A cross-sectional study on knowledge, attitude, and practice among type 2 diabetes mellitus patients attending a primary health care center in the rural region of Tamil Nadu

Authors

DOI:

https://doi.org/10.15584/ejcem.2024.3.4

Keywords:

attitude, cross-sectional study, knowledge, practice, type 2 diabetes mellitus

Abstract

Introduction and aim. Diabetes mellitus (DM) is a basic metabolic disease of inadequate control of blood glucose levels. Hyperglycemia is exacerbated, and type 2 diabetes mellitus (T2DM) progresses both insulin resistance and β-cell dysfunction. Management of T2DM involves both lifestyle modification and pharmacological therapy. To achieve optimized health outcomes, the patient requires adequate knowledge, attitude, and practice, so educating the patients on these diseases is an effective strategy to reduce complications of T2DM.

Material and methods. This is a cross-sectional study which was conducted from August 2022 to January 2023. A total of 200 participants were enrolled with inclusion criteria to determine the knowledge, attitude, and practice of type 2 diabetes mellitus patients.

Results. The mean knowledge, attitude and practice (KAP) was 71.5%, 87.5%, and 40% respectively. There is a significant association between knowledge, attitude, practice questions, and socio-demographic characteristics. Education was strongly associated with having higher knowledge scores (p=0.001).

Conclusion. The study’s conclusions made clear the necessity of well-planned interventions to raise T2DM awareness among patients with low levels of education. Patients with T2DM may benefit from well-designed educational programs that encourage healthy behavior and these interventions can improve the quality of life of patients in rural region of Tamil Nadu.

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References

Palaniswamy LD. Knowledge, attitude and practice of exercise among patients with type 2 diabetes mellitus. J Med Sci Res. 2020;8(4):145-149. doi: 10.17727/JMSR.2020/8-19

Al-Maskari F, El-Sadig M, Al-Kaabi JM, Afandi B, Nagelkerke N, Yeatts KB. Knowledge, attitude and practices of diabetic patients in the United Arab Emirates. PLoS One. 2013;8(1):e52857. doi: 10.1371/journal.pone.0052857

El Arifeen S, Christou A, Reichenbach L, et al. Community-based approaches and partnerships: innovations in health-service delivery in Bangladesh. Lancet. 2013;382(9909):2012-2026. doi: 10.1016/S0140-6736(13)62149-2

Steyn NP, Mann J, Bennett P, et al. Diet, nutrition and the prevention of type 2 diabetes. Public Health Nutr. 2004;7(1a):147-165. doi: 10.1079/PHN2003586

Okonta HI, Ikombele JB, Ogunbanjo GA. Knowledge, attitude and practice regarding lifestyle modification in type 2 diabetic patients. African J Primary Health Care Family Med. 2014;6(1):6. doi: 10.4102/phcfm.v6i1.655

Upadhyay DK, Palaian S, Shankar PR, Mishra P, Pokhara N. Knowledge, attitude and practice about diabetes among diabetes patients in western Nepal. Rawal Med J. 2008;33(1):8-11. doi: 10.5812/RMJ.114088

Shah VN, Kamdar P, Shah N. Assessing the knowledge, attitudes and practice of type 2 diabetes among patients of Saurashtra region, Gujarat. Int J Diab Developing Countries. 2009;29(3):118. doi: 10.4103/0973-3930.54288

Ambigapathy R, Ambigapathy S, Ling H. A knowledge, attitude and practice (KAP) study of diabetes mellitus among patients attending Klinik Kesihatan Seri Manjung. NCD Malaysia. 2003;2(2):6-16. doi: 10.18203/2394-6040.ijcmph20183824

Ng SH, Chan KH, Lian ZY, Chuah YH, Noora A. Reality vs illusion: knowledge, attitude and practice among diabetic patients. Int J Collab Res Internal Med. 2012;4(5):723. doi: 10.14503/3745-7649.34109

Mohammadi S, Karim NA, Talib RA, Amani R. Knowledge, attitude and practices on diabetes among type 2 diabetic patients in Iran: A cross-sectional study. Sci J Public Health. 2015;3:520-524. doi: 10.11648/j.sjph.20150304.20

Rahaman KS, Majdzadeh R, Holakouie Naieni K, Raza O. Knowledge, attitude and practices (KAP) regarding chronic complications of diabetes among patients with type 2 diabetes in Dhaka. Int J Endocrinol Metab. 2017;15:e12555. doi: 10.5812/ijem.12555

Magbanua E, Lim-Alba R. Knowledge and practice of diabetic foot care in patients with diabetes at Chinese general hospital and medical center. J ASEAN Federat Endocrine Soc. 2017;32:1-19. doi: 10.15605/jafes.032.02.05

Karaoui LR, Deeb ME, Nasser L, Hallit S. Knowledge and practice of patients with diabetes mellitus in Lebanon: A cross-sectional study. BMC Public Health. 2018;18:525. doi: 10.1186/s12889-018-5416-7

Phuong CM, Hue DT, Thuy NH. Communication on health education to prevent pre-diabetes-diabetes. J Pract Med. 2011;11:6-9. doi: 10.11080/JPM.2011.02.555594

Nhung NT, Dao MA. Knowledge and practice of diabetes prevention among elderly people in two communes of Vu Ban, Nam Dinh province in 2001. J Pract Med. 2013;5:72-75. doi: 10.13073/JPM.2013.03.54862

Saadia Z, Rushdi S, Alsheha M, Saeed H, Rajab M. A study of knowledge attitude and practices of Saudi women towards diabetes mellitus. A (KAP) study in Al-Qassim Region. Internet J Health. 2009;11:1-7. doi: 10.5580/1d29

Singh R, Maharjan PL, Gupta N. Knowledge of diabetes among diabetic patients attending diabetes clinic in Kathmandu Nepal. Int J Health Sci Res. 2013;3(10):37-40. doi: 10.864-65/76540

Wong N, Wang SS, Lamoureux E, et al. Blood pressure control and awareness among patients with diabetes and hypertension attending a tertiary ophthalmic clinic. Diabet Med. 2009;26(1):34-39. doi: 10.1111/j.1464-5491.2008.02614.x

Zaheera S, Salah A, Muneera S, et al. A study of knowledge attitude and practices of Saudi women towards diabetes mellitus. A (KAP) study in Al-Qassim region. Int J Health. 2010;11(2):29. doi: 10.5580/1d29

Tan MY, Magarey J. Self-care practices of Malaysian adults with diabetes and sub-optimal glycaemic control. Patient Education Counsel. 2008;72(2):252-267. doi: 10.1016/j.pec.2008.03.017

Blasco-Blasco M, Puig-García M, Piay N, Lumbreras B, Hernández-Aguado I, Parker LA. Barriers and facilitators to successful management of type 2 diabetes mellitus in Latin America and the Caribbean: A systematic review. PloS One. 2020;15(9):e0237542. doi: 10.1371/journal.pone.0237542

Srinivasan NK, John D, Rebekah G, Kujur ES, Paul P, John SS. Diabetes and diabetic retinopathy: knowledge, attitude, practice (KAP) among diabetic patients in a tertiary eye care Centre. J Clin Diagn Res. 2017;11(7):NC01. doi: 10.7860/JCDR/2017/27027.10174

Rahaman KS, Majdzadeh R, Holakouie Naieni K, Raza O. Knowledge, attitude and practices (KAP) regarding chronic complications of diabetes among patients with type 2 diabetes in Dhaka. Int J Endocrinol Metabol. 2017;15(3):e12555. doi: 10.5812/ijem.12555

Belsti Y, Akalu Y, Animut Y. Attitude, practice and its associated factors towards diabetes complications among type 2 diabetic patients at Addis Zemen District hospital, Northwest Ethiopia. BMC Public Health. 2020;20(1):785. doi: 10.1186/s12889-020-08953-6

Butler R, McClinchy J, Morreale-Parker C, Marsh W, Rennie KL. BMI calculation in older people: the effect of using direct and surrogate measures of height in a community-based setting. Clin Nutr. 2017;22:112-115. doi: 10.1016/j.clnesp.2017.07.078

Shawahna R, Fahed B, Qadri D, Sharawi L, Soroghli M, Dweik M. Awareness and knowledge of autism Spectrum disorders among pharmacists: a cross sectional study in Palestinian pharmacy practice. J Autism Dev Disord. 2017;47(6):1618-1627. doi: 10.1007/s10803-017-3085-5

Shawahna R, Atrash A, Jebril A, Khalaf A, Shaheen E, Tahboosh H. Evaluation of pharmacists’ knowledge of women’s issues in epilepsy: a cross-sectional study in Palestinian pharmacy practice. Seizure. 2017;46:1-6. doi: 10.1016/j.seizure.2017.01.002

Shawahna R, Atrash A, Jebril A, Khalaf A, Shaheen E, Tahboosh H. Pharmacists' knowledge of issues in pharmacotherapy of epilepsy using antiepileptic drugs: a cross-sectional study in Palestinian pharmacy practice. Epilepsy Behav. 2017;67:39-44. doi: 10.1016/j.yebeh.2016.11.027

Shawahna R, Al-Rjoub M. Risk of error estimated from Palestine pharmacists' knowledge and certainty on the adverse effects and contraindications of active pharmaceutical ingredients and excipients. J Educ Eval Health Prof. 2016;13:1. doi: 10.3352/jeehp.2016.13.1

Shawahna R, Haddad A, Khawaja B, Raie R, Zaneen S, Edais T. Medication dispensing errors in Palestinian community pharmacy practice: a formal consensus using the Delphi technique. Int J Clin Pharm. 2016;38(5):1112-1123. doi: 10.1186/s12913-019-4485-3

Shawahna R, Zyoud A, Jallad D, Hadwan L, Ihssan N, Hilal H. Blood zinc levels in nursing women from different regions of the West Bank of Palestine. Women Health. 2018;58(7):822-833. doi: 10.1080/03630242.2017.1342743

Demaio AR, Otgontuya D, de Courten M, et al. Exploring knowledge, attitudes and practices related to diabetes in Mongolia: a national population-based survey. BMC Public Health. 2013;13:236. doi: 10.1186/1471-2458-13-236

Fatema K, Hossain S, Natasha K, et al. Knowledge attitude and practice regarding diabetes mellitus among nondiabetic and diabetic study participants in Bangladesh. BMC Public Health. 2017;17(1):364. doi: 10.1186/s12889-017-4285-9

Karaoui LR, Deeb ME, Nasser L, Hallit S. Knowledge and practice of patients with diabetes mellitus in Lebanon: a cross-sectional study. BMC Public Health. 2018;18(1):525. doi: 10.1186/s12889-018-5416-7

Alsous M, Abdel Jalil M, Odeh M, Al Kurdi R, Alnan M. Public knowledge, attitudes and practices toward diabetes mellitus: a cross-sectional study from Jordan. PLoS One. 2019;14(3):e0214479. doi: 10.1371/journal.pone.0214479

Saleh F, Mumu SJ, Ara F, Begum HA, Ali L. Knowledge and self-care practices regarding diabetes among newly diagnosed type 2 diabetics in Bangladesh: a cross-sectional study. BMC Public Health. 2012;12:1112. doi: 10.1186/1471-2458-12-1112

Deepa M, Bhansali A, Anjana RM, et al. Knowledge and awareness of diabetes in urban and rural India: the Indian Council of Medical Research India diabetes study (phase I): Indian Council of Medical Research India diabetes 4. Indian J Endocrinol Metabol. 2014;18(3):379-385. doi: 10.4103/2230-8210.131191

Chatterjee S, Davies MJ, Heller S, Speight J, Snoek FJ, Khunti K. Diabetes structured self-management education programmes: a narrative review and current innovations. Lancet Diabet Endocrinol. 2018;6(2):130-142. doi: 10.1016/S2213-8587(17)30239-5

Rashed OA, Sabbah HA, Younis MZ, Kisa A, Parkash J. Diabetes education program for people with type 2 diabetes: an international perspective. Eval Program Plan. 2016;56:64-68. doi: 10.1016/j.evalprogplan.2016.02.002.

Brassard D, Laramée C, Robitaille J, Lemieux S, Lamarche B. Differences in population-based dietary intake estimates obtained from an interviewer-administered and a self-administered web-based 24-h recall. Front Nutr. 2020;7:137. doi: 10.3389/fnut.2020.00137

Bakare P, Sethi S, Mushtaq I, et al. A study of knowledge attitude practices and identification of perceived barriers towards screening for diabetic retinopathy amongst diabetics in an industrial area in western Maharashtra. Eur J Clin Exp Med. 2023;21(3):539-545. doi: 10.1186/s12875-023-02068-8

Lalwani RK, Shah JD, Chatterjea T, Nadakuduru PR, Erande S. Prevalence of depression in Indian patients with type 2 diabetes mellitus and/or hypertension: DEPTH Study. Eur J Clin Exp Med. 2019;17(4):315-325. doi: 10.15584/ejcem.2019.4.5

Islam FMA, Chakrabarti R, Dirani M, Islam MT, Ormsby G, et al. Knowledge, Attitudes and Practice of Diabetes in Rural Bangladesh: The Bangladesh Population Based Diabetes and Eye Study (BPDES). PLoS One. 2014;9(10): e110368. doi: 10.1371/journal.pone.0110368

Thabit MF. Awareness regarding diabetes mellitus and its complication in Type 2 diabetic patients. KMCJ. 2013;9(2):25-28. doi: 10.12889/9876.8

Shrestha L, Nagra JS. Knowledge, attitude and practice (KAP) study on diabetes mellitus among Nepalese diabetic patients. Nepal Med Coll J. 2005;7(1):51-53. doi: 10.16539/NMC.2005.5.7

Smalls BL, Walker RJ, Hernandez-Tejada MA, et al. Associations between coping, diabetes knowledge, medication adherence and self-care behaviors in adults with type 2 diabetes. Gen Hosp Psychiatry. 2012;34(4):385-389. doi: 10.1016/j.genhosppsych.2012.03.018

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Published

2024-09-30

How to Cite

Williams, H., & Ranganathan, S. (2024). A cross-sectional study on knowledge, attitude, and practice among type 2 diabetes mellitus patients attending a primary health care center in the rural region of Tamil Nadu. European Journal of Clinical and Experimental Medicine, 22(3), 498–506. https://doi.org/10.15584/ejcem.2024.3.4

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ORIGINAL PAPERS