Lifestyle Counseling for Patients with Type 2 Diabetes in the Southwest of Saudi Arabia: An Example of Healthcare Delivery Inequality Between Different Healthcare Settings
Ibrahim M Gosadi Department of Family and Community Medicine, Faculty of Medicine, Jazan University, Jazan, 82621, Saudi ArabiaCorrespondence: Ibrahim M GosadiFaculty of Medicine, Jazan University, P.O. Box: 2349, Jazan, 82621, Saudi ArabiaTel +966 562137711Email gossady@hotmail.comPurpose: Adherenc...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2021-07-01
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| Series: | Journal of Multidisciplinary Healthcare |
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| Online Access: | https://www.dovepress.com/lifestyle-counseling-for-patients-with-type-2-diabetes-in-the-southwes-peer-reviewed-fulltext-article-JMDH |
| _version_ | 1818622531878256640 |
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| author | Gosadi IM |
| author_facet | Gosadi IM |
| author_sort | Gosadi IM |
| collection | DOAJ |
| description | Ibrahim M Gosadi Department of Family and Community Medicine, Faculty of Medicine, Jazan University, Jazan, 82621, Saudi ArabiaCorrespondence: Ibrahim M GosadiFaculty of Medicine, Jazan University, P.O. Box: 2349, Jazan, 82621, Saudi ArabiaTel +966 562137711Email gossady@hotmail.comPurpose: Adherence to a healthy lifestyle can have a positive impact on the course of diabetes management. This investigation aims to study lifestyle counseling provision among patients with type 2 diabetes in Saudi Arabia and the delivery of lifestyle counseling within different healthcare settings.Methods: This cross-sectional investigation was conducted in the Jazan region in Saudi Arabia. Data were collected using a semi-structured questionnaire during phone interviews. The questionnaire measured items related to the demographics of the patients, diabetes diagnoses, and follow-up locations. The items pertaining to lifestyle counseling were related to whether the patients were given an assessment of dietary and physical activity levels, receipt of a personalized lifestyle change plan, and smoking cessation therapy among smokers. Odds ratios (ORs) were calculated to estimate the probability of receiving the lifestyle counseling items in primary healthcare centers (PHCs) compared to other healthcare facilities.Results: A total of 461 patients diagnosed with diabetes were identified. The development of symptoms or complications related to diabetes was the main cause of diagnosis (63%). Sixty-six patients reported not attending a follow-up at any healthcare facility. The ORs of receiving a lifestyle plan and having daily caloric needs calculated were higher among patients who followed up at hospitals, diabetes centers or within the private sector compared to those who went to PHCs (ORs: 1.8 [1.1– 2.8] and 2.7 [1.2– 5.9] respectively). In all the identified healthcare settings, health education was mostly provided by the treating physicians, indicating the limited role of nutritionists or health educationists.Conclusion: This study suggests a limited receipt of lifestyle counseling services for patients with type 2 diabetes in PHCs compared to other healthcare facilities. The majority of counseling services were provided by physicians, which indicates the limited inter-disciplinary involvement of other health professionals, such as nutritionists and health educationists.Keywords: diabetes, primary healthcare, health education, eating behavior, physical activity, smoking cessation, lifestyle counseling |
| first_indexed | 2024-12-16T18:26:39Z |
| format | Article |
| id | doaj.art-f8efb6186f304e97b814a4e28477dd64 |
| institution | Directory Open Access Journal |
| issn | 1178-2390 |
| language | English |
| last_indexed | 2024-12-16T18:26:39Z |
| publishDate | 2021-07-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Journal of Multidisciplinary Healthcare |
| spelling | doaj.art-f8efb6186f304e97b814a4e28477dd642022-12-21T22:21:24ZengDove Medical PressJournal of Multidisciplinary Healthcare1178-23902021-07-01Volume 141977198667277Lifestyle Counseling for Patients with Type 2 Diabetes in the Southwest of Saudi Arabia: An Example of Healthcare Delivery Inequality Between Different Healthcare SettingsGosadi IMIbrahim M Gosadi Department of Family and Community Medicine, Faculty of Medicine, Jazan University, Jazan, 82621, Saudi ArabiaCorrespondence: Ibrahim M GosadiFaculty of Medicine, Jazan University, P.O. Box: 2349, Jazan, 82621, Saudi ArabiaTel +966 562137711Email gossady@hotmail.comPurpose: Adherence to a healthy lifestyle can have a positive impact on the course of diabetes management. This investigation aims to study lifestyle counseling provision among patients with type 2 diabetes in Saudi Arabia and the delivery of lifestyle counseling within different healthcare settings.Methods: This cross-sectional investigation was conducted in the Jazan region in Saudi Arabia. Data were collected using a semi-structured questionnaire during phone interviews. The questionnaire measured items related to the demographics of the patients, diabetes diagnoses, and follow-up locations. The items pertaining to lifestyle counseling were related to whether the patients were given an assessment of dietary and physical activity levels, receipt of a personalized lifestyle change plan, and smoking cessation therapy among smokers. Odds ratios (ORs) were calculated to estimate the probability of receiving the lifestyle counseling items in primary healthcare centers (PHCs) compared to other healthcare facilities.Results: A total of 461 patients diagnosed with diabetes were identified. The development of symptoms or complications related to diabetes was the main cause of diagnosis (63%). Sixty-six patients reported not attending a follow-up at any healthcare facility. The ORs of receiving a lifestyle plan and having daily caloric needs calculated were higher among patients who followed up at hospitals, diabetes centers or within the private sector compared to those who went to PHCs (ORs: 1.8 [1.1– 2.8] and 2.7 [1.2– 5.9] respectively). In all the identified healthcare settings, health education was mostly provided by the treating physicians, indicating the limited role of nutritionists or health educationists.Conclusion: This study suggests a limited receipt of lifestyle counseling services for patients with type 2 diabetes in PHCs compared to other healthcare facilities. The majority of counseling services were provided by physicians, which indicates the limited inter-disciplinary involvement of other health professionals, such as nutritionists and health educationists.Keywords: diabetes, primary healthcare, health education, eating behavior, physical activity, smoking cessation, lifestyle counselinghttps://www.dovepress.com/lifestyle-counseling-for-patients-with-type-2-diabetes-in-the-southwes-peer-reviewed-fulltext-article-JMDHdiabetesprimary healthcarehealth educationeating behaviorphysical activitysmoking cessationlifestyle counseling |
| spellingShingle | Gosadi IM Lifestyle Counseling for Patients with Type 2 Diabetes in the Southwest of Saudi Arabia: An Example of Healthcare Delivery Inequality Between Different Healthcare Settings Journal of Multidisciplinary Healthcare diabetes primary healthcare health education eating behavior physical activity smoking cessation lifestyle counseling |
| title | Lifestyle Counseling for Patients with Type 2 Diabetes in the Southwest of Saudi Arabia: An Example of Healthcare Delivery Inequality Between Different Healthcare Settings |
| title_full | Lifestyle Counseling for Patients with Type 2 Diabetes in the Southwest of Saudi Arabia: An Example of Healthcare Delivery Inequality Between Different Healthcare Settings |
| title_fullStr | Lifestyle Counseling for Patients with Type 2 Diabetes in the Southwest of Saudi Arabia: An Example of Healthcare Delivery Inequality Between Different Healthcare Settings |
| title_full_unstemmed | Lifestyle Counseling for Patients with Type 2 Diabetes in the Southwest of Saudi Arabia: An Example of Healthcare Delivery Inequality Between Different Healthcare Settings |
| title_short | Lifestyle Counseling for Patients with Type 2 Diabetes in the Southwest of Saudi Arabia: An Example of Healthcare Delivery Inequality Between Different Healthcare Settings |
| title_sort | lifestyle counseling for patients with type 2 diabetes in the southwest of saudi arabia an example of healthcare delivery inequality between different healthcare settings |
| topic | diabetes primary healthcare health education eating behavior physical activity smoking cessation lifestyle counseling |
| url | https://www.dovepress.com/lifestyle-counseling-for-patients-with-type-2-diabetes-in-the-southwes-peer-reviewed-fulltext-article-JMDH |
| work_keys_str_mv | AT gosadiim lifestylecounselingforpatientswithtype2diabetesinthesouthwestofsaudiarabiaanexampleofhealthcaredeliveryinequalitybetweendifferenthealthcaresettings |