ArticleSouth African family practice : official journal of the South African Academy of Family Practice/Primary Care2023
Comprehensive patient education and counselling for non-communicable diseases in primary care, Western Cape.
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 8 papers.
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Who cites it
8 citing papers in PubMed, 8 citations in OpenAlex.
- Non-communicable diseases in South Africa: The role of primary care.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2026Article
- Implementation of Therapeutic Patient Education (TPE) in Primary Care, as Perceived by Professionals: A Narrative Review.Patient preference and adherence · 2025Review
- Global lessons on delivery of primary healthcare services for people with non-communicable diseases: convergent mixed methods.Family medicine and community health · 2024Article
- Enhancing Chronic Disease Management: Personalized Medicine Insights from Rural and Urban General Practitioner Practices.Journal of personalized medicine · 2024Article
- Evaluating the implementation of group empowerment and training (GREAT) for diabetes in South Africa: convergent mixed methods.BMJ open · 2024Article
- The sustainability of group empowerment and training for people with diabetes in South Africa.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2024Article
- Piloting of virtual group education for diabetes in Cape Town: An exploratory qualitative study.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2023Article
- 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.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTreatment of non-communicable diseases (NCD) requires patient education and counselling (PEC). Initiatives have focused on Group Empowerment and Training (GREAT) for diabetes and Brief behaviour change counselling (BBCC). However, the implementation of comprehensive PEC in primary care remains a challenge. The aim of this study was to explore how such PEC could be implemented.
methodsThis was a descriptive, exploratory, qualitative study at the end of the first year of a participatory action research project to implement comprehensive PEC for NCDs at two primary care facilities in the Western Cape. Focus group interviews were held with healthcare workers and reports from co-operative inquiry group meetings were used as qualitative data.
resultsStaff were trained in GREAT for diabetes and BBCC. There were problems with training appropriate staff and sufficient numbers and a need for ongoing support. Implementation was limited by poor internal sharing of information, staff turnover and leave, rotation of staff, lack of space and fears of disrupting the efficiency of service delivery. Facilities had to embed the initiatives into appointment systems and fast track patients who attended GREAT. For those patients that were exposed to PEC, there were reported benefits.
conclusionGroup empowerment was feasible to introduce, while BBCC was more challenging as it required extra time in the consultation.Contribution: Implementation of PEC requires alternative approaches that do not extend consultations (such as GREAT and maybe digital solutions) as well as commitment to facility organisation for PEC from managers.
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