Conference abstract
Structured self-management Education for Cardiometabolic Diseases (CMDs) in Ghana: a mixed methods feasibility study
Pan African Medical Journal - Conference Proceedings. 2024:22(43).25
Nov 2024.
doi: 10.11604/pamj-cp.2024.22.43.2421
Archived on: 25 Nov 2024
Contact the corresponding author
Keywords: CMD, self-care, education, low-resource, Ghana
Oral presentation
Structured self-management Education for Cardiometabolic Diseases (CMDs) in Ghana: a mixed methods feasibility study
Roberta Lamptey1,&
1Create Collaborators, Leicester Diabetes Centre, England
&Corresponding author
Introduction: Cardiometabolic disease (CMD) is a leading cause of morbidity and mortality in Ghana. Prevalence rates of 10% are reported. CMD self-management education may improve outcomes. The aim was to describe a culturally sensitive structured CMD self-management education program for people with CMD.
Methods: this was a single-arm mixed methods feasibility trial. Fifty-three persons living with CMDs were sampled purposively. Anthropometry, laboratory biomarkers, and quality of life scores were measured at baseline. A culturally -adapted structured CMD self-management education program was delivered and the same parameters were taken at 3 and 6 months follow-up. Inductive contextual analysis of In-depth interviews and focus group discussions were used to complement quantitative findings.
Results: fifty-eight percent of the participants were females—a mean age of 59 years. After 6 months, mean weight and waist circumference decreased by 1.61kg and 3.26cm, respectively. Systolic and diastolic blood pressures fell by 5mmHg and 3mmHg, respectively. Random blood glucose decreased by 1.4 mmol/L, while HbA1c increased by 1%. There was no change in well-being or quality of life. Participants had minimal education and were indifferent to self-care practices. Barriers to self-care included financial constraints, stigma, belief systems, and conflicting messaging.
Conclusion: structured SMEs for CMDs are lacking in low-resource settings despite their potential benefits. Addressing financial barriers is crucial to ensure the accessibility and sustainability of these beneficial programs.
Structured self-management Education for Cardiometabolic Diseases (CMDs) in Ghana: a mixed methods feasibility study
Roberta Lamptey1,&
1Create Collaborators, Leicester Diabetes Centre, England
&Corresponding author
Introduction: Cardiometabolic disease (CMD) is a leading cause of morbidity and mortality in Ghana. Prevalence rates of 10% are reported. CMD self-management education may improve outcomes. The aim was to describe a culturally sensitive structured CMD self-management education program for people with CMD.
Methods: this was a single-arm mixed methods feasibility trial. Fifty-three persons living with CMDs were sampled purposively. Anthropometry, laboratory biomarkers, and quality of life scores were measured at baseline. A culturally -adapted structured CMD self-management education program was delivered and the same parameters were taken at 3 and 6 months follow-up. Inductive contextual analysis of In-depth interviews and focus group discussions were used to complement quantitative findings.
Results: fifty-eight percent of the participants were females—a mean age of 59 years. After 6 months, mean weight and waist circumference decreased by 1.61kg and 3.26cm, respectively. Systolic and diastolic blood pressures fell by 5mmHg and 3mmHg, respectively. Random blood glucose decreased by 1.4 mmol/L, while HbA1c increased by 1%. There was no change in well-being or quality of life. Participants had minimal education and were indifferent to self-care practices. Barriers to self-care included financial constraints, stigma, belief systems, and conflicting messaging.
Conclusion: structured SMEs for CMDs are lacking in low-resource settings despite their potential benefits. Addressing financial barriers is crucial to ensure the accessibility and sustainability of these beneficial programs.
