Optimising the effectiveness of diabetes education in an East Asian population
Optimising the effectiveness of diabetes education in an East Asian population
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DOI：
10.1111/1747-0080.12339
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发表时间：
2017-07-01
影响因子：
3.1
通讯作者：
Palermo, C.
中科院分区：
文献类型：
--
作者：
Choi, T. S. T.;Walker, K. Z.;Palermo, C.
目的探讨中国人在糖尿病教育过程中的集体学习行为和偏好模式。这项研究是在三个国家进行，旨在确定战略，可用于定制糖尿病教育，以中国people.MethodsA案例研究的方法进行了三个国家（澳大利亚，中国和新加坡）使用参与观察和定性访谈。有目的的抽样被用来选择现场之前，滚雪球技术，以确定相关的受访者。采用模式匹配的主题分析进行数据分析。ResultsA共39个参与者的意见和22个访谈。研究观察了中国糖尿病患者向卫生专业人员寻求建议和建议的情况。当被明确告知该做什么时，他们努力争取完全服从。他们在糖尿病教育过程中往往顺从，不太可能提出问题，谈判或参与医疗决策。他们似乎更喜欢规范的具体指示，而不是更灵活的概念教育，并认为行为改变应通过个人意志力和决心来实现，从而导致一种“全有或全无”的方法。定期重复的信息会议报告建立融洽和trust.ConclusionsFor糖尿病教育文化修改为中国人，有必要考虑他们独特的哲学和行为在教育过程中，以支持生活方式的改变。从教育的早期阶段建立信任是通过提供明确和准确的指示来鼓励融洽关系来实现的。在公开讨论执行战略之前，应该这样做。一旦建立了信任，健康的行为改变就可能随之而来。
AimTo explore the collective patterns of learning behaviours and preferences of Chinese people during diabetes education. The study was carried out across three countries and aimed to identify strategies that could be used to tailor diabetes education to Chinese people.MethodsA case study approach was undertaken in three countries (Australia, China and Singapore) using participant observations and qualitative interviews. Purposive sampling was used to select field sites before a snowball technique was employed to identify relevant interviewees. Thematic analysis with pattern matching was used for data analysis.ResultsA total of 39 participant observations and 22 interviews were conducted. Chinese people with diabetes were observed seeking advice and recommendations from health professionals. When told clearly what to do, they strived for full compliance. They tended to be submissive during diabetes education and were not likely to raise concerns, negotiate or participate in making medical decisions. They appeared to prefer prescriptive concrete instructions rather than more flexible conceptual education and to believe that behavioural change should be achieved by individual willpower and determination, resulting in an all-or-nothing' approach. Regular repeated information sessions were reported to establish rapport and trust.ConclusionsFor diabetes education to be culturally modified for Chinese people, there is a need to consider their unique philosophies and behaviours during education to support lifestyle changes. Building trust from the early stages of education was achieved by encouraging rapport through the provision of clear and precise instructions. This should be done before engaging in an open discussion of implementation strategies. Once the trust is built, healthy behaviour change may follow.