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Evaluation of the “take five school” an education programme for people with type 2 diabetes in the Eden district, Western Cape

Thesis (MMed)--Stellenbosch University, 2013

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Main Author: Van der Does, A. M. B.
Other Authors: Mash, Bob
Format: Thesis
Language:en_ZA
Published: Stellenbosch : Stellenbosch University 2017
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access_status_str Open Access
author Van der Does, A. M. B.
author2 Mash, Bob
author_browse Mash, Bob
Van der Does, A. M. B.
author_facet Mash, Bob
Van der Does, A. M. B.
author_sort Van der Does, A. M. B.
collection Thesis
dc_rights_str_mv Stellenbosch University
description Thesis (MMed)--Stellenbosch University, 2013
format Thesis
id oai:scholar.sun.ac.za:10019.1/100707
institution Stellenbosch University (South Africa)
language en_ZA
last_indexed 2026-06-10T12:44:34.165Z
license_str Other — see source repository
provenance_str_mv Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository
publishDate 2017
publishDateRange 2017
publishDateSort 2017
publisher Stellenbosch : Stellenbosch University
publisherStr Stellenbosch : Stellenbosch University
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source_str SUNScholar — Stellenbosch University Repository
spelling oai:scholar.sun.ac.za:10019.1/100707 Evaluation of the “take five school” an education programme for people with type 2 diabetes in the Eden district, Western Cape Van der Does, A. M. B. Mash, Bob Stellenbosch University. Faculty of Health Sciences. Department of Interdisciplinary Health Sciences. Diabetes program -- Evaluation UCTD Diabetes -- Treatment -- South Africa Primary health care -- South Africa -- Western Cape Diabetes -- Self-management Diabetes -- Education programmes -- South Africa Thesis (MMed)--Stellenbosch University, 2013 ENGLISH ABSTRACT : INTRODUCTION Education, motivation and support are seen as key components in the care for people with diabetes and the use of a structured education programme is part of the recommended standard care in many guidelines. Previous research shows that routinely delivered group care is a feasible and cost-effective approach to improve metabolic control and quality of life in type 2 diabetes. The “Take Five School” programme was introduced in the Eden District by a small group of health care workers and one of the local primary care managers and aimed to provide effective small group diabetes education over four sessions. AIM To evaluate the Take Five School group education programme for patients with Type 2 Diabetes in the Eden District of the Western Cape. METHODS Mixed methods were used: Qualitative methods involved individual in-depth interviews with health care workers and focus group interviews with patients. Quantitative methods measured the impact on self-management activities by a “before-and-after” study. RESULTS There was a significant improvement in adherence to a diabetic diet, physical activity, foot care and the perceived ability to teach others. There was no self-reported change in adherence to medication. Before the educational programme 25% (21/84) of the patients were smoking tobacco and this reduced to 18% afterwards (15/84) (p=0.08). Qualitative data revealed a number of strengths and weaknesses in the current programme as well as a number of external opportunities and threats to the future success of the programme. CONCLUSION This research has shown that structured group education of Type 2 diabetics in a South African public sector primary care context can lead to significant short term improvements in self-care activities. A number of specific recommendations are made to improve both the programme and its enabling environment. The Take Five School programme should be sustained, strengthened and evaluated further. AFRIKAANSE OPSOMMING : Geen Afrikaanse opsomming geskikbaar nie 2017-03-20T11:48:40Z 2017-03-20T11:48:40Z 2013-03 Thesis http://hdl.handle.net/10019.1/100707 en_ZA Stellenbosch University 20 pages : illustrations, maps (chiefly colour) application/pdf Stellenbosch : Stellenbosch University
spellingShingle Diabetes program -- Evaluation
UCTD
Diabetes -- Treatment -- South Africa
Primary health care -- South Africa -- Western Cape
Diabetes -- Self-management
Diabetes -- Education programmes -- South Africa
Van der Does, A. M. B.
Evaluation of the “take five school” an education programme for people with type 2 diabetes in the Eden district, Western Cape
title Evaluation of the “take five school” an education programme for people with type 2 diabetes in the Eden district, Western Cape
title_full Evaluation of the “take five school” an education programme for people with type 2 diabetes in the Eden district, Western Cape
title_fullStr Evaluation of the “take five school” an education programme for people with type 2 diabetes in the Eden district, Western Cape
title_full_unstemmed Evaluation of the “take five school” an education programme for people with type 2 diabetes in the Eden district, Western Cape
title_short Evaluation of the “take five school” an education programme for people with type 2 diabetes in the Eden district, Western Cape
title_sort evaluation of the take five school an education programme for people with type 2 diabetes in the eden district western cape
topic Diabetes program -- Evaluation
UCTD
Diabetes -- Treatment -- South Africa
Primary health care -- South Africa -- Western Cape
Diabetes -- Self-management
Diabetes -- Education programmes -- South Africa
url http://hdl.handle.net/10019.1/100707
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