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Published on: August 1, 2019
Lifestyle, cardiovascular risk knowledge and patient counselling among selected sub-Saharan African family physicians
Pius O Ameh1, Kenneth Yakubu, Miriam Miima
1Department of Accident and Emergency, Federal Medical Centre, Keffi. piusameh@gmail.com.
Insights
Physician lifestyle and knowledge impact cardiovascular disease (CVD) patient counseling in sub-Saharan Africa. Improving physician training and self-awareness is crucial for better CVD prevention strategies.
Area of Science:
- Public Health
- Cardiology
- Medical Education
Background:
- Cardiovascular disease (CVD) mortality is increasing in sub-Saharan Africa (SSA).
- Primary care physicians are key to implementing CVD prevention and treatment strategies.
- Addressing physician practices is vital for public health outcomes in SSA.
Purpose of the Study:
- To investigate the link between family physicians' (FPs) lifestyle, CVD prevention knowledge, and their patient counseling practices in SSA.
- To identify factors influencing CVD counseling rates among FPs and family medicine (FM) trainees.
- To inform strategies for enhancing CVD prevention in primary care settings.
Main Methods:
- A web-based, cross-sectional study involving FPs and FM trainees in Anglophone SSA.
- Validated, self-administered questionnaires assessed CVD prevention knowledge, lifestyle, and counseling habits.
- Statistical analysis explored relationships between physician practices and patient counseling.
Main Results:
- Most participants demonstrated good CVD prevention knowledge but suboptimal lifestyle practices.
- Physicians frequently counseled on nutrition but less on weight management, exercise, smoking, and alcohol.
- Physician lifestyle and practice region predicted patient counseling rates.
Conclusions:
- Enhanced training in patient counseling and self-awareness is needed for FPs.
- Promoting healthy physician lifestyles can positively influence patient care.
- Further research is required to understand the complex interplay between physician lifestyle and patient counseling.
Background:
Cardiovascular disease (CVD)-related deaths in sub-Saharan Africa (SSA) are on the rise, and primary care physicians could facilitate the reversal of this trend through treatment and prevention strategies.
Aim:
The aim of this study was to determine the relationship between physician lifestyle practices, CVD prevention knowledge and patient CVD counselling practices among family physicians (FPs) and family medicine (FM) trainees affiliated to FM colleges and organisations in SSA.
Setting:
FPs and FM trainees affiliated to FM colleges and organisations in Anglophone SSA.
Methods:
A web-based cross-sectional analytical study was conducted using validated, self-administered questionnaires. Following collation of responses, the relationship between the participants' CVD prevention knowledge, lifestyle practices and CVD counselling rates was assessed.
Results:
Of the 174 participants (53% response rate), 83% were married, 51% were females and the mean age was 39.2 (standard deviation [SD] 7.6) years. Most of the participants responded accurately to the CVD prevention knowledge items, but few had accurate responses on prioritising care by 10-year risk. Most participants had less than optimal lifestyle practices except for smoking, vegetable or fruit ingestion and sleep habits. Most participants (65%) usually counselled patients on nutrition, but less frequently on weight management, exercise, smoking and alcohol. The region of practice and physicians with poor lifestyle were predictive of patient counselling rates.
Conclusion:
Training on patient counselling and self-awareness for CVD prevention may influence patient counselling practice. Promoting quality training on patient counselling among FPs as well as a healthy self-awareness for CVD prevention is thus needed. The complex relationship between physician lifestyle and patient counselling warrants further study.
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