖尿病服务的发展中，作为T2DM和hcp患者的教育工具。该项目得到了医学研究理事会GCRF非传染性疾病基金会2016年发展路径基金的支持。在线版本包含补充材料，可在10.1186/s12889-021-11338-y获得。
Diabetes Self-Management Education and Support (DSMES) programmes are vital for type 2 diabetes mellitus (T2DM) management. However, they are limited in Sub-Saharan Africa (SSA). To address this gap, a DSMES, namedEXTEND was developed in Lilongwe (Malawi) and Maputo (Mozambique). This qualitative study aimed to explore factors that influence the implementation of DSMES in these settings. The Socio-ecological model was applied to explore factors influencing the implementation of DSMES in SSA. Data was analysed using the Framework method and constant comparative techniques. Sixty-six people participated in the study: people with T2DM who participated in the EXTEND programme; healthcare professionals (HCPs), EXTEND educators, EXTEND trainers, and stakeholders. Our findings indicate that there is a need to develop an integrated and dedicated diabetes services in SSA healthcare systems, incorporating culturally adapted DSMES and tailored diabetes training to all professions involved in diabetes management. Traditional media and the involvement of community leaders were proposed as important elements to help engage and promote DSMES programmes in local communities. During the design and implementation of DSMES, it is important to consider individual and societal barriers to self-care. Findings from this study suggest that multi-faceted factors play a significant role to the implementation of DSMES programmes in LICs. In the future, EXTEND could be incorporated in the development of diabetes training and dedicated diabetes services in SSA healthcare systems, acting as an educational tool for both people with T2DM and HCPs. This project was supported by the Medical Research Council GCRF NCDs Foundation Awards 2016 Development Pathway Funding. The online version contains supplementary material available at 10.1186/s12889-021-11338-y.
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影响因子：
--
作者：
Hill, Jacqueline;Nielsen, Marcia;Fox, Michael H
通讯作者：
Fox, Michael H
2 型糖尿病的糖尿病自我管理教育和支持：美国糖尿病协会、美国糖尿病教育者协会和营养与饮食学会的联合立场声明。
DOI：
10.2337/diaclin.34.2.70
发表时间：
2016-04-01
期刊：
Clinical diabetes : a publication of the American Diabetes Association
影响因子：
--
作者：
Powers, Margaret A;Bardsley, Joan;Vivian, Eva
通讯作者：
Vivian, Eva
影响因子：
4
作者：
Gale NK;Heath G;Cameron E;Rashid S;Redwood S
通讯作者：
Redwood S
影响因子：
2.3
作者：
Dube L;Van den Broucke S;Dhoore W;Kalweit K;Housiaux M
通讯作者：
Housiaux M
DOI：
10.1016/s2213-8587(17)30432-1
发表时间：
2018-03
期刊：
The lancet. Diabetes & endocrinology
影响因子：
--
作者：
Price AJ;Crampin AC;Amberbir A;Kayuni-Chihana N;Musicha C;Tafatatha T;Branson K;Lawlor DA;Mwaiyeghele E;Nkhwazi L;Smeeth L;Pearce N;Munthali E;Mwagomba BM;Mwansambo C;Glynn JR;Jaffar S;Nyirenda M
通讯作者：
Nyirenda M