Health promotion services for patients having non-comminicable diseases: Feedback from patients and health care providers in Cape Town, South Africa

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dc.contributor.authorParker, Whadi-ahen_ZA
dc.contributor.authorSteyn, Neliaen_ZA
dc.contributor.authorLevitt, Naomien_ZA
dc.contributor.authorLombard, Carlen_ZA
dc.date.accessioned2015-11-18T03:55:13Z
dc.date.available2015-11-18T03:55:13Z
dc.date.issued2012en_ZA
dc.description.abstractBACKGROUND: Due to a paucity of data regarding the availability and efficacy of equipment, health promotion methods and materials currently used by health professionals for the management of patients with non-communicable diseases (NCDs) at primary health care (PHC) facilities in Cape Town, an audit was undertaken. METHODS: A multi-centre cross-sectional study was undertaken to interview patients (n=580) with NCDs at 30 PHC facilities. A questionnaire was used to obtain information on preferences for health promotion methods for lifestyle modification. Individual semi-structured interviews were conducted with selected health professionals (n=14) and captured using a digital recorder. Data were transferred to the Atlas ti software programme and analysed using a thematic content analysis approach. RESULTS: Blood pressure measurement (97.6%) was the most common diagnostic test used, followed by weight measurement (88.3%), urine (85.7%) and blood glucose testing (80.9%). Individual lifestyle modification counselling was the preferred health education method of choice for the majority of patients. Of the 64% of patients that selected chronic clubs/support groups as a method of choice, only a third rated this as their first choice. Pamphlets, posters and workshops/group counselling sessions were the least preferred methods with only 9%, 13% and 11% of patients choosing these as their first choice, respectively. In an individual counselling setting 44.7% of patients reported that they would prefer to be counselled by a doctor, followed by a nurse (16.9%), health educator (8.8%) and nutrition advisor (4.8%). Health professionals identified numerous barriers to education and counselling. These can be summarised as a lack of resources, including time, space and equipment; staff-related barriers such as staff shortage and staff turnover; and patient-related barriers such as patient load and patient non-compliance. CONCLUSION: The majority of patients attending PHC facilities want to receive lifestyle modification education. There is not however, one specific method that can be regarded as the gold standard. Patients' preferences regarding health education methods differ, and they are more likely to be susceptible to methods that do not involve much reading. Health education materials such as posters, pamphlets and booklets should be used to supplement information received during counselling or support group sessions.en_ZA
dc.identifier.apacitationParker, W., Steyn, N., Levitt, N., & Lombard, C. (2012). Health promotion services for patients having non-comminicable diseases: Feedback from patients and health care providers in Cape Town, South Africa. <i>BMC Public Health</i>, http://hdl.handle.net/11427/15063en_ZA
dc.identifier.chicagocitationParker, Whadi-ah, Nelia Steyn, Naomi Levitt, and Carl Lombard "Health promotion services for patients having non-comminicable diseases: Feedback from patients and health care providers in Cape Town, South Africa." <i>BMC Public Health</i> (2012) http://hdl.handle.net/11427/15063en_ZA
dc.identifier.citationParker, W. A., Steyn, N. P., Levitt, N. S., & Lombard, C. J. (2012). Health promotion services for patients having non-comminicable diseases: Feedback from patients and health care providers in Cape Town, South Africa. BMC public health, 12(1), 503.en_ZA
dc.identifier.ris TY - Journal Article AU - Parker, Whadi-ah AU - Steyn, Nelia AU - Levitt, Naomi AU - Lombard, Carl AB - BACKGROUND: Due to a paucity of data regarding the availability and efficacy of equipment, health promotion methods and materials currently used by health professionals for the management of patients with non-communicable diseases (NCDs) at primary health care (PHC) facilities in Cape Town, an audit was undertaken. METHODS: A multi-centre cross-sectional study was undertaken to interview patients (n=580) with NCDs at 30 PHC facilities. A questionnaire was used to obtain information on preferences for health promotion methods for lifestyle modification. Individual semi-structured interviews were conducted with selected health professionals (n=14) and captured using a digital recorder. Data were transferred to the Atlas ti software programme and analysed using a thematic content analysis approach. RESULTS: Blood pressure measurement (97.6%) was the most common diagnostic test used, followed by weight measurement (88.3%), urine (85.7%) and blood glucose testing (80.9%). Individual lifestyle modification counselling was the preferred health education method of choice for the majority of patients. Of the 64% of patients that selected chronic clubs/support groups as a method of choice, only a third rated this as their first choice. Pamphlets, posters and workshops/group counselling sessions were the least preferred methods with only 9%, 13% and 11% of patients choosing these as their first choice, respectively. In an individual counselling setting 44.7% of patients reported that they would prefer to be counselled by a doctor, followed by a nurse (16.9%), health educator (8.8%) and nutrition advisor (4.8%). Health professionals identified numerous barriers to education and counselling. These can be summarised as a lack of resources, including time, space and equipment; staff-related barriers such as staff shortage and staff turnover; and patient-related barriers such as patient load and patient non-compliance. CONCLUSION: The majority of patients attending PHC facilities want to receive lifestyle modification education. There is not however, one specific method that can be regarded as the gold standard. Patients' preferences regarding health education methods differ, and they are more likely to be susceptible to methods that do not involve much reading. Health education materials such as posters, pamphlets and booklets should be used to supplement information received during counselling or support group sessions. DA - 2012 DB - OpenUCT DO - 10.1186/1471-2458-12-503 DP - University of Cape Town J1 - BMC Public Health LK - https://open.uct.ac.za PB - University of Cape Town PY - 2012 T1 - Health promotion services for patients having non-comminicable diseases: Feedback from patients and health care providers in Cape Town, South Africa TI - Health promotion services for patients having non-comminicable diseases: Feedback from patients and health care providers in Cape Town, South Africa UR - http://hdl.handle.net/11427/15063 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/15063
dc.identifier.urihttp://dx.doi.org/10.1186/1471-2458-12-503
dc.identifier.vancouvercitationParker W, Steyn N, Levitt N, Lombard C. Health promotion services for patients having non-comminicable diseases: Feedback from patients and health care providers in Cape Town, South Africa. BMC Public Health. 2012; http://hdl.handle.net/11427/15063.en_ZA
dc.language.isoengen_ZA
dc.publisherBioMed Central Ltden_ZA
dc.publisher.departmentDivision of Endocrinology and Diabetologyen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsThis is an Open Access article distributed under the terms of the Creative Commons Attribution Licenseen_ZA
dc.rights.holder2012 Parker et al.; licensee BioMed Central Ltd.en_ZA
dc.rights.urihttp://creativecommons.org/licenses/by/2.0en_ZA
dc.sourceBMC Public Healthen_ZA
dc.source.urihttp://www.biomedcentral.com/bmcpublichealth/en_ZA
dc.subject.otherPatient preferencesen_ZA
dc.subject.otherHealth education materialsen_ZA
dc.subject.otherHealth education methodsen_ZA
dc.subject.otherChronic diseases of lifestyleen_ZA
dc.subject.otherLifestyle modificationen_ZA
dc.titleHealth promotion services for patients having non-comminicable diseases: Feedback from patients and health care providers in Cape Town, South Africaen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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