The influence of clinic care on perceptions and knowledge of non‑communicable diseases and physical activity from a low‑resourced community: a mixed‑method study

Article


Makamu-Beteck, S. J., Moss, S. J., Cameron, M. and Watson, F. G.. 2022. "The influence of clinic care on perceptions and knowledge of non‑communicable diseases and physical activity from a low‑resourced community: a mixed‑method study." BMC Public Health. 22, pp. 1-15. https://doi.org/10.1186/s12889-022-13097-w
Article Title

The influence of clinic care on perceptions and knowledge of non‑communicable diseases and physical activity from a low‑resourced community: a mixed‑method study

ERA Journal ID13449
Article CategoryArticle
AuthorsMakamu-Beteck, S. J. (Author), Moss, S. J. (Author), Cameron, M. (Author) and Watson, F. G. (Author)
Journal TitleBMC Public Health
Journal Citation22, pp. 1-15
Article Number673
Number of Pages15
Year2022
PublisherBioMed Central Ltd.
Place of PublicationUnited Kingdom
ISSN1471-2458
Digital Object Identifier (DOI)https://doi.org/10.1186/s12889-022-13097-w
Web Address (URL)https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-022-13097-w
Abstract

Background: Health promotion for the management of risk factors for non-communicable diseases (NCDs) is an integral part of standard care in South Africa. Most persons presenting with NCDs utilise public primary health care centres for disease management. This mixed-methods study aimed at expanding current understanding of the the influence of standard clinic care (usual care) on perceptions and knowledge of risk factors for NCDs and physical activity (PA) among persons from a low-resourced community. Qualitatively the perceptions of women from a low-resourced community about risk factors for NCDs and PA were explored throughout 24-weeks of standard clinic care. Parallel quantitative data was collected to describe changes in risk factors for NCDs and trends in self-reported knowledge about risk factors of NCDs and PA.

Method: A convergent-parallel mixed-methods research design was used. The study was carried out in a public primary health care setting, in the North West Province, South Africa. From a convenience sample of 100 participants, 77 African women aged between 34 and 79 years were recruited for the study. Data were collected at three time-points including baseline, 12 weeks, and 24 weeks of a standard clinic care health-promotion programme. The qualitative data was collected during focus group discussions, and the quantitative data included questionnaires on knowledge of physical activity and risk factors for NCDs as well as anthropometric and biological measurements. Qualitative and quantitative data were analysed independently for each phase and then consolidated for interpretation. All data was collected in the same setting.

Results: Participants’ initial understanding and perceptions of NCD risk factors were poor. Qualitative findings showed that participants knew little about the specific physical activity they could engage in and the role of PA in NCD management. Participants preferred low-intensity activities. Heart-disease knowledge improved significantly at 12 weeks intervention compared to baseline MD = -3.655, p < 0.001. There were improvements in PA knowledge at 12 weeks from baseline MD = -0.625 p = 0.02. There were significant weight (MD = 1.420, p = 0.002) and waist circumference reductions (MD = 0.621, p = 0.02) from baseline to 24 weeks.

Conclusion: Standard clinic care improved knowledge of physical activity and risk factors for NCDs, but perceptions of risk factors for NCDs and PA were unchanged. This study offers insight into the perceptions held by women from a low-resource setting and how future interventions to manage and prevent NCDs should be structured.

KeywordsNon-communicable diseases, Physical activity, Standard clinic care health-promotion programme, Low resourced African women perception, And knowledge, B-healthy
ANZSRC Field of Research 2020420199. Allied health and rehabilitation science not elsewhere classified
Byline AffiliationsNorth-West University, South Africa
School of Health and Medical Sciences
Institution of OriginUniversity of Southern Queensland
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The journal 'chiropractic & osteopathy' changes its title to 'chiropractic & manual therapies'. a new name, a new era
Walker, Bruce F., French, Simon D., Cameron, Melainie, Perle, Stephen M., Lebouef-Yde, C. and Rubenstein, Sidney M.. 2011. "The journal 'chiropractic & osteopathy' changes its title to 'chiropractic & manual therapies'. a new name, a new era." Chiropractic and Manual Therapies. 19, pp. 1-2. https://doi.org/10.1186/2045-709X-19-1
Letter to the Editor: Herbal Medicinal Treatment Options for Headache and Migraine
Vlachojannis, Julia, Cameron, Melainie and Chrubasik, Sigrun. 2011. "Letter to the Editor: Herbal Medicinal Treatment Options for Headache and Migraine." Headache. 51 (8), pp. 1350-1351. https://doi.org/10.1111/j.1526-4610.2011.01981.x
Chiropractic & Osteopathy
Cameron, Melainie, French, S. and Minter, W.. 2009. "Chiropractic & Osteopathy." Grimmer-Somers, Karen, Kumar, Saravana, Worley, Anthea and Young, Alexandra (ed.) Practical Tips in Finding the Evidence: An Allied Health Primer. Manila, Philippines. University of Santo Tomas Publishing House. pp. 56-84
Evidence of Effectiveness of Herbal Medicinal Products in the Treatment of Arthritis Part 2: Rheumatoid Arthritis
Cameron, Melainie, Gagnier, Joel J., Little, Christine, Parsons Tessa J., Blumle, Anette and Chrubasik, Sigrun. 2009. "Evidence of Effectiveness of Herbal Medicinal Products in the Treatment of Arthritis Part 2: Rheumatoid Arthritis." Phytotherapy Research. 23 (12), pp. 1647-1662. https://doi.org/10.1002/ptr.3006
Evidence of Effectiveness of Herbal Medicinal Products in the Treatment of Arthritis Part 1: Osteoarthritis
Cameron, Melainie, Gagnier, J., Christine V., L., Parsons, T., J., Blumle, A. and Chrubasik, S.. 2009. "Evidence of Effectiveness of Herbal Medicinal Products in the Treatment of Arthritis Part 1: Osteoarthritis." Phytotherapy Research. 23 (11), pp. 1497-1515. https://doi.org/10.1002/ptr.3007
A systematic review on the effectiveness of willow bark for musculoskeletal pain
Vlachojannis, J., Cameron, M. and Chrubasik, S.. 2009. "A systematic review on the effectiveness of willow bark for musculoskeletal pain." Phytotherapy Research. 23 (7), pp. 897-900. https://doi.org/10.1002/ptr.2747
A pilot program of physical activity promotion among clients receiving home and community care
Cameron, Melainie, Chahine, Natalie, Selig, Steve and Newton, Pam. 2008. "A pilot program of physical activity promotion among clients receiving home and community care." Australian Health Review. 32 (3), pp. 439-450. https://doi.org/10.1071/AH080439