1.Diabetes-related attitudes of health care providers in Rural Health Centers in Aklan, Philippines using the Filipino Version of Diabetes Attitude Scale (DAS-3)
Alistair Kashmir De la Cruz ; Ceryl Cindy Tan ; Makarius Dela Cruz
Journal of the ASEAN Federation of Endocrine Societies 2019;34(2):180-188
		                        		
		                        			Objectives:
		                        			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=<0.001) were found out to affect attitude score of health care providers.
		                        		
		                        			Conclusions
		                        			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
		                        		
		                        		
		                        		
		                        			Diabetes Mellitus, Type 2
		                        			;
		                        		
		                        			 Attitude
		                        			;
		                        		
		                        			 Rural Health Services
		                        			
		                        		
		                        	
            

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