ArticleSouth African family practice : official journal of the South African Academy of Family Practice/Primary Care2023
Piloting of virtual group education for diabetes in Cape Town: An exploratory qualitative study.
Article in South African family practice : official journal of the South African Academy of Family Practice/Primary Care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.
- Systematic Review of Patient Preferences and Experiences Regarding Dietetic Outpatient Care.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2025Pooled it
- Remote Patient Education for People Living with an Ostomy: An Italian Expert Consensus Using a Modified Delphi Method.Nursing reports (Pavia, Italy) · 2026Article
- Patients' Perspectives on Telemedicine for Type 2 Diabetes in Primary Care: Systematic Review and Thematic Synthesis.Mayo Clinic proceedings. Digital health · 2026Review
- The (dis-)advantages of telehealth consultation for allied health services: a scoping review.BMC health services research · 2026Article
- Evaluating the implementation of group empowerment and training (GREAT) for diabetes in South Africa: convergent mixed methods.BMJ open · 2024Article
- Integrated Knowledge Translation for Non-Communicable Diseases: Stories from Sub-Saharan Africa.Annals of global health · 2023Article
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Authors and funding
2 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundDiabetes 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.
methodsThree 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.
resultsUsual 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.
conclusionIt 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.
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