Journal of Education and Health Promotion

‘Perceptions’ and ‘practices’ to antibiotic usage among diabetic patients receiving care from a rural tertiary care center: A mixed‑methods study

. Manjunath Inchara; . Mahendra M. Reddy; . Nagesh Ramya

Volume 12, Issue 5 , June 2022, , Pages 1-7

Abstract

BACKGROUND: Contribution to antibiotic resistance can happen at two interfaces – doctorprescribing antibiotics inadvertently or patient’s usage of antibiotics inadvertently. ... Read More BACKGROUND: Contribution to antibiotic resistance can happen at two interfaces – doctorprescribing antibiotics inadvertently or patient’s usage of antibiotics inadvertently. This study wasconducted among diabetic inpatients in a rural tertiary health center in Kolar, South India, to assessthe various practices related to antibiotic use and to explore the possible reasons for these practiceswith regard to antibiotic use.MATERIALS AND METHODS: An exploratory sequential mixed‑methods study was conductedwith an initial cross‑sectional quantitative study followed by qualitative in‑depth interviews duringAugust–September 2019. A pretested semi‑structured questionnaire was used to capture thesociodemographic, disease‑, and treatment‑related characteristics and practices related to antibioticuse. An open‑ended interview guide was used to conduct in‑depth interviews. The practices toantibiotic use were reported using frequency (percentage). Manual descriptive content analyses weredone by two investigators separately to identify codes under the broad topic “reasons for adoptedpractices with regard to antibiotic use.”RESULTS: Of the 152 diabetic inpatients interviewed, 20 (13.2%) felt that antibiotics are safe drugsand can be used commonly. Among these inpatients, seven (4.6%) knew that antibiotics can killbacteria and four (2.6%) perceived ‘antibiotic resistance’ as a big problem in India. The practiceof checking the expiry date before using antibiotics was seen in 21 (13.8%) and 44 (29%) of themfinished the full course of antibiotics. A total of six codes were identified under the broad theme of“reasons for adopted practices with regard to antibiotic use” among diabetic inpatients.CONCLUSIONS: Less than one‑third of them completed the antibiotic course given by the doctor, andalmost everyone was ready for over‑the‑counter purchase of antibiotics offered by the pharmacist.The reasons for such practices were mostly attributed to the “partial drug purchases” and “incompleteadvice by the doctor.” There is an urgent need to plan and deliver an interventional package to enhancethe knowledge and inculcate good antibiotic usage practices among these high‑risk populations.

The most prominent problems of diabetes education in Iran: A qualitative content analysis

. Faridokht Yazdani; . Parvaneh Abazari; . Fariba Haghani; . Bijan Iraj

Volume 11, Issue 6 , July 2021, , Pages 1-8

Abstract

BACKGROUND: Education in vulnerable communities can be a health affordable strategy topromote patient empowerment. Recognition and understanding the problems of diabetes educationare ... Read More

Personalization of health information prescription in diabetes clinical setting: A qualitative study

. Abdolahad Nabiolahi; . Shahram Sedghi; . Rokhsareh Aghili; . Leila Nemati-Anaraki

Volume 11, Issue 3 , March 2021, , Pages 1-11

Abstract

BACKGROUND: The prevalence of diabetes makes considerable costs for health‑care organizations.The increase of patient’s self‑care abilities by use of personalizing health ... Read More BACKGROUND: The prevalence of diabetes makes considerable costs for health‑care organizations.The increase of patient’s self‑care abilities by use of personalizing health information prescriptioncan reduce these costs. This study was conducted to explore the benefits and challenges related topersonalizing health information prescription in diabetes clinical settings.MATERIALS AND METHODS: The samples included diabetes education officials working inspecialized diabetes clinics and Diabetes Research Centre managers of Iran and Tehran Universitiesof Medical Sciences. They were 21 cases and selected through purposeful sampling method.Semi‑structured interview and focus discussion groups were used to collect the viewpoints ofspecialists. Interview guide, based on literature review and the documents of diabetes, was usedin interviews and focus groups. Their validity was affirmed by specialists. The interview texts werecoded in MAXQDA10 software and analyzed through content analysis method.RESULTS: The most important benefits of personalizing health information prescription wereclassified into five themes as follows: medical services improvement, facilitation of consumers toinformation resources, improvement in patients’ knowledge and awareness, increase in self‑careability and disease management, reinforcing the relation between physician and patient and keepingphysician in the information prescription cycle. The challenges of personalizing of health informationprescription were revealed as follows: Recognition of patients’ personal characteristics at the turnof entering the system, systems’ functional modifiers especially bilateral interaction and relation topatient’s health file, content recognition, and creating suitable protocol.CONCLUSION: This study showed that diabetes clinical settings face different organizational andprocess challenges for establishing the personalization of health information prescription. The mostimportant challenges which should be considered in designing information prescription in diabetesclinical environments are as follows: reinforcing physicians’ recognition of information prescriptionbenefits, lack of integrative electronic health information system, and patient primary assessmentin the first stage of entering the patient into the system in respect of clinical and personal aspectsin information needs of consumer.

Developing a program to enhance health professionals’ readiness to evidence utilization in diabetes care: A mixed‑methods protocol study

. Raheleh Javanbakhtian Ghahfarokhi; . Mousa Alavi; . Mohammad Reza Soleymani

Volume 11, Issue 1 , January 2021, , Pages 1-6

Abstract

INTRODUCTION: Diabetes is one of the most common metabolic disorders in the world and becauseof high prevalence and incidence rate, it is a serious challenge posed to the health system ... Read More

Restrictors of the effectiveness of diabetes self‑management education: A qualitative content analysis

. Faridokht Yazdani; . Parvaneh Abazari; . Fariba Haghani; . Bijan Iraj

Volume 11, Issue 1 , January 2021, , Pages 1-10

Abstract

BACKGROUND: A key step for improving the effectiveness of diabetes self‑managementeducation (DSME) is to identify its restrictors.OBJECTIVES: The aim of this study was to explore ... Read More

Assessment of diabetic foot risk among diabetic patients in a tertiary care hospital, South India

. M. Akila; . R. S. Ramesh; . M. J. Kumari

Volume 11, Issue 1 , January 2021, , Pages 1-6

Abstract

INTRODUCTION: Foot problems are most common among patients with diabetes, and they arean important cause of morbidity in patients with diabetes mellitus (DM). They can be prevented ... Read More

Assessing health‑care needs of patients with diabetes in Iran’s health‑care system: A modified Delphi method study

. Malihe Sadat Moayed; . Behnaz Amoozadeh; . Akram Parandeh

Volume 10, Issue 2 , February 2020, , Pages 1-9

Abstract

INTRODUCTION: Due to the increasing prevalence of diabetes in the world, the assessment ofthe patient needs is essential. Understanding the needs of patients will play a very important ... Read More

Spiritual intelligence of adolescents with diabetes based on demographic components

. Mojdeh Rahmanian; . Mohsen Hojat; . Naima Seyed Fatemi; . Abbas Mehran; . Soroor Parvizy

Volume 9, Issue 10 , October 2019, , Pages 1-5

Abstract

INTRODUCTION: Spiritual intelligence is better defined as a capacity to discover and developtrue meaning, deep purpose, and vision in life. The purpose of the present study was to determinethe ... Read More

The impact of poor glycemic control on lipid profile variables in children with type 1 diabetes mellitus

. Neda Mostofizadeh; . Mahin Hashemipour; . Marjan Roostazadeh; . Elham Hashemi‑Dehkordi; . Armindokht Shahsanai; . Mohsen Reisi

Volume 9, Issue 1 , January 2019, , Pages 1-5

Abstract

BACKGROUND: Type 1 diabetes mellitus (T1DM) and its related comorbidities are considered animportant health issue. This study aimed to evaluate the impact of glycemic control on lipid ... Read More

Periodontal therapy as an adjunctive modality for HbA1c reduction in type‑2 diabetic patients

. Chalini Sundar; . Sundar Ramalingam; . Viswanathan Mohan; . Rajendra Pradeepa; . M. J. Ramakrishnan

Volume 8, Issue 12 , December 2018, , Pages 1-7

Abstract

OBJECTIVES: This study aimed to evaluate the role of nonsurgical periodontal therapy in improvingglycemic control among type 2 diabetes mellitus (T2DM) patients.MATERIALS AND METHODS: ... Read More

The relationship between spiritual intelligence with self‑efficacy in adolescents suffering type 1 diabetes

. Mojdeh Rahmanian; . Mohsen Hojat; . Mojtaba Zeini Jahromi; . Abdolahad Nabiolahi

Volume 8, Issue 8 , August 2018, , Pages 1-4

Abstract

INTRODUCTION: An important construct to consider within diabetes management and the changinglandscape of diabetes therapies is self‑efficacy. Self‑efficacy research holds the potential ... Read More

The predictive role of spiritual intelligence in self‑management in adolescents with type 1 diabetes

. Mojdeh Rahmanian; . Mohsen Hojat; . Naima Seyed Fatemi; . Abbas Mehran; . Soroor Parvizy

Volume 8, Issue 5 , May 2018, , Pages 1-5

Abstract

INTRODUCTION: Self‑management leads to blood glucose control and reduced morbidity andmortality in adolescents with type 1 diabetes. Different factors affect the self‑management ... Read More

Relationship between perceived social support and self‑care behavior in type 2 diabetics: A cross‑sectional study

. Siamak Mohebi; . Mahmoud Parham; . Gholamreza Sharifirad; . Zabihollah Gharlipour; . Abolfazl Mohammadbeigi; . Fatemeh Rajati

Volume 8, Issue 4 , April 2018, , Pages 1-6

Abstract

BACKGROUND: Social support is one of the most effective factors on the diabetic self‑care. Thisstudy aimed to assess social support and its relationship to self‑care in type 2 diabetic ... Read More

Volume 13 (2023)

Volume 12 (2022)

Volume 11 (2021)

Volume 10 (2020)

Volume 9 (2019)

Volume 8 (2018)

Volume 7 (2017)

Volume 6 (2016)

Volume 5 (2015)

Volume 4 (2014)

Volume 3 (2013)

Volume 2 (2012)

Volume 1 (1900)

Keywords = diabetes mellitus

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