The Use of the Conceptual Framework to Develop a Training Programme for Home-Based Carers Who Care for People with Cardiovascular Diseases

Cardiovascular disease (CVD) is the complex disease associated with morbidity, mortality and loss of quality of life. Furthermore, it is the most significant cause of death in the diabetic population. South Africa is faced with an increasing number of people diagnosed with diabetes mellitus which intensify the burden on the health system. Home Based Carers (HBCs), also known as Community Health Workers need to undergo training before taking – up health-related jobs at the community level. HBCs who care for patients with cardiovascular diseases at the community level need to be trained on how to care for their patients at care and management. The systematic literature review method was used to review literature related to diabetes mellitus, type 2 diabetes mellitus, Community Health Workers, CHWs diabetic knowledge and diabetes mellitus, diabetic training of CHWs. The following themes and their subthemes have emerged: (1) The use of Practice orientated theory for training development which include the agent, the recipient, the context, the dynamics, procedure and terminus; (2) The use of the ADDIE model in the development of a training programme for HBCs which include Analysis, Design, Development, Implementation and Evaluation. Two conceptual frameworks to be used to guide the development of the training programme for HBCs for people with diabetes. The ideas of Dickoff and others can be used to formulate the conceptual framework that guides the development of training for HBCs for cardiovascular patients. The six concepts of the survey list include agent, recipient, context, dynamics, procedure and terminus. Instructional design system following the ADDIE model provided practical steps for organising training development project. According to Branch, ADDIE’s model describes and prescribes what needs to happen during the process.