Salient beliefs about modifiable risk behaviours among patients living with diabetes, hypertension or both: A qualitative formative study
Background: Although there is evidence of the key role played by focusing on local knowledge in designing appropriate interventions regarding modifiable risk behaviours among patients living with diabetes and hypertension in Mangochi (and Malawi), little is known about local salient beliefs. Aim: W...
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| Format: | Article |
| Language: | English |
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AOSIS
2022-09-01
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| Series: | African Journal of Primary Health Care & Family Medicine |
| Subjects: | |
| Online Access: | https://phcfm.org/index.php/phcfm/article/view/3327 |
| _version_ | 1828723043032104960 |
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| author | Prosper Lutala Peter Nyasulu Adamson Muula |
| author_facet | Prosper Lutala Peter Nyasulu Adamson Muula |
| author_sort | Prosper Lutala |
| collection | DOAJ |
| description | Background: Although there is evidence of the key role played by focusing on local knowledge in designing appropriate interventions regarding modifiable risk behaviours among patients living with diabetes and hypertension in Mangochi (and Malawi), little is known about local salient beliefs.
Aim: With a focus on the theory of planned behaviour as a theoretical lens, this study aimed to identify salient beliefs about modifiable risk behaviours among patients with diabetes, hypertension or both in Mangochi, south-eastern Malawi. Specifically, the objectives were to identify advantages and disadvantages (behavioural salient beliefs), people who approve or disapprove (normative salient beliefs) and enablers and barriers (control salient beliefs) for measures to change modifiable risk behaviours among patients with diabetes, hypertension or both in Mangochi, Malawi.
Setting: A hypertension diabetes clinic at Mangochi District Hospital, south-eastern Malawi.
Methods: A formative qualitative study of a quasi-experimental trial was conducted among 25 patients, purposefully sampled, who were living with diabetes, hypertension or both at Mangochi District Hospital in February 2019. Researchers conducted in-depth interviews with patients using an interview guide informed by the theory of planned behaviour’s elicitation interview guide. Thematic content analysis was used to identify emerging themes.
Results: A total of 25 participants were recruited, of which 12 (48%) were living with diabetes. Five thematic areas emerged from this analysis: physical and psychological fitness, social disconnection, perceived support systems, perceived enablers and perceived barriers to change.
Conclusion: Appropriate words for each salient belief were identified. Future researchers should use the identified salient beliefs when designing interventions based on the theory of planned behaviour in diabetes and hypertension.
Contribution: The paper adds to the body of knowledge informing the use of theory of planned behavior in addressing modifiable risk factors among practitioners, specialists and academics in primary care and Family Medicine in the field of noncommunicable diseases in Mangochi Malawi and beyond. |
| first_indexed | 2024-04-12T12:43:03Z |
| format | Article |
| id | doaj.art-861a8ae5d029407fa12258c24904e8bc |
| institution | Directory Open Access Journal |
| issn | 2071-2928 2071-2936 |
| language | English |
| last_indexed | 2024-04-12T12:43:03Z |
| publishDate | 2022-09-01 |
| publisher | AOSIS |
| record_format | Article |
| series | African Journal of Primary Health Care & Family Medicine |
| spelling | doaj.art-861a8ae5d029407fa12258c24904e8bc2022-12-22T03:32:44ZengAOSISAfrican Journal of Primary Health Care & Family Medicine2071-29282071-29362022-09-01141e1e1210.4102/phcfm.v14i1.3327961Salient beliefs about modifiable risk behaviours among patients living with diabetes, hypertension or both: A qualitative formative studyProsper Lutala0Peter Nyasulu1Adamson Muula2Department of Family Medicine, Faculty of Medicine and Oral Health, Kamuzu University of Health Sciences, Blantyre; and NCD-BRITE Consortium, Faculty of Public and Global Health, Kamuzu University of Health Sciences, BlantyreDepartment of Global Health, Division of Epidemiology and Biostatistics, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town; and Division of Epidemiology and Biostatistics, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, JohannesburgNCD-BRITE Consortium, Faculty of Public and Global Health, Kamuzu University of Health Sciences, Blantyre; Department of Public Health, Faculty of Public and Global Health, Kamuzu University of Health Sciences, Blantyre; and African Center for Public Health and Herbal Medicine (ACEPHEM), Faculty of Public and Global Health, Kamuzu University of Health Sciences, BlantyreBackground: Although there is evidence of the key role played by focusing on local knowledge in designing appropriate interventions regarding modifiable risk behaviours among patients living with diabetes and hypertension in Mangochi (and Malawi), little is known about local salient beliefs. Aim: With a focus on the theory of planned behaviour as a theoretical lens, this study aimed to identify salient beliefs about modifiable risk behaviours among patients with diabetes, hypertension or both in Mangochi, south-eastern Malawi. Specifically, the objectives were to identify advantages and disadvantages (behavioural salient beliefs), people who approve or disapprove (normative salient beliefs) and enablers and barriers (control salient beliefs) for measures to change modifiable risk behaviours among patients with diabetes, hypertension or both in Mangochi, Malawi. Setting: A hypertension diabetes clinic at Mangochi District Hospital, south-eastern Malawi. Methods: A formative qualitative study of a quasi-experimental trial was conducted among 25 patients, purposefully sampled, who were living with diabetes, hypertension or both at Mangochi District Hospital in February 2019. Researchers conducted in-depth interviews with patients using an interview guide informed by the theory of planned behaviour’s elicitation interview guide. Thematic content analysis was used to identify emerging themes. Results: A total of 25 participants were recruited, of which 12 (48%) were living with diabetes. Five thematic areas emerged from this analysis: physical and psychological fitness, social disconnection, perceived support systems, perceived enablers and perceived barriers to change. Conclusion: Appropriate words for each salient belief were identified. Future researchers should use the identified salient beliefs when designing interventions based on the theory of planned behaviour in diabetes and hypertension. Contribution: The paper adds to the body of knowledge informing the use of theory of planned behavior in addressing modifiable risk factors among practitioners, specialists and academics in primary care and Family Medicine in the field of noncommunicable diseases in Mangochi Malawi and beyond.https://phcfm.org/index.php/phcfm/article/view/3327diabeteshypertensionlifestylemalawimangochimodifiable behavioursnoncommunicable diseasesrisksalient belieftheory of planned behaviour. |
| spellingShingle | Prosper Lutala Peter Nyasulu Adamson Muula Salient beliefs about modifiable risk behaviours among patients living with diabetes, hypertension or both: A qualitative formative study African Journal of Primary Health Care & Family Medicine diabetes hypertension lifestyle malawi mangochi modifiable behaviours noncommunicable diseases risk salient belief theory of planned behaviour. |
| title | Salient beliefs about modifiable risk behaviours among patients living with diabetes, hypertension or both: A qualitative formative study |
| title_full | Salient beliefs about modifiable risk behaviours among patients living with diabetes, hypertension or both: A qualitative formative study |
| title_fullStr | Salient beliefs about modifiable risk behaviours among patients living with diabetes, hypertension or both: A qualitative formative study |
| title_full_unstemmed | Salient beliefs about modifiable risk behaviours among patients living with diabetes, hypertension or both: A qualitative formative study |
| title_short | Salient beliefs about modifiable risk behaviours among patients living with diabetes, hypertension or both: A qualitative formative study |
| title_sort | salient beliefs about modifiable risk behaviours among patients living with diabetes hypertension or both a qualitative formative study |
| topic | diabetes hypertension lifestyle malawi mangochi modifiable behaviours noncommunicable diseases risk salient belief theory of planned behaviour. |
| url | https://phcfm.org/index.php/phcfm/article/view/3327 |
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