Self-Management Support Needs of Patients with Chronic Diseases in a South African Township: A Qualitative Study
(2017) Journal of Community Health Nursing — Vol. 34, n° 1, p. 21-31 (2017)
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- Despite the need for chronic disease self-management strategies in developing countries, few studies have aimed to contextually adapt programs; yet culture has a direct impact on the way people view themselves and their environment. This study aimed to explore the knowledge, attitudes, and self-management needs and practices of patients with chronic diseases. Four patient focus groups (n = 32), 2 patient interviews, group observations, and key informant interviews (n = 12) were conducted. Five themes emerged: health-system and service-provision challenges, healthcare provider attitudes and behavior, adherence challenges related to medication and lifestyle changes, patients' personal and clinic experiences and self-management tool preferences. The findings provide a window of opportunity for the development of contextually adapted self-management programs for community health nursing in developing countries.
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Dube, L., Rendall-Mkosi, K., Van den Broucke, S., Bergh, A.-M., & Mafutha, N. G. (2017). Self-Management Support Needs of Patients with Chronic Diseases in a South African Township: A Qualitative Study. Journal of Community Health Nursing, 34(1), 21-31. https://doi.org/10.1080/07370016.2017.1260983 (Original work published 2017)