Assessment of the attitude of health care professionals towards diabetes care in Mukalla, Yemen

BACKGROUND Digital technologies are gaining an important role in the management of patients with diabetes. The GlucoMe solution integrates multiple aspects of diabetes care: 1) Wireless blood glucose monitor - communicates glucose data automatically to any smartphone; 2) Mobile-app - securely transmits real-time blood glucose monitor data for cloud based analyses, and enables 2-way communication between patients and health care professionals; 3) Digital diabetes clinic – analyzes and presents data to the health care professional; and 4) Control tower software provides population management reports and sends individualized alerts. OBJECTIVE Assess clinical outcomes and user satisfaction of incorporating the GlucoMe digital solution in diabetes clinics of a developing country. METHODS Five hospital endocrinology clinics in Vietnam participated in a market acceptance evaluation pilot of the GlucoMe system. The clinics sequentially recruited all patients willing to join, so long as they had a smartphone and access to internet connectivity. Patients were provided with the GlucoMe app and blood glucose monitor and instructed in their use in individual or groups sessions. The digital diabetes clinic and control tower software were installed in the clinic computers. Face-to-face visits were conducted at baseline and at 12 weeks, with monthly digital visits scheduled in the interim and additional digital visits performed as needed. HbA1c levels were measured at baseline and at 12 weeks (±20 days). Treatment modification was at the discretion of the treating physician. Outcome measures included adherence to glucose monitoring, change in glycemic parameters and patient and physician satisfaction as assessed by questionnaires. Only patients completing the pilot were included in data analyses. RESULTS The study recruited 300 patients of whom 279 patients completed the evaluation. Dropout was due to change in internet access availability (18) or death (3). Adherence to glucose measurements gradually declined, yet, at study end 81% of the patients were measuring glucose at least once a week. Digital contact from the health care professional to the patient or vice-versa (excluding automated alerts) occurred in average every 6.2 days. Average glucose levels declined from 170.4±64.6 mg/dl in the first two weeks to 150.8±53.2 mg/dl in the last two weeks (P<0.001) (n=221). HbA1c levels at baseline and 12 weeks were available for only 126 of the patients and declined from 8.3±1.9% to 7.6±1.3 (P<0.001). Over 95% of the physicians and patients stated they would strongly support the broad usage of the GlucoMe platform in diabetes clinics across the country. CONCLUSIONS The GlucoMe digital solution was broadly accepted by both patients and health care professionals and improved glycemic outcomes. The digital platform yielded increased number of patient-health care professional interactions, yet of short duration, enabling judicious allocation of limited time resources. The durability, scalability and cost-effectiveness of this approach merit further study.

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Factors associated with medication information in diabetes care: differences in perceptions between patients and health care professionals

Patient Preference and Adherence ◽

10.2147/ppa.s88357 ◽

2015 ◽

pp. 1431 ◽

Cited By ~ 10

Author(s):

Gerda Längst ◽

Hanna Marita Seidling ◽

Marion Stützle ◽

Dominik Ose ◽

Ines Baudendistel ◽

...

Keyword(s):

Health Care ◽

Diabetes Care ◽

Health Care Professionals ◽

Factors Associated ◽

Medication Information

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Impact of Diabetes Continuing Education on Knowledge and Practice of Diabetes Care among Health Care Professionals in Yemen

Journal of Pharmaceutical Research International ◽

10.9734/jpri/2021/v33i28a31525 ◽

2021 ◽

pp. 221-230

Author(s):

Salmeen D. Babelgaith ◽

Mansour Almetwazi ◽

Syed Wajid ◽

Saeed Alfadly ◽

Ahmed M Shaman ◽

...

Keyword(s):

Health Care ◽

Continuing Education ◽

Diabetes Care ◽

Health Care Professionals ◽

Diabetes Management ◽

Knowledge Score ◽

General Knowledge ◽

Significant Difference ◽

Knowledge And Practice ◽

The Impact

Background: This study aimed to evaluate the Impact of diabetes continuing education on knowledge and practice of diabetes care among health care professionals in Yemen. Methods: A quasi-experimental study was carried out among health care professionals. The original questionnaire consisted of 22 multiple choice questions. A total of 73 HCPs received continuing education (CE) intervention. Knowledge attitude and practice (KAP) was assessed using a validated questionnaire. Results: The result showed that majority of the HCPs has a good general knowledge on diabetes and its managements prior to the CE program. Evaluation of the general knowledge score of the HCPs found some improvement in the knowledge score, however the improvement was not significant (p=0.31). The result of this study found that HCPs has good knowledge on monitoring the sign, symptoms and laboratory parameters. Conclusion: Evaluation of the knowledge score on Goal of Diabetes Management of HCPs found significant (p=0.024) improvement in the knowledge score. The results indicated that the lab values were rated as the most important in the goal for the treatment of diabetes patients. The study also found no significant difference in practice score after CE program among HCPs.

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‘Physical activity, that’s a tricky subject.’ Experiences of health care professionals with physical activity in type 2 diabetes care

BMC Health Services Research ◽

10.1186/s12913-018-3102-1 ◽

2018 ◽

Vol 18 (1) ◽

Cited By ~ 3

Author(s):

Mirjam Stuij

Keyword(s):

Physical Activity ◽

Type 2 Diabetes ◽

Health Care ◽

Diabetes Care ◽

Health Care Professionals

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The Use of Language in Diabetes Care and Education

The Diabetes Educator ◽

10.1177/0145721717735535 ◽

2017 ◽

Vol 43 (6) ◽

pp. 551-564 ◽

Cited By ~ 19

Author(s):

Jane K. Dickinson ◽

Susan J. Guzman ◽

Melinda D. Maryniuk ◽

Catherine A. O’Brian ◽

Jane K. Kadohiro ◽

...

Keyword(s):

Health Care ◽

Diabetes Care ◽

Health Care Professionals ◽

General Public ◽

American Diabetes Association ◽

American Association ◽

Task Force ◽

Strong Impact ◽

Research Questions ◽

Diabetes Educators

Language is powerful and can have a strong impact on perceptions as well as behavior. A task force, consisting of representatives from the American Association of Diabetes Educators and the American Diabetes Association, convened to discuss language in diabetes care and education. The literature supports the need for a language movement in diabetes care and education. There are effective ways of communicating about diabetes. This article provides recommendations for language used by health care professionals and others when discussing diabetes through spoken or written words, whether directed to people with diabetes, colleagues, or the general public, as well as research questions related to language and diabetes.

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Competencies for Diabetes Care and Education Specialists

The Diabetes Educator ◽

10.1177/0145721720931092 ◽

2020 ◽

Vol 46 (4) ◽

pp. 384-397

Author(s):

Donna Ryan ◽

Sandra Drozdz Burke ◽

Michelle L. Litchman ◽

Lauren Bronich-Hall ◽

Leslie Kolb ◽

...

Keyword(s):

Health Care ◽

Mental Health Professionals ◽

Diabetes Care ◽

Health Care Professionals ◽

Health Care Environment ◽

Individual Study ◽

Care Environment ◽

Body Of Knowledge ◽

Centered Care ◽

Core Body

Purpose Diabetes care and education specialists provide collaborative, comprehensive, and person-centered care and education to people with diabetes and cardiometabolic conditions. The implementation of the vision for the specialty has prompted the need to reexamine the knowledge, skills, and abilities necessary for diabetes care and education specialists in today’s dynamic health care environment. The purpose of this article is to introduce an updated set of competencies reflective of the profession in this dynamic health care environment. Diabetes care and education specialists are health care professionals who have achieved a core body of knowledge and skills in the biological and social sciences, communication, counseling, and education and who have experience in the care of people with diabetes and related conditions. Members of this specialty encompass a diverse set of health disciplines, including nurses, dietitians, pharmacists, physicians, mental health professionals, podiatrists, optometrists, exercise physiologists, physicians, and others. The competencies are intended to guide practice regardless of discipline and encourage mastery through continuing education, individual study, and mentorship. Conclusion This document articulates the competencies required for diabetes care and education specialists in today’s dynamic health care environment as they pursue excellence in the specialty.

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Approaches Used in the Interactions between Health Care Professionals and Patients in Diabetes Care in Indonesia

International Journal of Evidence-Based Healthcare ◽

10.1097/01.xeb.0000511680.96280.20 ◽

2016 ◽

Vol 14 ◽

pp. S35-S36

Author(s):

Y. Suparto ◽

A. Williams

Keyword(s):

Health Care ◽

Diabetes Care ◽

Health Care Professionals

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Patients’ and Health Care Professionals’ Perceptions of the Potential of Using the Digital Diabetes Questionnaire to Prepare for Diabetes Care Meetings: Qualitative Focus Group Interview Study

Journal of Medical Internet Research ◽

10.2196/17504 ◽

2020 ◽

Vol 22 (8) ◽

pp. e17504 ◽

Cited By ~ 1

Author(s):

Katarina Eeg-Olofsson ◽

Unn-Britt Johansson ◽

Ebba Linder ◽

Janeth Leksell

Keyword(s):

Health Care ◽

Focus Group ◽

Diabetes Care ◽

Health Care Professionals ◽

Digital Technology ◽

Focus Group Interview ◽

Diabetes Management ◽

Focus Group Interviews ◽

Group Discussions ◽

Group Interviews

Background In effective diabetes management, it is important that providers and health care systems prioritize the delivery of patient-centered care and that they are respectful of and responsive to individual patient preferences and barriers. Objective The objective of the study was to conduct focus group interviews to capture patients’ and health care professionals’ perceptions and attitudes regarding digital technology and to explore how the digital Diabetes Questionnaire can be used to support patient participation in diabetes care, as a basis for an implementation study. Methods A qualitative study was conducted with six focus group discussions with diabetes specialist nurses and medical doctors (n=29) and four focus group discussions with individuals with diabetes (n=23). A semistructured focus group interview guide was developed, including probing questions. The data were transcribed verbatim, and qualitative content analysis was performed using an inductive approach. Results Two main categories were revealed by the qualitative analysis: perceptions of digital technology and the digital questionnaire in diabetes management and care and perceptions of participation in diabetes care. An overarching theme that emerged from the focus group interviews was patients’ and professionals’ involvement in diabetes care using digital tools. Conclusions The analysis identified important factors to consider when introducing the digital Diabetes Questionnaire in clinical use. Both professionals and patients need support and training in the practical implementation of the digital questionnaire, as well as the opportunity to provide feedback on the questionnaire answers.

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