- Title
- Attitudes towards, facilitators and barriers to the provision of diabetes self-care support: a qualitative study among healthcare providers in Ghana
- Creator
- Mogre, Victor; Johnson, Natalie A.; Tzelepis, Flora; Paul, Christine
- Relation
- Diabetes and Metabolic Syndrome: Clinical Research and Reviews Vol. 13, Issue 3, p. 1745-1751
- Publisher Link
- http://dx.doi.org/10.1016/j.dsx.2019.03.041
- Publisher
- Elsevier
- Resource Type
- journal article
- Date
- 2019
- Description
- Statement of the problem: Self-care support provided by healthcare providers (HCPs) is critical to diabetes self-care. However, a number of barriers prevent HCPs from providing self-care support to people with diabetes. We explored attitudes towards, barriers and facilitators of the provision of diabetes self-care support among Ghanaian HCPs. Methods: Fourteen semi-structured interviews were conducted among HCPs recruited from three diabetes clinics in Tamale, Ghana. All interviews were digitally recorded and transcribed verbatim. Transcripts were coded and analysed thematically. Results: HCPs reported a sense of responsibility and urgency to provide self-care education to diabetes patients; while believing it was the patients' responsibility to self-care for their diabetes condition. Accordingly, HCPs perceived their role to be limited to information sharing rather than behaviour change interventions. Facilitators to the provision of self-care support included patients’ motivation, and team work among healthcare professionals. Barriers that hindered self-care support included language barriers and poor inter-professional collaboration. Furthermore, HCPs discussed that they felt inadequately trained to provide self-care support. Healthcare-system-related barriers were inadequate office space, lack of professional development programmes, high patient numbers, inadequate staff numbers, inadequate health insurance and a lack of sufficient supplies and equipment in the hospital. Conclusion: HCPs attitudes were generally favourable towards supporting self-care, albeit with a focus on information provision rather than behaviour change. Training in effective strategies for providing self-care support are needed, and better use of the resources that are available.
- Subject
- attitudes; self-care support; healthcare providers; facilitators; barriers
- Identifier
- http://hdl.handle.net/1959.13/1401822
- Identifier
- uon:34968
- Identifier
- ISSN:1871-4021
- Rights
- © 2019. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/.
- Language
- eng
- Full Text
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