Piloting of virtual group education for diabetes in Cape Town: An exploratory qualitative study

South African Family Practice

Field Value
Title Piloting of virtual group education for diabetes in Cape Town: An exploratory qualitative study
Creator Mash, Robert J. Cairncross, Joleen
Subject Family medicine diabetes; patient education; counselling; primary care; behaviour change; telemedicine; virtual reality
Description Background: Diabetes is a major public health problem. During the coronavirus disease 2019 (COVID-19) pandemic, patient education and counselling (PEC) for diabetes were curtailed. This project explored the possibility of offering group empowerment and training (GREAT) for diabetes via computer or tablets and Zoom video conferencing. The aim was to explore whether this was feasible in the low-income community context of primary health care in Cape Town, South Africa.Methods: Three dieticians facilitated four sessions of GREAT for diabetes with a group of five patients with type-2 diabetes. Once the programme was completed, focus group interviews were held with the facilitators and the patients to explore their experience. Interviews were recorded and analysed using a simplified framework method.Results: Usual primary care was not offering PEC and service delivery was brief and mechanistic. The content, resources and group processes were successfully translated into the virtual environment. The guiding style of communication was more difficult. Patients reported changes in their self-management and appreciated being able to save time and money while participating from home. Patients required considerable support and training to use the technology. All participants were concerned about safety and crime with the hardware.Conclusion: It was feasible to conduct GREAT for diabetes via tablets and Zoom video conferencing in this low-income community. To implement at scale, a number of concerns need to be addressed. The feasibility of conducting the sessions via smartphone technology should be evaluated.Contribution: Demonstrates how digital technology could be used to develop new ways of empowering people with type 2 diabetes.
Publisher AOSIS
Contributor German Federal Ministry of Education and Research
Date 2023-01-18
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Descriptive exploratory qualitative study
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/safp.v65i1.5635
Source South African Family Practice; Vol 65, No 1 (2023): Part 1; 7 pages 2078-6204 2078-6190
Language eng
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https://safpj.co.za/index.php/safpj/article/view/5635/7783 https://safpj.co.za/index.php/safpj/article/view/5635/7784 https://safpj.co.za/index.php/safpj/article/view/5635/7785 https://safpj.co.za/index.php/safpj/article/view/5635/7786
Coverage Western Cape — —
Rights Copyright (c) 2023 Robert J. Mash, Joleen Cairncross https://creativecommons.org/licenses/by/4.0