Diabetes-Related Attitudes of Health Care Providers in Rural Health Centers in Aklan, Philippines using the Filipino version of Diabetes Attitude Scale (DAS-3)
Objective. To determine the beliefs and attitudes towards diabetes of rural health care providers in Aklan, Philippines using the Diabetes Attitude Scale 3 (DAS-3) and to determine factors associated with it.
Methodology. This is a cross-sectional analytic survey. A total of 339 health care providers were given self-administered DAS-3 questionnaires. Additional data gathered included their age, highest educational attainment, position, municipality class, diabetes as a co-morbidity, attendance to diabetes classes, and family history of diabetes.
Results. Rural health care providers showed an overall mean positive attitude score of 3.5 using the DAS-3 questionnaire. In decreasing order, mean scores of participants according to subscale is as follows: “Need for Special Training in Education” (4.13) >“Autonomy of diabetes for patients” (3.70) >“Psychosocial Impact of Diabetes” (3.60) >“Value of Tight Glucose Control” (3.14) and “Seriousness of Type 2 Diabetes” (3.09). Physicians have the highest mean scores consistently in all subscales compared to other health care providers. Among the different factors considered, educational attainment (p=0.005) and work position (p=
Conclusion. This study has shown that the majority of the rural health care providers believe in the need for special training of healthcare providers, psychosocial impact of diabetes and patient autonomy in diabetes self-care. However, the majority still do not strongly believe in the seriousness of diabetes and the benefits of tight sugar control. Educational attainment and work position are the consistent factors that impact diabetes-related attitude; therefore, the need to strengthen continuous medical education among health care providers.
World Health Organization. Philippines - Diabetes country profiles. http://www.who.int/diabetes/country-profiles/phl_en.pdf?ua=1. Accessed July 4, 2017.
Fojas MC, Lantion-Ang FL, Jimeno CA, et al. Complications and cardiovascular risk factors among newly-diagnosed type 2 diabetics in Manila. Philipp J Intern Med. 2009 May;47(3):99-105. https://www.pcp.org.ph/documents/PJIM/Volume% 2047 %20(2009)/Number%203%20(May-June)/2Complications%20and%20Cardiovascular.pdf.
Department of Health. The Philippine health system at a glance. https://www.doh.gov.ph/sites/default/files/basic-page/chapter-one.pdf. Accessed August 9, 2017.
Paz-Pacheco E, Jimeno C. Diabetes care in the Philippines. J ASEAN Fed Endocr Soc. 2015;30(2):118-25. https://doi.org/10.15605/jafes.030.02.17.
Grundy J, Healy V, Gorgolon L, Sandig E. Overview of devolution of health services in the Philippines. Rural Remote Health. 2003;3(2):220. https://www.ncbi.nlm.nih.gov/pubmed/15877513.
Gagliardino JJ, González C, Caporale JE; Diabetes Education Study Group of Argentina. The diabetes-related attitudes of health care professionals and persons with diabetes in Argentina. Rev Panam Salud Pública. 2007;22(5):304-7. https://www.ncbi.nlm.nih.gov/pubmed/18198038. https://doi.org/10.1590/s1020-49892007001000002.
Anderson RM, Fitzgerald JT, Funnell MM, Gruppen LD. The third version of the Diabetes Attitude Scale. Diabetes Care. 1998;21(9):1403-7. https://www.ncbi.nlm.nih.gov/pubmed/9727884. https://doi.org/10.2337/diacare.21.9.1403.
Yao, CS, Jimeno, CA, Trajano-Acampado, L. A survey of diabetes-related attitudes among patients at the UP-PGH patient department using the Filipino version of the Diabetes Attitude Scale (DAS-3). Philipp J Intern Med. 2004; 42:261–74.
Ardeña GJ, Paz-Pacheco E, Jimeno CA, Lantion-Ang FL, Paterno E, Juban N. Knowledge, attitudes and practices of persons with type 2 diabetes in a rural community: Phase I of the community-based Diabetes Self-Management Education (DSME) Program in San Juan,Batangas, Philippines. Diabetes Res Clin Pract. 2010;90(2):160-6. https://www.ncbi.nlm.nih.gov/pubmed/20828851. https://doi.org/10.1016/j.diabres.2010.08.003.
Department of Finance. Department Order No.23-08: Prescribing the new income brackets for the re-classification of provinces, cities and municipalities and amending for the purpose Department Order No. 20-05, dated July 29, 2005. July 29, 2008. https://web.archive.org/ web/20160304083823/http://nscb.gov.ph/activestats/psgc/articles/DepOrderReclass.pdf. Accessed July 4, 2017.
Toledo MM, Rodrigues Costa JS, da Silva E. Diabetes educator: Current perspectives on their importance (editorial). JSM Diabetol Manag. 2016;1(1):1001.
Lifetime benefits and costs of intensive therapy as practiced in the diabetes control and complications trial. The Diabetes Control and Complications Trial Research Group JAMA. 1996;276(17):1409-15. https://www.ncbi.nlm.nih.gov/pubmed/8892716.
Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). UK Prospective Diabetes Study (UKPDS) Group. Lancet. 1998;352(9131):837-53. https://www.ncbi.nlm.nih.gov/pubmed/9742976.
Nakar S, Yitzhaki G, Rosenberg R, Vinker S. Transition to insulin in Type 2 diabetes: Family physicians' misconception of patients' fears contributes to existing barriers. J Diabetes Complications.2007;21(4):220-6. https://www.ncbi.nlm.nih.gov/pubmed/17616351. https://doi.org/10.1016/j.jdiacomp.2006.02.004.
Babelgaith SD, Alfadly S, Baidi M. Assessment of the attitude of health care professionals towards diabetes care in Mukalla, Yemen. Int J Public Health Sciences. 2013;2(4):159-64.
Bani-issa W, Eldeirawi K, Al Tawil H. Perspectives on the attitudes of healthcare professionals toward diabetes in community health settings in United Arab Emirates. JDM. 2014;5(1):1-11.
Dagangon LH, Perez GG, Tupas MS. Training needs analysis of barangay health workers of Davao City. UIC Research Journal.2018;20(1):207-29.
Steele CJ, Schöttker B, Marshall AH, et al. Education achievement and type 2 diabetes—what mediates the relationship in older adults? Data from the ESTHER study: A population-based cohort study. BMJ Open. 2017;7(4):e013569. https://www.ncbi.nlm.nih.gov/pubmed/ 28420660. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5719655.https://doi.org/10.1136/bmjopen-2016-013569.
Copyright (c) 2019 Journal of the ASEAN Federation of Endocrine Societies
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Journal of the ASEAN Federation of Endocrine Societies is licensed under a Creative Commons Attribution-NonCommercial 4.0 International. (full license at this link: http://creativecommons.org/licenses/by-nc/3.0/legalcode).
To obtain permission to translate/reproduce or download articles or use images FOR COMMERCIAL REUSE/BUSINESS PURPOSES from the Journal of the ASEAN Federation of Endocrine Societies, kindly fill in the Permission Request for Use of Copyrighted Material and return as PDF file to firstname.lastname@example.org or email@example.com.
A written agreement shall be emailed to the requester should permission be granted.