A qualitative study of knowledge, behaviour and attitudes regarding vitamin D acquisition among patients with photosensitivity disorders

Abstract Background: Adult vitamin D deficiency, a public health problem in low-income countries, is correlated with increased mortality. Although health care workers (HCWs) in Ethiopia are educated on minerals counseling on the benefits of vitamin D and its sources is not witnessed since their knowledge is low. The main aim of this study is to explore barriers to good knowledge, positive attitude, and practice of health care providers on adult vitamin D.Methods: An exploratory qualitative study is done in three ecologies covering highland, midland, and lowland. The size of 27 participants was fixed by saturation of ideas. In-depth interviews were conducted among leaders and HCWs of different professional groups in health centers and hospitals. Moderators were Ph.D. holders. An interview guide was developed after reviewing research that was translated into the local language. Interviews were audio-taped, transcribed and, translated. Open Code software was used to code and categorize the data. Thematic analysis is presented using themes and sub-themes.Result: The main barriers are related to health systems, HCWs’ understandings, health facilities, and the educational system. Lack of attention by the health systems’ leadership, missing adult vitamin D as a priority in health programs, and the absence of adult vitamin D management and treatment guidelines are barriers related to the health system. On the other hand, health care professionals believed that the prevalence of adult vitamin D deficiency is insignificant and vitamin D deficiency is only an issue related to children. Besides, the inadequacy of laboratory investigation and limited in-service training are barriers related to health facilities while the absence of studies and the focus of the medical curriculum on child vitamin D are barriers related to the education system. Conclusion: Adult vitamin D deficiency is a neglected public health problem with many barriers related to diagnosis and treatment. Barriers are related to the professionals themselves, their leadership, health facilities, and the education system. The government should give attention to adult vitamin D management and treatment, continuous on the job training, development of guidelines, purchase of laboratory equipment, the inclusion of adult vitamin D in pre-service and, in-service training curriculums.

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Barriers in Adult Vitamin D Service Provision by Health Care Workers: A Qualitative Study in Three Ecologies of Ethiopia

10.21203/rs.3.rs-141414/v2 ◽

2021 ◽

Author(s):

Wubegzier Mekonnen ◽

Yeweyenhareg Feleke ◽

Wubetsh Asnake ◽

Yakob Desalegn ◽

Jemal Haidar ◽

...

Keyword(s):

Public Health ◽

Health Care ◽

Vitamin D ◽

Qualitative Study ◽

Vitamin D Deficiency ◽

Health Care Workers ◽

Public Health Problem ◽

Health Facilities ◽

Care Workers ◽

Service Training

Abstract Background: Adult vitamin D deficiency, which is a public health problem in low-income countries, is correlated with increased mortality. Although health care workers (HCWs) in Ethiopia are educated on important minerals their counseling on the uses of vitamin D and its possible sources was not witnessed since their knowledge and practice is low. The main aim of this study is to explore barriers to good knowledge, positive attitude, and practice of health care providers on adult vitamin D.Methods: An exploratory qualitative study is done in three ecologies covering highland, midland, and lowland. The size of 27 participants was fixed by saturation of ideas. In-depth interviews were conducted among leaders and HCWs of different professional groups in health centers and hospitals. Moderators were Ph.D. holders. An interview guide was developed after reviewing research that was translated into the local language. Interviews were audio-taped, transcribed and, translated. Open Code software was used to code and categorize the data. Themes were developed using thematic analysis which is presented using themes and sub-themes.Result: The main barriers are related to health systems, HCWs’ understandings, health facilities, and the educational system. Lack of attention by the health systems’ leadership, missing adult vitamin D as a priority in health programs, and the absence of adult vitamin D management and treatment guidelines are barriers related to the health system. On the other hand, health care professionals believed that the prevalence of adult vitamin D deficiency is insignificant and vitamin D deficiency is only an issue related to children. Besides, the inadequacy of laboratory investigation and limited in-service training are barriers related to health facilities while the absence of studies and the focus of the medical curriculum on child vitamin D are barriers related to the education system. Conclusion: Adult vitamin D deficiency is a neglected public health problem with many barriers related to diagnosis and treatment. Barriers are related to the professionals themselves, their leadership, health facilities, and the education system. The government should give attention to adult vitamin D management and treatment, continuous on the job training, development of guidelines, purchase of laboratory equipment, the inclusion of adult vitamin D in pre-service and, in-service training curriculums.

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Barriers in adult vitamin D service provision by health care workers: a qualitative study in three ecologies of Ethiopia

BMC Nutrition ◽

10.1186/s40795-021-00492-6 ◽

2021 ◽

Vol 7 (1) ◽

Author(s):

Wubegzier Mekonnen ◽

Yeweyenhareg Feleke ◽

Wubetsh Asnake ◽

Yakob Desalegn ◽

Jemal Haidar ◽

...

Keyword(s):

Public Health ◽

Health Care ◽

Vitamin D ◽

Qualitative Study ◽

Vitamin D Deficiency ◽

Health Care Workers ◽

Education System ◽

Health Problem ◽

Public Health Problem ◽

Care Workers

Abstract Background Adult vitamin D deficiency, which is a public health problem in low-income countries, is correlated with increased mortality. Although health care workers (HCWs) in Ethiopia are educated on important minerals their counseling on the uses of vitamin D and its possible sources was not witnessed since their knowledge and practice is low. The main aim of this study is to explore barriers to good knowledge, positive attitude, and practice of health care providers on adult vitamin D. Methods An exploratory qualitative study is done in three ecologies covering highland, midland, and lowland. The size of 27 participants was fixed by saturation of ideas. In-depth interviews were conducted among leaders and HCWs of different professional groups in health centers and hospitals. Moderators were Ph.D. holders. An interview guide was developed after reviewing research that was translated into the local language. Interviews were audio-taped, transcribed and, translated. Open Code software was used to code and categorize the data. Themes were developed using thematic analysis which is presented using themes and sub-themes. Result The main barriers are related to health systems, HCWs’ understandings, and the educational system. Lack of attention by the health systems’ leadership, missing adult vitamin D as a priority in health programs, lack of capacity building scheme and the absence of adult vitamin D management and treatment guidelines are barriers related to the health system. On the other hand, health care professionals believed that the prevalence of adult vitamin D deficiency is insignificant and vitamin D deficiency is only an issue related to children. Besides, the absence of studies,the focus of the medical curriculum on child vitamin D and the inadequacy of laboratory investigation are barriers related to the education system and research. Conclusion Adult vitamin D deficiency is a neglected public health problem with many barriers related to diagnosis and treatment. Barriers are related to the professionals themselves, their leadership, health facilities, and the education system. The government should give attention to adult vitamin D management and treatment, continuous on the job training, development of guidelines, purchase of laboratory equipment, the inclusion of adult vitamin D in pre-service and, in-service training curriculums.

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“Test me and treat me”—attitudes to vitamin D deficiency and supplementation: a qualitative study

BMJ Open ◽

10.1136/bmjopen-2014-007401 ◽

2015 ◽

Vol 5 (7) ◽

pp. e007401 ◽

Cited By ~ 21

Author(s):

Siddharth Kotta ◽

Dev Gadhvi ◽

Niki Jakeways ◽

Maryum Saeed ◽

Ratna Sohanpal ◽

...

Keyword(s):

Vitamin D ◽

Qualitative Study ◽

Vitamin D Deficiency

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The ABC of Vitamin D: A Qualitative Study of the Knowledge and Attitudes Regarding Vitamin D Deficiency amongst Selected Population Groups

Nutrients ◽

10.3390/nu5030915 ◽

2013 ◽

Vol 5 (3) ◽

pp. 915-927 ◽

Cited By ~ 15

Author(s):

Billie Bonevski ◽

Jamie Bryant ◽

Sylvie Lambert ◽

Irena Brozek ◽

Vanessa Rock

Keyword(s):

Vitamin D ◽

Qualitative Study ◽

Vitamin D Deficiency ◽

Population Groups ◽

Knowledge And Attitudes

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A qualitative study of the knowledge, behaviour and attitudes of patients with skin cancer regarding sunlight exposure and vitamin D

Photodermatology Photoimmunology & Photomedicine ◽

10.1111/phpp.12311 ◽

2017 ◽

Vol 33 (4) ◽

pp. 203-208 ◽

Cited By ~ 3

Author(s):

David Rutkowski ◽

Mark D. Farrar ◽

Joanne E. Osman ◽

Ann R. Webb ◽

Lesley E. Rhodes

Keyword(s):

Vitamin D ◽

Skin Cancer ◽

Qualitative Study ◽

Sunlight Exposure

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Reducing unnecessary vitamin testing in general practice: barriers and facilitators according to general practitioners and patients

BMJ Open ◽

10.1136/bmjopen-2019-029760 ◽

2019 ◽

Vol 9 (10) ◽

pp. e029760 ◽

Cited By ~ 3

Author(s):

H. Hofstede ◽

H.A.M. van der Burg ◽

B.C. Mulder ◽

A.M. Bohnen ◽

P.J.E. Bindels ◽

...

Keyword(s):

Primary Care ◽

Vitamin D ◽

General Practice ◽

Qualitative Study ◽

General Practitioners ◽

Implementation Strategies ◽

Barriers And Facilitators ◽

Care Practice ◽

Registration Number ◽

Test Ordering

ObjectiveThere has been an increase in testing of vitamins in patients in general practice, often based on irrational indications or for non-specific symptoms, causing increasing healthcare expenditures and medicalisation of patients. So far, there is little evidence of effective strategies to reduce this overtesting in general practice. Therefore, the aim of this qualitative study was to explore the barriers and facilitators for reducing the number of (unnecessary) vitamin D and B12laboratory tests ordered.Design and settingThis qualitative study, based on a grounded theory design, used semistructured interviews among general practitioners (GPs) and patients from two primary care networks (147 GPs, 195 000 patients). These networks participated in the Reducing Vitamin Testing in Primary Care Practice (REVERT) study, a clustered randomized trial comparing two de-implementation strategies to reduce test ordering in primary care in the Netherlands.ParticipantsTwenty-one GPs, with a maximum of 1 GP per practice who took part in the REVERT study, and 22 patients (who were invited by their GP during vitamin-related consultations) were recruited, from which 20 GPs and 19 patients agreed to participate in this study.ResultsThe most important factor hampering vitamin-test reduction programmes is the mismatch between patients and medical professionals regarding the presumed appropriate indications for testing for vitamin D and B12. In contrast, the most important facilitator for vitamin-test reduction may be updating GPs’ knowledge about test indications and their awareness of their own testing behaviour.ConclusionTo achieve a sustainable reduction in vitamin testing, guidelines with clear and uniform recommendations on evidence-based indications for vitamin testing, combined with regular (individual) feedback on test-ordering behaviour, are needed. Moreover, the general public needs access to clear and reliable information on vitamin testing. Further research is required to measure the effect of these strategies on the number of vitamin test requests.Trial registration numberWAG/mb/16/039555.

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Target the message: a qualitative study exploring knowledge and cultural attitudes to sunlight and vitamin D in Greater Manchester, U.K.

British Journal of Dermatology ◽

10.1111/bjd.14800 ◽

2016 ◽

Vol 175 (6) ◽

pp. 1401-1403 ◽

Cited By ~ 16

Author(s):

A.R. Webb ◽

S. Aseem ◽

R.C. Kift ◽

L.E. Rhodes ◽

M.D. Farrar

Keyword(s):

Vitamin D ◽

Qualitative Study ◽

Cultural Attitudes

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Qualitative study on “hydropic degeneration” of The hepatocytes in viral hepatitis

Proceedings, annual meeting, Electron Microscopy Society of America ◽

10.1017/s042482010016039x ◽

1990 ◽

Vol 48 (3) ◽

pp. 568-569

Author(s):

Le Meizhao ◽

Ye Ming ◽

Song Xiaoming ◽

Xu Jiazhang

Keyword(s):

Qualitative Study ◽

Viral Hepatitis ◽

Chronic Active Hepatitis ◽

Microscopic Observation ◽

Hydropic Degeneration ◽

Light Microscopic Observation ◽

Biopsy Specimens ◽

Endoplasm Reticulum ◽

Mixed Fluid ◽

Peripheral Cytoplasm

“Hydropic degeneration” of the hepatocytes are often found in biopsy of the liver of some kinds of viral hepatitis. Light microscopic observation, compareted with the normal hepatocytes, they are enlarged, sometimes to a marked degree when the term “balloning” degeneration is used. Their cytoplasm rarefied, and show some clearness in the peripheral cytoplasm, so, it causes a hydropic appearance, the cytoplasm around the nuclei is granulated. Up to the present, many studies belive that main ultrastructural chenges of hydropic degeneration of the hepatocytes are results of the RER cristae dilatation with degranulation and disappearance of glycogen granules.The specimens of this study are fixed with the mixed fluid of the osmium acidpotassium of ferricyanide, Epon-812 embed. We have observed 21 cases of biopsy specimens with chronic severe hepatitis and severe chronic active hepatitis, and found that the clear fields in the cytoplasm actually are a accumulating place of massive glycogen. The granules around the nuclei are converging mitochondria, endoplasm reticulum and other organelles.

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