The Experts below are selected from a list of 27 Experts worldwide ranked by ideXlab platform
Leksell Janeth - One of the best experts on this subject based on the ideXlab platform.
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Patients' and Health Care Professionals' Perceptions of the Potential of Using the Digital Diabetes Questionnaire to Prepare for Diabetes Care Meetings : Qualitative Focus Group Interview Study
'JMIR Publications Inc.', 2020Co-Authors: Eeg-olofsson Katarina, Johansson Unn-britt, Linder Ebba, Leksell JanethAbstract:Background: In effective diabetes management, it is important that providers and health care systems prioritize the delivery of patient-centered care and that they are respectful of and responsive to individual patient preferences and barriers. Objective: The objective of the study was to Conduct Focus Group interviews to capture patients' and health care professionals' perceptions and attitudes regarding digital technology and to explore how the digital Diabetes Questionnaire can be used to support patient participation in diabetes care, as a basis for an implementation study. Methods: A qualitative study was Conducted with six Focus Group discussions with diabetes specialist nurses and medical doctors (n=29) and four Focus Group discussions with individuals with diabetes (n=23). A semistructured Focus Group interview guide was developed, including probing questions. The data were transcribed verbatim, and qualitative content analysis was performed using an inductive approach. Results: Two main categories were revealed by the qualitative analysis: perceptions of digital technology and the digital questionnaire in diabetes management and care and perceptions of participation in diabetes care. An overarching theme that emerged from the Focus Group interviews was patients' and professionals' involvement in diabetes care using digital tools. Conclusions: The analysis identified important factors to consider when introducing the digital Diabetes Questionnaire in clinical use. Both professionals and patients need support and training in the practical implementation of the digital questionnaire, as well as the opportunity to provide feedback on the questionnaire answers
Adrian Kayanja - One of the best experts on this subject based on the ideXlab platform.
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healthcare provider perspectives regarding epilepsy care in uganda
Epilepsy & Behavior, 2021Co-Authors: Deborah C Koltai, Caleigh E Smith, Grace Y Cai, Olivia Ratliff, Angelina Kakoozamwesige, Josephine N Najjuma, Rose Muhindo, Godfrey Zari Rukundo, Dirk E Teuwen, Adrian KayanjaAbstract:Abstract Objective Epilepsy is the most common chronic neurological disorder in the world and imposes a large economic burden on global healthcare systems, especially in low-income settings and rural areas as is found in sub-Saharan Africa (SSA). Despite the high epilepsy prevalence, there are no systematic descriptions of healthcare provider (HCP) perceptions and needs in managing people with epilepsy (PWE) in Uganda. Identifying these perceptions and needs is crucial for understanding community priorities, thereby enhancing the development of culturally sensitive communications, interventions, and research approaches. Methods In this qualitative study, we used semistructured interview guides to Conduct Focus Group discussions that explored the perspectives of 32 providers of epilepsy care from health facilities around Mbarara, Uganda. Our sample included nonspecialized general physicians (n = 3), medical residents (n = 8), medical clinical officers (n = 3), psychiatric clinical nurses (n = 6), medical nurses and nursing assistants (n = 9), and other providers (n = 3), who were loosely Grouped into discussion Groups based on level or type of training. Self-assessed proficiency ratings were also administered to gain a better understanding of participants' confidence in their training, preparedness, and capabilities regarding epilepsy care. Thematic analysis of the Focus Group transcripts was Conducted to ascertain commonly occurring themes about perceptions and challenges in epilepsy care. Results Our analyses identified nine major themes that dominated the perspectives of the study participants: care management, medications, diagnostics, HCP training, human resources, location, patient education, social support, and community knowledge and beliefs. Proficiency ratings prioritized areas of confidence as knowledge related to referrals, psychosocial impacts, and seizure neurophysiology. Areas of need were revealed as knowledge of diagnostic tools and antiepileptic drug (AED) regimens. Conclusions Our findings delineate the perspectives of providers caring for PWE, with consistent recognition of challenges centering around resource augmentation, infrastructure strengthening, and education. Participants emphasized the urgent need to augment these resources to address limitations in medication types and access, trained human resources, and diagnostic tools. They overwhelmingly recognized the need for infrastructure strengthening to address human, diagnostic, medicinal, and capital resource limitations that place undue burden on patients with epilepsy and physicians. Providers indicated a clear desire to learn more about different diagnostic tools and medical management practices, potentially through continuing education, specialized training, or more intentional in-school diagnostic preparation. They also advocated for the powerful influence of patient and family education and clearly articulated the need for community sensitization and support. This article is part of the Special Issue “The Intersection of Culture, Resources, and Disease: Epilepsy Care in Uganda”
Eeg-olofsson Katarina - One of the best experts on this subject based on the ideXlab platform.
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Patients' and Health Care Professionals' Perceptions of the Potential of Using the Digital Diabetes Questionnaire to Prepare for Diabetes Care Meetings : Qualitative Focus Group Interview Study
'JMIR Publications Inc.', 2020Co-Authors: Eeg-olofsson Katarina, Johansson Unn-britt, Linder Ebba, Leksell JanethAbstract:Background: In effective diabetes management, it is important that providers and health care systems prioritize the delivery of patient-centered care and that they are respectful of and responsive to individual patient preferences and barriers. Objective: The objective of the study was to Conduct Focus Group interviews to capture patients' and health care professionals' perceptions and attitudes regarding digital technology and to explore how the digital Diabetes Questionnaire can be used to support patient participation in diabetes care, as a basis for an implementation study. Methods: A qualitative study was Conducted with six Focus Group discussions with diabetes specialist nurses and medical doctors (n=29) and four Focus Group discussions with individuals with diabetes (n=23). A semistructured Focus Group interview guide was developed, including probing questions. The data were transcribed verbatim, and qualitative content analysis was performed using an inductive approach. Results: Two main categories were revealed by the qualitative analysis: perceptions of digital technology and the digital questionnaire in diabetes management and care and perceptions of participation in diabetes care. An overarching theme that emerged from the Focus Group interviews was patients' and professionals' involvement in diabetes care using digital tools. Conclusions: The analysis identified important factors to consider when introducing the digital Diabetes Questionnaire in clinical use. Both professionals and patients need support and training in the practical implementation of the digital questionnaire, as well as the opportunity to provide feedback on the questionnaire answers
Cees P M Van Der Vleuten - One of the best experts on this subject based on the ideXlab platform.
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a qualitative study of caregivers expectations and communication desires during medical consultation for sick children in uganda
Patient Education and Counseling, 2011Co-Authors: Sarah Kiguli, David K Mafigiri, Janet Nakigudde, Jan Van Dalen, Cees P M Van Der VleutenAbstract:OBJECTIVE: Little data exist on patients' expectations and communication desires during medical consultation in Non-Western settings. We Conducted a qualitative study to compare expectations and communication desires of sick children's caregivers at Mulago Hospital, Uganda, to those of patients in Western countries. METHODS: Three Focus Group Interviews and three Key Informant Interviews were Conducted with 24 caregivers of sick children in Mulago Hospital Kampala, Uganda. An interview guide adapted from the Calgary-Cambridge Guide was used to Conduct Focus Group and Key Informant Interviews. Two investigators worked independently to review transcripts and analyse them for content and emerging themes. RESULTS: Caregivers of sick children in Mulago Hospital expect attending doctors to build a relationship with them, by demonstrating the verbal and nonverbal skills outlined in the CCG including maintaining eye contact, using appropriate gestures and voice during communication, and being nonjudgmental. CONCLUSION: The communication needs and expectations of caregivers of sick children in Mulago Hospital are similar to those of patients and caregivers in Western countries. PRACTICE IMPLICATIONS: The CCG can be used as a training guide to enhance the communication skills of current and future doctors in Mulago Hospital.
Maluleke, Martha Nyeleti - One of the best experts on this subject based on the ideXlab platform.
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Assessing the access to nutritious food by households participating in the household food security short learning programme
2018Co-Authors: Maluleke, Martha NyeletiAbstract:South Africa ranks high among the developing countries with income inequality and household food insecurity is a major concern in the country. The overall objective of the study was to investigate access and practices, which lead to increasing household access to nutritious food by households. The students registered for the one-year course identified households in the Dysselsdorp settlement in the Western Cape, South Africa which they worked closely with in food gardening. Descriptive research methods were used to assess food access and identify the socio-economic and demographic variables for this study. Qualitative and quantitative methods were used to gather data, following the College of Agriculture and Environmental Sciences of the University of South Africa’s ethical protocol and guidelines. Data were collected in the middle and at the end of the coursework (mid-term and end-term). A semi-structured baseline questionnaire was used to interview households and to Conduct Focus Group discussions with the students. The baseline questionnaire consisted of five sections, namely the socio-demographic information, food utilization, food availability, food accessibility and the living standards measurement scores. A stratified random sampling strategy was used to select 30 students to participate in the Focus Group discussions. The students identified three or four households, which they worked closely with and those households were purposively selected for the baseline interviews. vi Data were analyzed using the Statistical Package for Social Sciences programme (IBM SPSS 24). Descriptive statistics (mean, frequencies and standard deviation) were used to compare the data. The 24-hour recall and 7 days food frequency recall was used to assess the household food consumption patterns. Qualitative data were recorded, transcribed, then themes and connections were used to explain the data and correlated with the objectives of the study. The socio-demographic data showed that most of the respondents were above 50 years old and they had an average number of 5.2 members. Thirty-one percent (31%) of the household heads had reached grade 8 to 12 in school, while 69% were those who had not gone to school and completed up to grade 7. Majority of the households relied on social grants as a source of income. The amount of money spent on food by the households in a month was between 0-R500 (63%) and 37% spent above R500 on food. Women participated more in food-related activities than men and the gardening activities were shared by the members of the households. The HDDS is a qualitative method for food consumption, which reflects household access to a variety of foods. The HDDS consists of food Groups that the household has consumed over the past 24-hours and it is calculated based on the 12 food Groups from the food consumed which are summed up; the mean score is used to determine diet diversity (Swindale & Bilinsky, 2006). The findings in this study is that the average HDDS increased from 5.6 to 6.4, which is above the recommended cut-off point for dietary quality (Steyn et al., 2006). Both the 24-hour recall and 7 days food frequency reported a high consumption of carbohydrates and meat, and less consumption of other food Groups such as milk, vii eggs, fruits and vegetables were noted. The households relied on a variety of coping strategies such as asking for food from family or neighbours, depending on charity/grants, finding other sources of food and collecting wild food. All the households grew their own fruits, vegetables and crops. However, livestock production was practiced by 10% of the participating households. The households used preservation methods such as keeping food in a dry place (26), sun drying (38), canning (6), freezing (53) and refrigeration (11) to keep and store vegetables. The Living Standard Measurement (LSM) is a tool which Focuses on household access to services and facilities (Faber et al., 2017). Household characteristics range from level 1 up to level 10, and a score from 1 to 4 are considered to be poor and lack access to services, while scores above 5 have improved access to resources and services. The LSM results of the households indicates that they have improved access to services as all the households scored above five. All the households, had access to land with water, electricity and toilet facilities in the yard. The major constraints experienced by the households were insufficient water, theft, pests, plant diseases and livestock which destroyed the crops. It is recommended that the government provide programmes aimed at developing communities, promoting healthy eating and food production. Workshops on nutrition education should be continuous and Focus on basic sanitation, food hygiene. Income generation small-scale businesses, crop production, and livestock rearing will assist in alleviating hunger and unemployment. These initiatives could be extended to other areas of the country as a way to improve food security.Life and Consumer SciencesM.C.S