The effectiveness of a self-management educational support for people with type 2 diabetes in Saudi Arabia

Alhaiti, A 2017, The effectiveness of a self-management educational support for people with type 2 diabetes in Saudi Arabia, Doctor of Philosophy (PhD), Health and Biomedical Sciences, RMIT University.

Document type: Thesis
Collection: Theses

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Title The effectiveness of a self-management educational support for people with type 2 diabetes in Saudi Arabia
Author(s) Alhaiti, A
Year 2017
Abstract Background: As pointed out by the World Health Organization (WHO), Type 2 diabetes mellitus (T2D) has become more prevalent and affected 347 million people worldwide in 2008. More than 80% of deaths associated with T2D take place in low- and middle-income countries. The International Diabetes Federation (IDF) indicated that 35 million cases were from the Middle East and North Africa, and the number of people living with diabetes worldwide is expected to reach 592 million by 2035. This study aimed to investigate the self-management and educational support area for patients with T2D in the Kingdom of Saudi Arabia (KSA).

Methods: To achieve the purpose of this study, a mixed methods approach consisting of three phases was determined to be the most suitable for this study. The first phase involved collecting quantitative data on T2D patients’ self-care activities and knowledge about diabetes. The second phase included collection of quantitative data on nurses’ and clinical educators’ perceptions in KSA about care for T2D patients. The third phase of the study involved quantitative data on nurses’ and clinical educators’ perceptions regarding the challenges of providing self-management education to T2D patients in KSA

Results: The results from Phase 1 showed an apparent statistically significant difference between level of diabetes knowledge and patients’ haemoglobin A1c (HbA1c) level, age, level of education and multiple diseases. The Summary of Diabetes Self-Care Activities survey indicated that people were at healthy levels in regard to the medication and blood sugar test but at a dangerous level of self-management for diet and exercise. Phase 2, Diabetes Attitude Scale (DAS-3) survey, clearly showed that nurses and clinical educators had positive attitudes towards T2D across all five subscales but varied in their level of agreement. Finally, the results highlighted several challenges of providing self-management education support to T2D patients, which fell into a cultural theme concerning misconceptions, a sedentary lifestyle, women’s needs and food habits; and a communications theme including language barriers and patient engagement. iv

Conclusion: This study presents important information to the public and health authorities in Saudi Arabia regarding type 2 diabetes management. These findings are not limited to KFMC, but should be made available to all. The study highlights that there is still room for much work to be done. This includes special training for health workers to ensure quality in the delivery of information to the public, and thus quality healthcare. Equipping healthcare personnel with the relevant information will make sure that they boost their confidence and thus their accuracy in information delivery.
Degree Doctor of Philosophy (PhD)
Institution RMIT University
School, Department or Centre Health and Biomedical Sciences
Subjects Nursing not elsewhere classified
Health and Community Services
Keyword(s) Saudi Arabia
Type 2 diabetes mellitus
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Created: Wed, 13 Sep 2017, 10:19:24 EST by Adam Rivett
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