mcnamara-developmenofacomplex-2022.pdf (1.68 MB)
Development of a Complex Intervention for Effective Management of Type 2 Diabetes in a Developing Country
journal contribution
posted on 2022-01-01, 00:00 authored by T A Desse, Kevin Mc NamaraKevin Mc Namara, H Yifter, Elizabeth ManiasElizabeth ManiasThere has been little focus on designing tailored diabetes management strategies in developing countries. The aim of this study is to develop a theory-driven, tailored and context-specific complex intervention for the effective management of type 2 diabetes at a tertiary care setting of a developing country. We conducted interviews and focus groups with patients, health professionals, and policymakers and undertook thematic analysis to identify gaps in diabetes management. The results of our previously completed systematic review informed data collection. We used the United Kingdom Medical Research Council framework to guide the development of the intervention. Results comprised 48 interviews, two focus groups with 11 participants and three co-design panels with 24 participants. We identified a lack of structured type 2 diabetes education, counselling, and collaborative care of type 2 diabetes. Through triangulation of the evidence obtained from data collection, we developed an intervention called VICKY (patient-centred collaborative care and structured diabetes education and counselling) for effective management of type 2 diabetes. VICKY comprised five components: (1) patient-centred collaborative care; (2) referral system for patients across transitions of care between different health professionals of the diabetes care team; (3) tools for the provision of collaborative care and documentation of care; (4) diabetes education and counselling by trained diabetes educators; and (5) contextualised diabetes education curriculum, educational materials, and documentation tools for diabetes education and counselling. Implementation of the intervention may help to promote evidence-based, patient-centred, and contextualised diabetes care for improved patient outcomes in a developing country.
History
Journal
Journal of Clinical MedicineVolume
11Issue
5Article number
1149Pagination
1 - 19Publisher
MDPILocation
Basel, SwitzerlandPublisher DOI
ISSN
2077-0383eISSN
2077-0383Language
EnglishPublication classification
C1 Refereed article in a scholarly journalUsage metrics
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No categories selectedKeywords
behaviour change interventionco-designcomplex interventionCOMPLICATIONScontinuity of careDETERMINANTSdeveloping countryEDUCATIONEthiopiaGeneral & Internal MedicineGLYCEMIC CONTROLHEALTH-CAREHYPERTENSIONIMPROVELife Sciences & BiomedicineMedicine, General & InternalMELLITUSpatient participationpatient transferScience & TechnologySUB-SAHARAN AFRICAtype 2 diabetes
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