Adapting a diabetes nutrition education programme for adults with type 2 diabetes from a primary to tertiary healthcare setting
Objective: The purpose of this study was to adapt a diabetes nutrition education programme (NEP) developed for a primary healthcare setting for implementation in a tertiary healthcare setting. This manuscript describes the processes and considerations that were made. Methods: Four key steps for adap...
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2021-05-01
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| Series: | The South African Journal of Clinical Nutrition |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/16070658.2019.1632127 |
| _version_ | 1797678763495915520 |
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| author | Jane W Muchiri Gerda J Gericke Paul Rheeder |
| author_facet | Jane W Muchiri Gerda J Gericke Paul Rheeder |
| author_sort | Jane W Muchiri |
| collection | DOAJ |
| description | Objective: The purpose of this study was to adapt a diabetes nutrition education programme (NEP) developed for a primary healthcare setting for implementation in a tertiary healthcare setting. This manuscript describes the processes and considerations that were made. Methods: Four key steps for adapting interventions identified from the literature were used. The steps included (i) assessing the needs and logic model of change, (ii) assessing the applicability of the NEP components to the new setting, (iii) making adaptations, and (iv) planning for implementation and evaluation. In the various steps, patients and health professionals were involved mainly using qualitative methods: needs assessment (n = 28 and n = 10), making adaptations (n = 10 and n = 10) respectively, and patients (n = 5) in step four. Findings: Knowledge, self-efficacy and outcome expectations were identified as the main behaviour determinants in tertiary patients; therefore, the adapted NEP retained social cognitive theory as its foundation. The adapted NEP included new behaviour change techniques, particularly self-monitoring (behaviour and outcome) and vicarious learning using testimonials of successful management. The adapted NEP retained the original NEP components except the vegetable gardening demonstration. By incorporating monthly, instead of weekly group training sessions, a session for setting individual goals, provision of a workbook and additional relevant information, the adapted NEP catered for the tertiary patients’ needs. Conclusion: The comprehensive adaptation process involved input from key stakeholders, which increases the chances of intervention effectiveness. The adapted NEP is being implemented through a randomised controlled trial and its evaluation will illuminate the impact of the changes made to the original NEP. |
| first_indexed | 2024-03-11T23:04:33Z |
| format | Article |
| id | doaj.art-8a3e8749f9684971b0443e787ff260b7 |
| institution | Directory Open Access Journal |
| issn | 1607-0658 2221-1268 |
| language | English |
| last_indexed | 2024-03-11T23:04:33Z |
| publishDate | 2021-05-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | The South African Journal of Clinical Nutrition |
| spelling | doaj.art-8a3e8749f9684971b0443e787ff260b72023-09-21T13:38:26ZengTaylor & Francis GroupThe South African Journal of Clinical Nutrition1607-06582221-12682021-05-0134191710.1080/16070658.2019.16321271632127Adapting a diabetes nutrition education programme for adults with type 2 diabetes from a primary to tertiary healthcare settingJane W Muchiri0Gerda J Gericke1Paul Rheeder2Department of Human Nutrition, University of PretoriaDepartment of Human Nutrition, University of PretoriaDepartment of Internal Medicine, University of PretoriaObjective: The purpose of this study was to adapt a diabetes nutrition education programme (NEP) developed for a primary healthcare setting for implementation in a tertiary healthcare setting. This manuscript describes the processes and considerations that were made. Methods: Four key steps for adapting interventions identified from the literature were used. The steps included (i) assessing the needs and logic model of change, (ii) assessing the applicability of the NEP components to the new setting, (iii) making adaptations, and (iv) planning for implementation and evaluation. In the various steps, patients and health professionals were involved mainly using qualitative methods: needs assessment (n = 28 and n = 10), making adaptations (n = 10 and n = 10) respectively, and patients (n = 5) in step four. Findings: Knowledge, self-efficacy and outcome expectations were identified as the main behaviour determinants in tertiary patients; therefore, the adapted NEP retained social cognitive theory as its foundation. The adapted NEP included new behaviour change techniques, particularly self-monitoring (behaviour and outcome) and vicarious learning using testimonials of successful management. The adapted NEP retained the original NEP components except the vegetable gardening demonstration. By incorporating monthly, instead of weekly group training sessions, a session for setting individual goals, provision of a workbook and additional relevant information, the adapted NEP catered for the tertiary patients’ needs. Conclusion: The comprehensive adaptation process involved input from key stakeholders, which increases the chances of intervention effectiveness. The adapted NEP is being implemented through a randomised controlled trial and its evaluation will illuminate the impact of the changes made to the original NEP.http://dx.doi.org/10.1080/16070658.2019.1632127adaptationdiabetes self-management educationtype 2 diabetesnutrition educationnutrition education programme |
| spellingShingle | Jane W Muchiri Gerda J Gericke Paul Rheeder Adapting a diabetes nutrition education programme for adults with type 2 diabetes from a primary to tertiary healthcare setting The South African Journal of Clinical Nutrition adaptation diabetes self-management education type 2 diabetes nutrition education nutrition education programme |
| title | Adapting a diabetes nutrition education programme for adults with type 2 diabetes from a primary to tertiary healthcare setting |
| title_full | Adapting a diabetes nutrition education programme for adults with type 2 diabetes from a primary to tertiary healthcare setting |
| title_fullStr | Adapting a diabetes nutrition education programme for adults with type 2 diabetes from a primary to tertiary healthcare setting |
| title_full_unstemmed | Adapting a diabetes nutrition education programme for adults with type 2 diabetes from a primary to tertiary healthcare setting |
| title_short | Adapting a diabetes nutrition education programme for adults with type 2 diabetes from a primary to tertiary healthcare setting |
| title_sort | adapting a diabetes nutrition education programme for adults with type 2 diabetes from a primary to tertiary healthcare setting |
| topic | adaptation diabetes self-management education type 2 diabetes nutrition education nutrition education programme |
| url | http://dx.doi.org/10.1080/16070658.2019.1632127 |
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