scholarly journals Awareness and readiness to use telemonitoring to support diabetes care among care providers at teaching hospitals in Ethiopia: an institution-based cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e050812
Author(s):  
Binyam Tariku Seboka ◽  
Tesfahun Melese Yilma ◽  
Abraham Yeneneh Birhanu

ObjectivesThis survey aimed to assess the awareness and readiness of healthcare providers to use telemonitoring (TM) technologies for managing diabetes patients as well as to identify associated factors in Ethiopia.DesignAn institution-based cross-sectional quantitative survey was conducted by using a pretested self-administered questionnaire from February to March 2020. Data analysis used a binary logistic regression and partial proportional odds model for factor identification.ParticipantsRandomly selected 423 study physicians and nurses.SettingThis study was conducted at the University of Gondar and Tibebe Ghion specialised teaching referral hospitals.Outcome measuresAwareness and readiness towards TM in diabetes care.ResultOut of 406 healthcare providers (69.7%, n=283 nurses and 30.3%, n=123 physicians) who completed the survey, 345 (38.7%) heard about TM, when it came to readiness, 321 (25.1%) and 121 (65.5%) of respondents had average and low readiness towards TM, respectively. The result of regression analysis shows that awareness towards TM was higher among respondents who had access to a computer (adjusted OR (AOR): 2.8 (95% CI 1.1 to 7.1)), computer-related training (AOR: 4.6 (95% CI 1.63 to 12.95)) and those who had the experience of supporting patients through digital tools (AOR: 1.7 (95% CI 1.0 to 2.8)). Self-perceived innovators and those who had access to a computer, computer-related training and favourable attitude towards TM had significantly higher readiness to use TM.ConclusionThe findings of this survey revealed low awareness and readiness of participant’s towards TM. However, this study suggests the need of improving participant’s attitudes, access to smartphones and computers and technical skills to fill this gap.

2021 ◽  
Vol 9 (1) ◽  
pp. 8
Author(s):  
Dr. Kenneth Ogar Inaku ◽  
Dr. Ifeyinwa Dorothy Nnakenyi ◽  
Dr. Lucius Chidebere Imohc ◽  
Dr. Akeem Oyeyemi Lawal ◽  
Dr. Emin Johnson Emine ◽  
...  

Introduction: An estimated 6.3 million Nigerians were reported to have prediabetes in 2015 placing Nigeria in the 9th position in world ranking. This number is projected to become 12.9 million by 2040. One way of reversing this trend is early identification of individuals at risk. This study was carried out to assess the knowledge, attitudes and practice of health care providers toward prediabetes diagnosis and management. Methods: This was an observational-based cross-sectional study involving the use of self administered questionnaire to doctors from the departments of internal medicine, paediatrics, obstetrics and gynaecology, family medicine and others. Results: In all, 358 questionnaires out of 410 were selected. All 10 risk factors for prediabetes were correctly identified by 82/358 (22.9%) participants with 300/358 (83.8%) able to identify at least 5 risk factors. Laboratory reference interval of 5.6 – 6.9 mmol/L for diagnosing prediabetes using fasting plasma glucose were correctly identified by 70/358 (19.6%) (lower value) and 14.5% (upper value) respectively. American Diabetes Association guidelines for prediabetes screening was the most familiar to 272(76.0%) respondents even though 144/358(40.2%) do not consider prediabetes as a condition that requires specific management. Over half 186/358(52%) of respondents agreed that metformin use can reduce the risk of diabetes in individuals with prediabetes but only 6/358(1.7%) have ever discussed starting metformin with their patients. Conclusion: There is need to educate medical doctors about risk factors for prediabetes and its management to curb the rising diabetes epidemic in Nigeria.


2020 ◽  
Author(s):  
Emad Aborajooh ◽  
Mohammed Qussay Al-Sabbagh ◽  
Baraa Mafrachi ◽  
Muhammad Yassin ◽  
Rami Dwairi ◽  
...  

UNSTRUCTURED We aimed to measure levels of knowledge, awareness, and stress about COVID-19 among health care providers (HCP) in Jordan. This was a cross-sectional study on 397 HCPs that utilized an internet-based questionnaire to evaluate knowledge about COVID-19, availability of personal protective equipment (PEE), future perception, and psychological distress. Ordinal logistic regression analysis was used to evaluate factors associated with knowledge and psychological stress. Overall, 24.4% and 21.2% of the participants showed excellent knowledge and poor knowledge, respectively. Social media (61.7%) was the most commonly used source of information. Being female (β= 0.521, 95% CI 0.049 to 0.992), physician (β=1.421, 95% CI 0.849 to 1.992), or using literature to gain knowledge (β= 1.161, 95% CI 0.657 to 1.664) were positive predictors of higher knowledge. While having higher stress (β= -0.854, 95% CI -1.488 to -0.221) and using social media (β= -0.434, 95% CI -0.865 to -0.003) or conventional media (β= -0.884, 95% CI -1.358 to -0.409) for information were negative predictors of knowledge levels. HCPs are advised to use the literature as a source of information about the virus, its transmission, and the best practice. PPEs should be secured for HCPs to the psychological stress associated with treating COVID-19 patients.


Author(s):  
Chiara Lorini ◽  
Laura Ricotta ◽  
Virginia Vettori ◽  
Marco Del Riccio ◽  
Massimiliano Alberto Biamonte ◽  
...  

In Western countries, one of the main barriers to entomophagy is repulsion toward insects. Few studies have investigated the factors that influence attitudes toward entomophagy. Therefore, we conducted a cross-sectional study involving a sample of 248 university students, focusing on disgust and other potential attributes that can influence insect consumption, including health literacy. We used a 17-item self-administered questionnaire. Consistent with the literature, two items were chosen as outcome variables to evaluate the predictors of the propensity to consume insects: “Have you ever eaten insects or insect-based products?” and “How disgusting do you find eating insects?” The data analysis shows that having already eaten insects is inversely associated with the level of disgust (OR: 0.1, p < 0.01); and it is positively associated with higher levels of health literacy (OR: 3.66, p > 0.01). Additionally, having some knowledge and information about entomophagy is inversely associated with a higher level of disgust (OR: 0.44, p = 0.03 and OR: 0.25, p = 0.03, respectively), while being female is positively associated with disgust (OR: 3.26, p < 0.01). Our results suggest the potential role of health literacy, in addition to other factors, in influencing the willingness to taste insects. However, further studies involving larger and non-convenience samples are needed to confirm our hypothesis.


2021 ◽  
Author(s):  
Ayman Al-Dahshan ◽  
Mohamad Chehab ◽  
Nagah Selim

Abstract Background: Although the internet can be a source of reassurance and clarification for expectant women, it ‎could cause concerns or feelings of worry when reading about pregnancy-related ‎information. The current research sought to assess the feelings of worry and perceived reliability towards online pregnancy-related information and the associated factors among expectant women attending antenatal clinics at primary healthcare centers in Qatar.Methods: A cross-sectional study design was employed. The participants were recruited through a systematic random sampling technique. ‎A self-administered questionnaire was used to collect data from the participants. Descriptive and analytic statistics were used when appropriate‎.Results: A total of 327 expecting women completed the questionnaire. Most participants were aged between 26-34 years (74.1%), held a college/university degree (76.4%), and multigravidas (73.1%). About one-third of the women ‎(31.2‎%) reported feeling worried due to something they read online. The participants coped with these feelings by consulting their antenatal care provider at the next appointment (51.0%) or by talking with relatives and friends (47.0%). Furthermore, most women (79.2%) considered online pregnancy-related information to be reliable or highly reliable. Holding a college/university degree, primigravidae, and having no children were factors significantly associated with a high perception of reliability of online health information.Conclusion: Although online pregnancy information caused feelings of worry for some pregnant ‎women, most women perceived such information to be reliable. Thus, antenatal care providers should be equipped to guide pregnant women on how to access high-quality web-based information.


Author(s):  
Aysha M. Shanshal ◽  
Ahmed H. Ataimish

Abstract The present study aims to assess the knowledge, attitude, and experience of off-label prescribing practice among physicians in Baghdad city hospitals. This cross-sectional study was performed through the period from November 1st 2018 to March 2019 at 17 hospitals, a self-administered questionnaire was utilized to collect data from the physicians, and the targeted hospitals were randomly selected at different regions in Baghdad City area. Out of the 400 distributed questionnaires to the physicians, 383 of them were returned completed, 57.2% indicated that they were reasonably familiar with the term “off label drug”, 57.7% mentioned that the most common medical reasons for the prescribing off-label drugs were unavailability of alternatives, 67.6%, 65.5% had concerns regarding its safety and efficacy respectively, 62.7% agreed that the (MOH) authority should provide an incentive to stimulate pharmaceutical companies to perform clinical trials in Iraqi patients, 49.1% believed that clinical trials that recruit volunteers involve ethical issues. Extensive efforts are required to implant programs, regulations and guidelines to control the off-label prescribing practice among the Iraqi healthcare providers who are authorized to prescribe medications at different healthcare settings.    


BMJ Open ◽  
2019 ◽  
Vol 9 (11) ◽  
pp. e032578 ◽  
Author(s):  
Ei Ei Khaing Nang ◽  
Chhavarath Dary ◽  
Li Yang Hsu ◽  
Sokrath Sor ◽  
Vonthanak Saphonn ◽  
...  

ObjectiveThis study aimed to explore the challenges encountered by patients and healthcare providers and opportunities for improvement in managing diabetes mellitus (DM) in a low- and middle-income country (LMIC) facing a rise in DM prevalence.DesignQualitative cross-sectional study.SettingUrban, semiurban, and rural areas in Cambodia.ParticipantsThirty health service providers and fifty-nine adult DM patients.ResultsMost of the 59 DM patients reported having developed DM complications when they first sought treatment. The biggest challenges for the patients were geographical barriers, diet control, and shortage of medication supply. The healthcare staff expressed concerns about their limited knowledge and lack of confidence to treat diabetes, limited availability of diabetes care services, inadequate laboratory services, shortage of staff, poor patients’ compliance, and insufficient medication supplies. Both healthcare staff and patients urged an expansion of diabetes services in Cambodia and prioritisation of diabetes care in a manner similar to communicable disease control programmes of the recent past.ConclusionsCurrently, the Cambodian healthcare system has very limited capacity to provide quality care for chronic diseases. As a consequence, many patients are either left untreated or have interrupted care due to several barriers including financial, geographical, and lack of knowledge and skills. A more comprehensive and multipronged approach is urgently needed to improve DM care, which would require a collaborative effort from government, external funding agencies, private sector, and communities.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Mansoor Ahmed ◽  
Hyea Bin Im ◽  
Jung Hye Hwang ◽  
Dongwoon Han

Abstract Background Pregnant women’s disclosure of herbal medicine (HM) use to their health care providers during pregnancy is crucial, as misuse of HM can have a detrimental effect on both pregnant woman and the fetus. However, the lack of disclosure of HM use to physicians remains a public health concern in developing countries such as Nepal. Methods A cross-sectional study was conducted among 400 postpartum women admitted at Maternity and Women’s Hospital located in Kathmandu, Nepal. The survey instrument included 30 questions on the use of HM during pregnancy, sociodemographic and health characteristics, and pregnancy outcomes. Chi-square test and logistic regression were conducted for data analysis using SPSS ver. 21.0., and a p-value of less than 0.05 was considered statistically significant for all analyses. Results 60.3% of respondents used at least one herbal remedy during their previous pregnancy, and the overall disclosure rate of HM use to healthcare providers was 54.6%. Women with secondary education level and four or more antenatal care visits were more likely to disclose their HM use to healthcare providers. Conclusions This study highlights that despite the popular use of HM among pregnant women in Nepal, most women obtained HM-related information from informal sources and did not disclose their HM use to physicians. To ensure the safe use of HM, physicians should integrate questions regarding patients’ HM use into their routine patient assessments to facilitate active communication and improve the quality of care.


2019 ◽  
Vol 11 (5) ◽  
pp. 120 ◽  
Author(s):  
Tatiana Begotti ◽  
Daniela Acquadro Maran

Aims: The aim of this study was to compare victims of one type of cyberstalking (OneType) with victims of more than one type of cyberstalking (MoreType) regarding (1) the impact of cyberstalking and (2) attitudes related to telling someone about the experience of cyberstalking and the coping strategies used by victims. Methods: A self-administered questionnaire was distributed to over 250 students at the University of Torino. Results: About half of the participants experienced at least one incident of cyberstalking. Among them, more than half experienced more than one type of cyberstalking. Victims suffered from depression more than those who had never experienced cyberstalking. No statistically significant difference emerged for anxiety. The coping strategies used by MoreType were more varied than those used by OneType victims of cyberstalking. Moreover, MoreType victims told someone about their victimization more than OneType victims. Conclusion: The work presented suggests implications for health care professionals, police officers, and government. For example, our suggestion is to pay attention to cyberstalking victims and provide flyers in schools, universities, and cafeterias that explain the risk of certain online behaviors and their consequences in physical and emotional spheres.


Author(s):  
Purva Singh ◽  
Manisha Jain

Background: Several researchers have reported that mobile phone uses are increasing among adolescents. Better understanding of cellphone and media usage by adolescents would help health care providers in guiding more responsible use of cellphone by teenagers. Aim of the study was to study the level and pattern of mobile phone usages among adolescent girls of Bhopal city, Madhya Pradesh.Methods: This cross-sectional study was conducted among adolescent girls between 14 to 19 years of age studying in schools of Bhopal city. Data was collected using a self-administered questionnaire. The questionnaire contains items related to demographic variables, cellular phone usage and patterns.Results: All the study subjects were using smart phones. Facebook was the most commonly surfed website. Maximum adolescent girls were using smartphones for 2-4 hours in a day. Seventy-eight (69.03%) study subjects preferred text messaging service for awareness about reproductive and sexual health.Conclusions: The cellphone usage can also be exploited to promote awareness about reproductive health among adolescents.


2021 ◽  
Vol 10 (4) ◽  
pp. 226-230
Author(s):  
Talha Ashar ◽  
Asma Shakoor ◽  
Mustafa Sajid ◽  
Rabia Zafar ◽  
Mohsin Javaid ◽  
...  

Background: Parents had a great role in prevention of child’s dental decay and special emphasis has been put on the maintenance of child oral hygiene status for achieving optimum health as early childhood caries is regarded as the major dental disease around the world. Our study aimed to evaluate knowledge and awareness of the parents regarding oral hygiene of the children. Methods: A descriptive cross-sectional study was conducted from March 2019 to August 2019 in Nishtar Institute of dentistry, Multan. Total 300 parents of 4 to 9-year-old children were enrolled in the study. Detailed demographics including age, education, and monthly income were recorded. The questionnaire regarding oral health was designed and data was collected through that self-administered questionnaire. Data was analysed by SPSS 24.0. Results: About 7% of Parent’s were uneducated, 38.5% got the school education, 15.5% got the college education and 39% got the university education. Only 32% parents were aware of proper brushing technique while 68% were unaware. 56% parents said that the sweets, chocolates and junk food are not good for oral health while 44% denied this. 46% parents told that their children complained about teeth and 42% parents visited the dentist for their children. Conclusions: There is a need to improve the knowledge and practices of parents and children about the oral hygiene maintenance to aid in reducing the oral health problems in future.


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