Acceptability of a resource-oriented approach (DIALOG+) among patients with chronic physical illnesses in primary health care-Uganda, a qualitative study.

Journal: BMC primary care

Volume: 25

Issue: 1

Year of Publication: 2024

Affiliated Institutions:  Department of Psychiatry, Makerere University College of Health Sciences, Kampala, Uganda. rarukiri@gmail.com. Department of Psychiatry, Makerere University College of Health Sciences, Kampala, Uganda. Butabika National Referral Mental Hospital, Kampala, Uganda. Youth Resilience Unit, Wolfson Institute of Population Health, Queen Mary University of London, London, UK. Unit for Social and Community Psychiatry, WHO Collaborating Centre for Mental Health Services Development, Queen Mary University of London, London, UK. Department of Medicine, Makerere University College of Health Sciences, Kampala, Uganda.

Abstract summary 

Chronic physical illnesses are often associated with significant psychological distress and chronic mental illnesses are often co-morbid with physical illnesses. Efforts to integrate mental health into primary health care in Uganda are underway. However, there are enormous logistical challenges. Effective resource-oriented and evidence-based interventions such as DIALOG + have the potential to improve treatment outcomes for patients with chronic conditions. We aimed to assess the acceptability of DIALOG + among patients with chronic physical illnesses in Uganda.This was a qualitative aspect of a mixed methods exploratory non-controlled study conducted in chronic physical illness out-patient clinics at two hospitals in Uganda. We conducted fifteen in-depth interviews with patients, ten key informant interviews with clinicians, and four focus group discussions with patients. Thematic data analysis was done through an iterative process.The results support the acceptability of the intervention as evidenced by willingness to participate, better relationships between patients and clinicians, and improved control of both physical illnesses and psychological distress. Participants also talked about ways in which the implementation of DIALOG + could be improved.DIALOG + is acceptable among patients with chronic physical illness in primary health care settings in Uganda.

Authors & Co-authors:  Alinaitwe Racheal R Nakasujja N N Birabwa-Oketcho H H Dickens Akena A van Loggerenberg Francois F Muhwezi W W WW Musisi Seggane S Bird V V Priebe S S Sewankambo N N

Study Outcome 

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Citations :  Steel Z, et al. The global prevalence of common mental disorders: a systematic review and meta-analysis 1980–2013. Int J Epidemiol. 2014;43(2):476–93.
Authors :  10
Identifiers
Doi : 429
SSN : 2731-4553
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
Acceptability;Chronic physical illnesses;DIALOG+;Feasibility;Mental illness
Study Design
Exploratory Study
Study Approach
Qualitative,Mixed Methods
Country of Study
Uganda
Publication Country
England