Search this journal:     Advanced search
Original Research

A situational analysis of training for behaviour change counselling for primary care providers, South Africa

Zelra Malan, Bob Mash, Katherine Everett-Murphy

African Journal of Primary Health Care & Family Medicine; Vol 7, No 1 (2015), 10 pages. doi: 10.4102/phcfm.v7i1.731

Submitted: 18 June 2014
Published:  18 March 2015

Abstract

Background: Non-communicable diseases and associated risk factors (smoking, alcohol abuse, physical inactivity and unhealthy diet) are a major contributor to primary care morbidity and the burden of disease. The need for healthcare-provider training in evidence-based lifestyle interventions has been acknowledged by the National Department of Health. However, local studies suggest that counselling on lifestyle modification from healthcare providers is inadequate and this may, in part, be attributable to a lack of training.

Aim: This study aimed to assess the current training courses for primary healthcare providers in the Western Cape.

Setting: Stellenbosch University and University of Cape Town.

Methods: Qualitative interviews were conducted with six key informants (trainers of primary care nurses and registrars in family medicine) and two focus groups (nine nurses and eight doctors) from both Stellenbosch University and the University of Cape Town.

Results: Trainers lack confidence in the effectiveness of behaviour change counselling and in current approaches to training. Current training is limited by time constraints and is not integrated throughout the curriculum – there is a focus on theory rather than modelling and practice, as well as a lack of both formative and summative assessment. Implementation of training is limited by a lack of patient education materials, poor continuity of care and record keeping, conflicting lifestyle messages and an unsupportive organisational culture.

Conclusion: Revising the approach to current training is necessary in order to improve primary care providers’ behaviour change counselling skills. Primary care facilities need to create a more conducive environment that is supportive of behaviour change counselling.


Full Text:  |  HTML  |  EPUB  |  XML  |  PDF (378KB)

Author affiliations

Zelra Malan, Family Medicine and Primary Care, Stellenbosch University, South Africa
Bob Mash, Family Medicine and Primary Care, Stellenbosch University, South Africa
Katherine Everett-Murphy, Chronic Diseases Initiative in Africa (CDIA), Faculty of Health Sciences, University of Cape Town, South Africa

Metrics

Total abstract views: 2179
Total article views: 3777  

Cited-By

1. Qualitative evaluation of primary care providers experiences of a training programme to offer brief behaviour change counselling on risk factors for non-communicable diseases in South Africa
Zelra Malan, Robert Mash, Katherine Everett-Murphy
BMC Family Practice  vol: 16  issue: 1  year: 2015  
doi: 10.1186/s12875-015-0318-6

Comments on this article

Before posting your comment, please read our policy.
Post a Comment (Login required)


ISSN: 2071-2928 (print) | ISSN: 2071-2936 (online)

Connect on: Facebook, Twitter, Google+, LinkedIn and YouTube

Subscribe to our newsletter

All articles published in this journal are licensed under the Creative Commons Attribution 4.0 International (CC BY 4.0) license, unless otherwise stated.

Website design & content: ©2016 AOSIS (Pty) Ltd. All rights reserved. No unauthorised duplication allowed.

AOSIS Publishing | Empowering Africa through access to knowledge
Postnet Suite #110, Private Bag X19, Durbanville, South Africa, 7551
Tel: 086 1000 381 
Tel: +27 21 975 2602 
Fax: 086 5004 974

publishing(AT)aosis.co.za replace (AT) with @

Please read the privacy statement.