Salient beliefs about modifiable risk behaviours among patients living with diabetes, hypertension or both: A qualitative formative study

African Journal of Primary Health Care & Family Medicine

 
 
Field Value
 
Title Salient beliefs about modifiable risk behaviours among patients living with diabetes, hypertension or both: A qualitative formative study
 
Creator Lutala, Prosper Nyasulu, Peter Muula, Adamson
 
Subject Theory of planned behavior; lifestyle; elicitations studies diabetes; hypertension; lifestyle; Malawi; Mangochi; modifiable behaviours; noncommunicable diseases; risk; salient belief; theory of planned behaviour.
Description 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.Aim: 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.Setting: 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.Conclusion: 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.
 
Publisher AOSIS
 
Contributor NCDs-Brite Consortium National Heart, Lung, and Blood Institute of the National Institutes of Health Kamuzu University of health Sciences Mangochi District Hospital
Date 2022-09-09
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — formative research; qualitative in-depth interviews
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/phcfm.v14i1.3327
 
Source African Journal of Primary Health Care & Family Medicine; Vol 14, No 1 (2022); 12 pages 2071-2936 2071-2928
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://phcfm.org/index.php/phcfm/article/view/3327/5606 https://phcfm.org/index.php/phcfm/article/view/3327/5607 https://phcfm.org/index.php/phcfm/article/view/3327/5608 https://phcfm.org/index.php/phcfm/article/view/3327/5609
 
Coverage Mangochi district; South-East Malawi; Africa 2020-2021 males; females; hypertension; diabetes; patients
Rights Copyright (c) 2022 Prosper Lutala, Peter Nyasulu, Adamson Muula https://creativecommons.org/licenses/by/4.0
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