ArticleAfrican journal of primary health care & family medicine2015
A situational analysis of training for behaviour change counselling for primary care providers, South Africa.
Article in African journal of primary health care & family medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Integrating World Health Organization Package of Essential Noncommunicable Disease Interventions at Primary Health Care - An Impact Evaluation Study from a Mountainous State of India.International journal of preventive medicine · 2026Article
- Evaluation of ImpENSA technology-enabled behaviour change module delivered to healthcare professionals in South Africa to improve micronutrient nutrition during the first 1000 days.Maternal & child nutrition · 2024Article
- The role of community health workers in non-communicable diseases in Cape Town, South Africa: descriptive exploratory qualitative study.BMC primary care · 2024Article
- ImpENSA eHealthy Conversation Skills training for healthcare professionals aimed at improving micronutrient status during the first 1000 days in South Africa.PLOS global public health · 2024Article
- A situational analysis of human resource and non-communicable diseases management for community health workers in Chengdu, China: a cross-sectional study.BMC health services research · 2023Article
- Evaluating the Implementation of the GREAT4Diabetes WhatsApp Chatbot to Educate People With Type 2 Diabetes During the COVID-19 Pandemic: Convergent Mixed Methods Study.JMIR diabetes · 2022Article
- Brief behaviour change counselling in non-communicable diseases in Mangochi, Southern Malawi: a hypothetical acceptability study.Pilot and feasibility studies · 2022Article
- Article
- The psychometric properties of a tool to assess brief behaviour change counselling in South Africa.African journal of primary health care & family medicine · 2020Article
- Prevalence and predictors of receipt of weight loss advice among a nationally representative sample of overweight and obese Kenyans.African health sciences · 2020Article
- Lifestyle, cardiovascular risk knowledge and patient counselling among selected sub-Saharan African family physicians and trainees.African journal of primary health care & family medicine · 2019Article
- How have researchers defined and used the concept of 'continuity of care' for chronic conditions in the context of resource-constrained settings? A scoping review of existing literature and a proposed conceptual framework.Health research policy and systems · 2019Article
- How well do public sector primary care providers function as medical generalists in Cape Town: a descriptive survey.BMC family practice · 2018Article
- An Audit of Diabetes Self-Management Education Programs in South Africa.Journal of public health research · 2015Article
- Qualitative evaluation of primary care providers experiences of a training programme to offer brief behaviour change counselling on risk factors for non-communicable diseases in South Africa.BMC family practice · 2015Article
- Implementation of WHO Package of Essential Noncommunicable-Based Brief Behavior-Change Interventions in Primary Care: A Quasi-Experimental Study from Himachal Pradesh, India.Indian journal of community medicine : official publication of Indian Association of Preventive & Social MedicineArticle
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNon-communicable diseases and associated risk factors (smoking, alcohol abuse, physical inactivity and unhealthy diet) are a major contributor to primary care morbidity and the burden of disease. The need for healthcare-provider training in evidence-based lifestyle interventions has been acknowledged by the National Department of Health. However, local studies suggest that counselling on lifestyle modification from healthcare providers is inadequate and this may, in part, be attributable to a lack of training.
aimThis study aimed to assess the current training courses for primary healthcare providers in the Western Cape.
settingStellenbosch University and University of Cape Town.
methodsQualitative interviews were conducted with six key informants (trainers of primary care nurses and registrars in family medicine) and two focus groups (nine nurses and eight doctors) from both Stellenbosch University and the University of Cape Town.
resultsTrainers lack confidence in the effectiveness of behaviour change counselling and in current approaches to training. Current training is limited by time constraints and is not integrated throughout the curriculum--there is a focus on theory rather than modelling and practice, as well as a lack of both formative and summative assessment. Implementation of training is limited by a lack of patient education materials, poor continuity of care and record keeping, conflicting lifestyle messages and an unsupportive organisational culture.
conclusionRevising the approach to current training is necessary in order to improve primary care providers' behaviour change counselling skills. Primary care facilities need to create a more conducive environment that is supportive of behaviour change counselling.
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