背景:尽管有证据表明,在曼戈奇(和马拉维)糖尿病和高血压患者中,关注当地知识在设计适当的干预措施方面发挥了关键作用,对当地的突出信念知之甚少。
目的:以计划行为理论为理论视角,这项研究旨在确定糖尿病患者对可改变风险行为的显著信念,芒戈奇的高血压或两者兼而有之,马拉维东南部。具体来说,目标是确定优势和劣势(行为显著信念),赞成或不赞成(规范的突出信念)的人,以及改变糖尿病患者可改变风险行为的措施的推动者和障碍(控制突出信念),芒戈奇的高血压或两者兼而有之,马拉维。
方法:Mangochi区医院的高血压糖尿病诊所,马拉维东南部。
方法:在25名患者中进行了一项准实验性试验的形成性定性研究,有目的地取样,患有糖尿病的人,2019年2月在Mangochi区医院接受高血压或两者兼而有之。研究人员使用计划行为理论启发访谈指南对患者进行了深入访谈。专题内容分析用于确定新出现的主题。
结果:共招募了25名参与者,其中12人(48%)患有糖尿病。从这一分析中出现了五个主题领域:身体和心理健康,社会脱节,感知支持系统,感知到的促成因素和感知到的变革障碍。
结论:确定了每个重要信念的适当单词。未来的研究人员在设计基于糖尿病和高血压计划行为理论的干预措施时,应该使用已确定的突出信念。贡献:本文增加了知识体系,告知使用计划行为理论来解决从业者中可修改的风险因素,马拉维曼戈奇及其他地区非传染性疾病领域的初级保健和家庭医学专家和学者。
BACKGROUND: Although there is evidence of the key role played by focusing on local knowledge in designing appropriate interventions regarding modifiable risk behaviours among patients living with diabetes and hypertension in Mangochi (and Malawi), little is known about local salient beliefs.
OBJECTIVE: With a focus on the theory of planned behaviour as a theoretical lens, this study aimed to identify salient beliefs about modifiable risk behaviours among patients with diabetes, hypertension or both in Mangochi, south-eastern Malawi. Specifically, the objectives were to identify advantages and disadvantages (behavioural salient beliefs), people who approve or disapprove (normative salient beliefs) and enablers and barriers (control salient beliefs) for measures to change modifiable risk behaviours among patients with diabetes, hypertension or both in Mangochi, Malawi.
METHODS: A hypertension diabetes clinic at Mangochi District Hospital, south-eastern Malawi.
METHODS: A formative qualitative study of a quasi-experimental trial was conducted among 25 patients, purposefully sampled, who were living with diabetes, hypertension or both at Mangochi District Hospital in February 2019. Researchers conducted in-depth interviews with patients using an interview guide informed by the theory of planned behaviour\'s elicitation interview guide. Thematic content analysis was used to identify emerging themes.
RESULTS: A total of 25 participants were recruited, of which 12 (48%) were living with diabetes. Five thematic areas emerged from this analysis: physical and psychological fitness, social disconnection, perceived support systems, perceived enablers and perceived barriers to change.
CONCLUSIONS: Appropriate words for each salient belief were identified. Future researchers should use the identified salient beliefs when designing interventions based on the theory of planned behaviour in diabetes and hypertension.Contribution: The paper adds to the body of knowledge informing the use of theory of planned behavior in addressing modifiable risk factors among practitioners, specialists and academics in primary care and Family Medicine in the field of noncommunicable diseases in Mangochi Malawi and beyond.