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Impact of Diabetes Continuing Education on Primary Healthcare Physicians’ Knowledge, Attitudes, and Practices

Authors Almetahr H, Almutahar E, Alkhaldi Y, Alshehri I, Assiri A, Shehata S, Alsabaani A

Received 12 August 2020

Accepted for publication 4 October 2020

Published 21 October 2020 Volume 2020:11 Pages 781—790


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Dr Md Anwarul Azim Majumder

Hosam Almetahr,1 Ethar Almutahar,2 Yahia Alkhaldi,3 Ibrahim Alshehri,3 Ali Assiri,3 Shehata Shehata,4,5 Abdullah Alsabaani4

1Preventive Medicine Department, Armed Forces Hospital, Ministry of Defense, Jazan, Saudi Arabia; 2Department of Obstetrics and Gynecology, Abuarish General Hospital, Ministry of Health, Jazan, Saudi Arabia; 3General Directorate of Aseer Health Affairs, Ministry of Health, Abha, Saudi Arabia; 4Family and Community Medicine Department, College of Medicine, King Khalid University, Abha, Saudi Arabia; 5Department of Biostatistics, High Institute of Public Health, Alexandria University, Alexandria, Egypt

Correspondence: Hosam Almetahr Preventive Medicine Department
Armed Forces Hospital, Ministry of Defense, Abuarish, Jazan 45911, Saudi Arabia
Tel +966545919114

Background: Little is known about the impact of diabetes mellitus (DM) continuing education (CE) programs on the knowledge, attitudes, and practices of primary healthcare physicians (PHPs) in the Arab world. Accordingly, we aimed to evaluate the effectiveness of a diabetes CE program on the knowledge, attitudes and practices of PHPs in Aseer region, Saudi Arabia.
Methods: This was a quasi-experimental study using a pre-test and post-test design. PHPs attended a three-day diabetes CE session and completed a standardized questionnaire before and after the training session. Also, their practices were assessed by reviewing the records of patients with DM before the CE program and three months later.
Results: A total of 51 PHPs completed the CE program. The sample had a mean (± SD) age of 33.8 ± 6.0 years, and 72.5% were male. The mean knowledge score increased from 14.33 (± 3.37) to 17.61 (± 2.57) (p < 0.001), and the rate of good knowledge increased from 39 (76.5%) before to 51 (100.0%) after (p < 0.001). There was no significant difference in the mean attitude scores before and after the intervention (3.79 vs 3.86; p = 0.10), respectively. Overall, PHPs’ practices related to glycosylated hemoglobin estimation (p = 0.004), foot care (p = 0.02), diet (p < 0.001), exercise (p < 0.001), and weight assessment (p < 0.001) significantly improved following the intervention.
Conclusion: The CE program for PHPs was effective in addressing knowledge gap of PHPs and in improving their practices towards quality patient care.

Keywords: continuing education, diabetes mellitus, knowledge, attitude, practice, primary care physicians

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