Self-Management Support Needs of Patients with Chronic Diseases in a South African Township: A Qualitative Study.
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.
a Psychological Sciences Research Institute , Catholic University of Louvain , Louvain-la-Neuve , Belgium.|b Institute of Health and Society , Catholic University of Louvain , Brussels , Belgium.
Loveness
L
Dube
c School of Health Systems and Public Health , University of Pretoria , South Africa.
Kirstie
K
Rendall-Mkosi
a Psychological Sciences Research Institute , Catholic University of Louvain , Louvain-la-Neuve , Belgium.
Stephan
S
Van den Broucke
c School of Health Systems and Public Health , University of Pretoria , South Africa.|d South African Medical Research Council Unit for Maternal and Infant Health Care Strategies , University of Pretoria , South Africa.
Anne-Marie
AM
Bergh
e Department of Nursing Education , University of the Witwatersrand , Johannesburg , South Africa .
Nokuthula G
NG
Mafutha
D000328:Adult; D001291:Attitude of Health Personnel; D002908:Chronic Disease / Q000628:therapy*; D005260:Female; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006282:Health Personnel / Q000523:psychology; D006301:Health Services Needs and Demand; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D055118:Medication Adherence / Q000523:psychology; D036301:Qualitative Research; D000073278:Self-Management; D013019:South Africa
Chronic diseases; South Africa; community health nursing; patient needs and challenges; self-management support