Comprehensive patient education and counselling for non-communicable diseases in primary care, Western Cape
Background: Treatment of non-communicable diseases (NCD) requires patient education and counselling (PEC). Initiatives have focused on Group Empowerment and Training (GREAT) for diabetes and Brief behaviour change counselling (BBCC). However, the implementation of comprehensive PEC in primary care r...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
AOSIS
2023-02-01
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| Series: | South African Family Practice |
| Subjects: | |
| Online Access: | https://safpj.co.za/index.php/safpj/article/view/5634 |
| _version_ | 1811161336281825280 |
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| author | Robert J. Mash Joleen Cairncross |
| author_facet | Robert J. Mash Joleen Cairncross |
| author_sort | Robert J. Mash |
| collection | DOAJ |
| description | Background: Treatment of non-communicable diseases (NCD) requires patient education and counselling (PEC). Initiatives have focused on Group Empowerment and Training (GREAT) for diabetes and Brief behaviour change counselling (BBCC). However, the implementation of comprehensive PEC in primary care remains a challenge. The aim of this study was to explore how such PEC could be implemented.
Methods: This was a descriptive, exploratory, qualitative study at the end of the first year of a participatory action research project to implement comprehensive PEC for NCDs at two primary care facilities in the Western Cape. Focus group interviews were held with healthcare workers and reports from co-operative inquiry group meetings were used as qualitative data.
Results: Staff were trained in GREAT for diabetes and BBCC. There were problems with training appropriate staff and sufficient numbers and a need for ongoing support. Implementation was limited by poor internal sharing of information, staff turnover and leave, rotation of staff, lack of space and fears of disrupting the efficiency of service delivery. Facilities had to embed the initiatives into appointment systems and fast track patients who attended GREAT. For those patients that were exposed to PEC, there were reported benefits.
Conclusion: Group empowerment was feasible to introduce, while BBCC was more challenging as it required extra time in the consultation.
Contribution: Implementation of PEC requires alternative approaches that do not extend consultations (such as GREAT and maybe digital solutions) as well as commitment to facility organisation for PEC from managers. |
| first_indexed | 2024-04-10T06:12:42Z |
| format | Article |
| id | doaj.art-40ba31b80f994aea976ebc7375891ce1 |
| institution | Directory Open Access Journal |
| issn | 2078-6190 2078-6204 |
| language | English |
| last_indexed | 2024-04-10T06:12:42Z |
| publishDate | 2023-02-01 |
| publisher | AOSIS |
| record_format | Article |
| series | South African Family Practice |
| spelling | doaj.art-40ba31b80f994aea976ebc7375891ce12023-03-02T11:51:46ZengAOSISSouth African Family Practice2078-61902078-62042023-02-01651e1e1110.4102/safp.v65i1.56344303Comprehensive patient education and counselling for non-communicable diseases in primary care, Western CapeRobert J. Mash0Joleen Cairncross1Division of Family Medicine and Primary Care, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape TownDivision of Family Medicine and Primary Care, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape TownBackground: Treatment of non-communicable diseases (NCD) requires patient education and counselling (PEC). Initiatives have focused on Group Empowerment and Training (GREAT) for diabetes and Brief behaviour change counselling (BBCC). However, the implementation of comprehensive PEC in primary care remains a challenge. The aim of this study was to explore how such PEC could be implemented. Methods: This was a descriptive, exploratory, qualitative study at the end of the first year of a participatory action research project to implement comprehensive PEC for NCDs at two primary care facilities in the Western Cape. Focus group interviews were held with healthcare workers and reports from co-operative inquiry group meetings were used as qualitative data. Results: Staff were trained in GREAT for diabetes and BBCC. There were problems with training appropriate staff and sufficient numbers and a need for ongoing support. Implementation was limited by poor internal sharing of information, staff turnover and leave, rotation of staff, lack of space and fears of disrupting the efficiency of service delivery. Facilities had to embed the initiatives into appointment systems and fast track patients who attended GREAT. For those patients that were exposed to PEC, there were reported benefits. Conclusion: Group empowerment was feasible to introduce, while BBCC was more challenging as it required extra time in the consultation. Contribution: Implementation of PEC requires alternative approaches that do not extend consultations (such as GREAT and maybe digital solutions) as well as commitment to facility organisation for PEC from managers.https://safpj.co.za/index.php/safpj/article/view/5634noncommunicable diseasesdiabetespatient educationcounsellingprimary carebehaviour change |
| spellingShingle | Robert J. Mash Joleen Cairncross Comprehensive patient education and counselling for non-communicable diseases in primary care, Western Cape South African Family Practice noncommunicable diseases diabetes patient education counselling primary care behaviour change |
| title | Comprehensive patient education and counselling for non-communicable diseases in primary care, Western Cape |
| title_full | Comprehensive patient education and counselling for non-communicable diseases in primary care, Western Cape |
| title_fullStr | Comprehensive patient education and counselling for non-communicable diseases in primary care, Western Cape |
| title_full_unstemmed | Comprehensive patient education and counselling for non-communicable diseases in primary care, Western Cape |
| title_short | Comprehensive patient education and counselling for non-communicable diseases in primary care, Western Cape |
| title_sort | comprehensive patient education and counselling for non communicable diseases in primary care western cape |
| topic | noncommunicable diseases diabetes patient education counselling primary care behaviour change |
| url | https://safpj.co.za/index.php/safpj/article/view/5634 |
| work_keys_str_mv | AT robertjmash comprehensivepatienteducationandcounsellingfornoncommunicablediseasesinprimarycarewesterncape AT joleencairncross comprehensivepatienteducationandcounsellingfornoncommunicablediseasesinprimarycarewesterncape |