[en] BACKGROUND: A number of studies investigated the general practitioners' and family physicians' knowledge, attitude, and practice (KAP) on diabetes. However, studies on internists' KAP on diabetes management are limited. This study aimed to investigate the Iranian internists' KAP on diabetes mellitus and its management.
METHODS: A cross-sectional study was conducted on a random sample of internists who participated in the 26th annual congress of internists in Tehran, Iran. The level of KAP and affecting factor was evaluated by a validated instrument.
RESULTS: One-hundred internists with the mean age of 41.98±9.26 years were evaluated. Totally, the physicians possessed 66.29%±19.5%, 50.44%±19.39%, and 64.5%±15.3% of the scores in KAP, respectively. The time since graduation in general medicine had significant negative correlation with their knowledge and practice, that was along with the subjects' age (P<0.05). The KAP level had not significant difference between subjects participated in a continuing medical education (CME) program during the last year compared to subjects did not participated (P>0.05). Attitude, and practice scores were significantly higher in physicians who were working at diabetes clinic (P<0.05), and attitude was more in physicians working at teaching hospitals compared to those who were not working (57.82 vs. 47.72, P=0.020).
CONCLUSION: According to our results, subjects' age and time since graduation in general medicine and specialty were inversely correlated by knowledge and practice. So internists with older age seems to be in priority for educational programs. And holding CME programs in current forms seems to be not suitable to increase the KAP regarding diabetes.
Disciplines :
Endocrinology, metabolism & nutrition
Author, co-author :
Niroomand, Mahtab; Division of Endocrinology, Department of Internal Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Ghasemi, Seyedeh Najmeh; Division of Endocrinology, Department of Internal Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Karimi-Sari, Hamidreza ; Student Research Committee, Baqiyatallah University of Medical Sciences, Tehran, Iran. dr.karimih@yahoo.com
Khosravi, Mohammad Hossein ; Université de Liège - ULiège ; Student Research Committee, Baqiyatallah University of Medical Sciences, Tehran, Iran
Language :
English
Title :
Knowledge, Attitude, and Practice of Iranian Internists Regarding Diabetes: A Cross Sectional Study.
King H, Aubert RE, Herman WH. Global burden of diabetes, 1995-2025: prevalence, numerical estimates, and projections. Diabetes Care 1998;21:1414-31
Arashnia R, Roohi-Gilani K, Karimi-Sari H, Nikjoo N, Bahramifar A. Effect of pioglitazone therapy on high sensitive C-reactive protein and lipid profile in diabetic patients with renal transplantation; a randomize clinical trial. J Nephropathol 2015; 4:48-53
Esteghamati A, Gouya MM, Abbasi M, Delavari A, Alikhani S, Alaedini F, Safaie A, Forouzanfar M, Gregg EW. Prevalence of diabetes and impaired fasting glucose in the adult population of Iran: national survey of risk factors for non-communicable diseases of Iran. Diabetes Care 2008;31:96-8
American Diabetes Association. Standards of medical care in diabetes: 2012. Diabetes Care 2012;35 Suppl 1:S11-63
American Diabetes Association. Standards of medical care in diabetes: 2013. Diabetes Care 2013;36 Suppl 1:S11-66
Danaei G, Singh GM, Paciorek CJ, Lin JK, Cowan MJ, Finucane MM, Farzadfar F, Stevens GA, Riley LM, Lu Y, Rao M, Ezzati M; Global Burden of Metabolic Risk Factors of Chronic Diseases Collaborating Group. The global cardiovascular risk transition: associations of four metabolic risk factors with national income, urbanization, and Western diet in 1980 and 2008. Circulation 2013;127:1493-502e1-8
Bi Y, Yan JH, Liao ZH, Li YB, Zeng LY, Tang KX, Xue YM, Yang HZ, Li L, Cai DH, Wu G, Zhang F, Lin SD, Xiao ZH, Zhu DL, Weng JP. Inadequate glycaemic control and antidiabetic therapy among inpatients with type 2 diabetes in Guangdong Province of China. Chin Med J (Engl) 2008;121:677-81
Mokdad AH, Ford ES, Bowman BA, Dietz WH, Vinicor F, Bales VS, Marks JS. Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001. JAMA 2003;289:76-9
Shakibazadeh E, Bartholomew LK, Rashidian A, Larijani B. Persian Diabetes Self-Management Education (PDSME) program: evaluation of effectiveness in Iran. Health Promot Int 2016;31:623-34
Shilubane HN, Potgieter E. Patients' and family members' knowledge and views regarding diabetes mellitus and its treatment. Curationis 2007;30:58-65
Niroomand M, Ghasemi SN, Karimi-Sari H, Kazempour-Ardebili S, Amiri P, Khosravi MH. Diabetes knowledge, attitude and practice (KAP) study among Iranian in-patients with type-2 diabetes: a cross-sectional study. Diabetes Metab Syndr 2016;10(1 Suppl 1):S114-9
Aghili R, Malek M, Baradaran HR, Peyvandi AA, Ebrahim Valojerdi A, Khamseh ME. General practitioners' knowledge and clinical practice in management of people with type 2 diabetes in Iran: the impact of continuous medical education programs. Arch Iran Med 2015;18:582-5
Roter DL, Hall JA, Merisca R, Nordstrom B, Cretin D, Svarstad B. Effectiveness of interventions to improve patient compliance: a meta-analysis. Med Care 1998;36:1138-61
Ellis SE, SperoffT, Dittus RS, Brown A, Pichert JW, Elasy TA. Diabetes patient education: a meta-analysis and meta-regression. Patient Educ Couns 2004;52:97-105
Sousa VD, Zauszniewski JA, Musil CM, Price Lea PJ, Davis SA. Relationships among self-care agency, self-efficacy, self-care, and glycemic control. Res Theory Nurs Pract 2005;19:217-30
Strategies for Improving Diabetes Care in Nigeria (SIDCAIN) Research Group. Knowledge of diabetes and hypertension care among health care workers in southwest Nigeria. Postgrad Med 2009;121:173-7
Shera AS, Jawad F, Basit A. Diabetes related knowledge, attitude and practices of family physicians in Pakistan. J Pak Med Assoc 2002;52:465-70
Mabrouk N, Abdou M, Nour-Eldin H, El-Foly AA, Omar SA, Sliem HA. Knowledge, attitude, and practice of family physicians regarding diabetic neuropathy in family practice centers: Suez Canal University. Int J Med Public Health 2013;3:230-4
Peimani M, Tabatabaei-Malazy O, Heshmat H, Amiri moghaddam S, Sanjari M, Pajouhi M. Knowledge, attitude and practice of physicians in the field of diabetes and its complications: a pilot study. J Diabetes Metab Disord 2010;9:1-7
Gosmanova A, Gosmanov N. Assessing diabetes-related knowledge among internal medicine residents using multiple-choice questionnaire. Am J Med Sci 2009;338:348-52