Barriers, attitudes, confidence, and knowledge of nurses regarding metabolic health screening and intervention in people with mental illness: a pilot study from Uganda.

Journal: African health sciences

Volume: 19

Issue: 3

Year of Publication: 2020

Affiliated Institutions:  KU Leuven - University of Leuven, Department of Rehabilitation Sciences, Leuven, Belgium. Keeping the Body in Mind Program, The Bondi Centre, South Eastern Sydney Local Health District, Sydney, NSW, Australia. School of Psychiatry, University of New South Wales, Sydney, Australia. KU Leuven - University of Leuven, University Psychiatric Center KU Leuven, Kortenberg, Belgium. Kyambogo University, Kampala, Uganda.

Abstract summary 

People with mental illness are at an increased risk for developing cardio-metabolic disorders. Routine screening following pharmacotherapy is however unacceptably low in sub-Saharan African countries with less than 1% adequately screened. It is unknown whether this is due to a lack of adequate competences.The aim of this pilot study was to assess the barriers, attitudes, confidence, and knowledge of nurses regarding metabolic health, prevention and treatment in Uganda.Twenty-eight nurses (39% female, 30.9±6.9 years) completed the Metabolic - Barriers, Confidence, Attitudes and Knowledge Questionnaire and the physical activity prescription rate item of the Exercise in Mental Illness Questionnaire.More than 75% had a positive attitude towards metabolic screening and intervention and more than 50% were confident in providing smoking cessation advice, and physical activity and nutritional counseling. However, 57% stated that their heavy workload prevented them from doing health screening and promotion activities. There was a negative correlation (ρ=-0.54, P=0.003) between the frequency of physical activity prescription and the perception of the inability of patients to change.The present findings suggest that nurses are generally supportive of metabolic health screening and intervention but their high workload prevents them from implementing metabolic health interventions.

Authors & Co-authors:  Vancampfort Davy D Watkins Andrew A Ward Philip B PB Probst Michel M De Hert Marc M Van Damme Tine T Mugisha James J

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Whiteford HA, Degenhardt L, Rehm J, Baxter AJ, Ferrari AJ, Erskine HE, et al. Global burden of disease attributable to mental and substance use disorders: findings from the Global Burden of Disease Study 2010. The Lancet. 2013;382(9904):1575–1586. doi: 10.1016/S0140-6736(13)61611-6.
Authors :  7
Identifiers
Doi : 10.4314/ahs.v19i3.30
SSN : 1729-0503
Study Population
Male,Female
Mesh Terms
Adult
Other Terms
Exercise;diet;metabolic syndrome;screening;smoking
Study Design
Cross Sectional Study
Study Approach
Country of Study
Uganda
Publication Country
Uganda