Adapting a diabetes nutrition education programme for adults with type 2 diabetes from a primary to tertiary healthcare setting

dc.contributor.authorMuchiri, Jane Wanjiku
dc.contributor.authorGericke, Gerda J.
dc.contributor.authorRheeder, Paul
dc.date.accessioned2020-08-05T09:00:11Z
dc.date.available2020-08-05T09:00:11Z
dc.date.issued2021
dc.description.abstractOBJECTIVE: 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.en_ZA
dc.description.departmentHuman Nutritionen_ZA
dc.description.departmentInternal Medicineen_ZA
dc.description.librarianpm2020en_ZA
dc.description.urihttps://medpharm.tandfonline.com/loi/ojcn20en_ZA
dc.identifier.citationJane W Muchiri, Gerda J Gericke & Paul Rheeder (2021) Adaptinga diabetes nutrition education programme for adults with type 2 diabetes from a primaryto tertiary healthcare setting, South African Journal of Clinical Nutrition, 34:1, 9-17, DOI:10.1080/16070658.2019.1632127.en_ZA
dc.identifier.issn1607-0658 (print)
dc.identifier.issn2221-1268 (online)
dc.identifier.other10.1080/16070658.2019.1632127
dc.identifier.urihttp://hdl.handle.net/2263/75568
dc.language.isoenen_ZA
dc.publisherNISC (Pty), Medpharm Publications, and Informa UK Limiteden_ZA
dc.rights© 2019 The Author(s). Open Access article distributed under the terms of the Creative Commons License [CC BY-NC 4.0].en_ZA
dc.subjectAdaptationen_ZA
dc.subjectDiabetes self-management educationen_ZA
dc.subjectType 2 diabetes mellitus (T2DM)en_ZA
dc.subjectNutrition educationen_ZA
dc.subjectNutrition education programmeen_ZA
dc.subject.otherHealth sciences articles SDG-03
dc.subject.otherSDG-03: Good health and well-being
dc.subject.otherHealth sciences articles SDG-04
dc.subject.otherSDG-04: Quality education
dc.titleAdapting a diabetes nutrition education programme for adults with type 2 diabetes from a primary to tertiary healthcare settingen_ZA
dc.typeArticleen_ZA

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