Diabetes Metab J.  2017 Jun;41(3):179-186. 10.4093/dmj.2017.41.3.179.

Knowledge, Attitude, and Practice of Iranian Internists Regarding Diabetes: A Cross Sectional Study

Affiliations
  • 1Division of Endocrinology, Department of Internal Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  • 2Student Research Committee, Baqiyatallah University of Medical Sciences, Tehran, Iran. dr.karimih@yahoo.com

Abstract

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.

Keyword

Attitude; Diabetes management; Diabetes mellitus; Knowledge; Practice

MeSH Terms

Cross-Sectional Studies
Diabetes Mellitus
Education, Medical, Continuing
Hospitals, Teaching
Humans
Iran

Figure

  • Fig. 1 The validity and reliability checking process of study questionnaire. CVI, content validity index; S-CVI, simplicity-CVI; C-CVI, clarity-CVI; R-CVI, relevance-CVI; CVR, content validity ratio.


Reference

1. King H, Aubert RE, Herman WH. Global burden of diabetes, 1995-2025: prevalence, numerical estimates, and projections. Diabetes Care. 1998; 21:1414–1431. PMID: 9727886.
Article
2. 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. PMID: 25964889.
3. 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; 31:96–98. PMID: 17921357.
4. American Diabetes Association. Standards of medical care in diabetes: 2012. Diabetes Care. 2012; 35(Suppl 1):S11–S63. PMID: 22187469.
5. American Diabetes Association. Standards of medical care in diabetes: 2013. Diabetes Care. 2013; 36(Suppl 1):S11–S66. PMID: 23264422.
6. 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; 127:1493–1502. 1502e1–1502e8. PMID: 23481623.
7. 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; 121:677–681. PMID: 18701017.
Article
8. 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; 289:76–79. PMID: 12503980.
Article
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; 31:623–634. PMID: 25761821.
Article
10. Shilubane HN, Potgieter E. Patients' and family members' knowledge and views regarding diabetes mellitus and its treatment. Curationis. 2007; 30:58–65. PMID: 17703823.
Article
11. 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–S119.
Article
12. 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; 18:582–585. PMID: 26317599.
13. 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; 36:1138–1161. PMID: 9708588.
14. Ellis SE, Speroff T, Dittus RS, Brown A, Pichert JW, Elasy TA. Diabetes patient education: a meta-analysis and meta-regression. Patient Educ Couns. 2004; 52:97–105. PMID: 14729296.
Article
15. 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; 19:217–230. PMID: 16144240.
Article
16. 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; 121:173–177.
17. Shera AS, Jawad F, Basit A. Diabetes related knowledge, attitude and practices of family physicians in Pakistan. J Pak Med Assoc. 2002; 52:465–470. PMID: 12553676.
18. 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; 3:230–234.
Article
19. 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.
20. Gosmanova A, Gosmanov N. Assessing diabetes-related knowledge among internal medicine residents using multiple-choice questionnaire. Am J Med Sci. 2009; 338:348–352. PMID: 19838101.
Article
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