ORCID Profile
0000-0002-6116-0433
Current Organisations
Addis Ababa University
,
Baker IDI Heart and Diabetes Institute
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Publisher: Springer Science and Business Media LLC
Date: 12-2017
Publisher: MDPI AG
Date: 22-02-2022
DOI: 10.3390/JCM11051149
Abstract: There has been little focus on designing tailored diabetes management strategies in developing countries. The aim of this study is to develop a theory-driven, tailored and context-specific complex intervention for the effective management of type 2 diabetes at a tertiary care setting of a developing country. We conducted interviews and focus groups with patients, health professionals, and policymakers and undertook thematic analysis to identify gaps in diabetes management. The results of our previously completed systematic review informed data collection. We used the United Kingdom Medical Research Council framework to guide the development of the intervention. Results comprised 48 interviews, two focus groups with 11 participants and three co-design panels with 24 participants. We identified a lack of structured type 2 diabetes education, counselling, and collaborative care of type 2 diabetes. Through triangulation of the evidence obtained from data collection, we developed an intervention called VICKY (patient-centred collaborative care and structured diabetes education and counselling) for effective management of type 2 diabetes. VICKY comprised five components: (1) patient-centred collaborative care (2) referral system for patients across transitions of care between different health professionals of the diabetes care team (3) tools for the provision of collaborative care and documentation of care (4) diabetes education and counselling by trained diabetes educators and (5) contextualised diabetes education curriculum, educational materials, and documentation tools for diabetes education and counselling. Implementation of the intervention may help to promote evidence-based, patient-centred, and contextualised diabetes care for improved patient outcomes in a developing country.
Publisher: Wiley
Date: 20-09-2023
DOI: 10.1111/JOCN.16884
Publisher: Springer Science and Business Media LLC
Date: 02-2021
Publisher: Elsevier BV
Date: 12-2020
Publisher: Springer Science and Business Media LLC
Date: 18-01-2019
Publisher: Public Library of Science (PLoS)
Date: 29-09-2016
Publisher: Springer Science and Business Media LLC
Date: 15-11-2017
Publisher: Elsevier BV
Date: 08-2022
DOI: 10.1016/J.DSX.2022.102585
Abstract: This study aimed to examine perspectives of patients, health professionals, and policymakers on current practices and their future preferences for type 2 diabetes care in a tertiary hospital in Ethiopia. An exploratory qualitative study was undertaken through interviews and focus groups with patients, health professionals, and policymakers. The participants were purposively s led. Thematic analysis was undertaken. Fifty-nine participants were involved in the study. Participants' perspectives on current practices and future preferences comprised three themes: organisation of type 2 diabetes care delivery and infrastructure continuity of care and structured diabetes education. The current organisation comprised physicians, such as endocrinologists and endocrinology fellows, and nurses. Some nurses received training on diabetes foot and diabetic eye, which enabled patients to receive diabetes foot and diabetic eye care, respectively. The hospital lacked essential resources, such as medications, laboratory and diagnostic services, and diabetes educators, which hindered patient-centred care. Patients complained that the physical set-up at the hospital was not conducive to their privacy during consultations. Participants reported infrequent patient follow-up and monitoring, which contributed to uncontrolled diabetes. Future preferences involved access to essential resources and comprehensive diabetes care, such as structured diabetes education for improved patient outcomes. Participants sought out the development of tailored and context-specific diabetes management approaches that could meet specific patient needs and preferences. The findings have implications for designing patient-centred diabetes care tailored to the hospital's context and key stakeholders' preferences. This tailoring requires strong leadership to ensure availability of essential resources.
Publisher: Springer Science and Business Media LLC
Date: 11-10-2015
Publisher: Wiley
Date: 14-03-2021
DOI: 10.1111/DME.14526
Abstract: To examine the effectiveness of clinical pharmacy interventions on health and economic outcomes of people with type 2 diabetes in hospital settings. We searched MEDLINE, EMBASE, PsycInfo, CINAHL, COCHRANE Library and citations and reference lists of key articles. We included randomized and non‐randomized controlled trials, cohort and controlled before‐after studies. Primary outcomes were glycosylated haemoglobin (HbA 1c ), all‐cause mortality, major cardiovascular events, adverse events (AEs), health‐related quality of life and economic outcomes. We retrieved 11,853 studies, of which 44 studies were included in the review ( n = 8623). We included 29 randomized controlled studies in the meta‐analyses ( n = 4055). Clinical pharmacy interventions significantly reduced HbA 1c levels compared to usual care (standardized mean difference: −0.52, p 0.001). The interventions significantly reduced AEs compared to usual care. No studies were reported on the effectiveness of clinical pharmacy interventions on major cardiovascular events. In one study that examined the impact of clinical pharmacy interventions on all‐cause mortality, a non‐significant reduction was observed compared with usual care. There was significant improvement in quality of life and significant reduction in costs of type 2 diabetes care compared to usual care. Clinical pharmacy interventions were effective in improving glycaemic control, quality of life and reducing the rate of AEs and costs of type 2 diabetes care.
Publisher: Springer Science and Business Media LLC
Date: 15-01-2018
Publisher: Public Library of Science (PLoS)
Date: 23-11-2016
Publisher: Elsevier BV
Date: 03-2023
Publisher: Elsevier BV
Date: 03-2023
Publisher: Springer Science and Business Media LLC
Date: 24-09-2018
Publisher: Elsevier BV
Date: 07-2022
Publisher: OMICS Publishing Group
Date: 2017
Publisher: Informa UK Limited
Date: 02-2023
DOI: 10.2147/PPA.S391340
No related grants have been discovered for Tigestu Alemu Desse.