Generic placeholder image

Current Diabetes Reviews

Editor-in-Chief

ISSN (Print): 1573-3998
ISSN (Online): 1875-6417

Review Article

Impact of Knowledge, Attitude and Practice on the Management of Type 2 Diabetes Mellitus in Developing Countries: A Review

Author(s): Sanjeev Kumar Gautam and Vivek Gupta*

Volume 18, Issue 3, 2022

Published on: 05 January, 2022

Article ID: e010521189965 Pages: 5

DOI: 10.2174/1573399817666210106104230

Price: $65

Abstract

Background: Diabetes is a major metabolic aggressive disease that has exponentially increased around the globe, including both developed and developing countries. The significant change in the lifestyle of people, attributed to the fast-paced living style and dietary conditions, are a few of the core reasons behind the disease. Multiple studies conducted in various developing countries conclude that patient education, along with adhered practices and attitudinal outlook, can significantly help in deterring the ill effects of diabetes mellitus.

Objective: The review aimed at understanding the impact of KAP on the management of diabetes mellitus in emerging economies.

Methods: Multi-central analytical cross-sectional and prospective studies were conducted for research in multiple countries with median per capita income of ~$4,000 (developing countries - Ethiopia, Bangladesh, Iraq, Iran, Nigeria, etc.), wherein significant difference was witnessed in the outlook of patients and related stakeholders, who had a decent score of KAP relative to ones with lower scores, towards type 2 diabetes mellitus.

Results: Among all the three variables that are capable of managing diabetes - knowledge, attitude and practice (KAP) - knowledge attained a high degree of importance as it served as the initial step to control DM. In developing countries, the ratio of people with knowledge - relating to disease - is significantly dependent on age, socio-economic status and education. As per the previous studies and their corresponding results, educational awareness is of utmost importance in order to eradicate myths and wrong information around the same.

Conclusion: The review concludes the importance of patient counseling to modify their KAP towards the disease will be highly effective in countries like India, where the count of diabetes mellitus patients is increasing aggressively. Investment in patient counselling to improve their KAP score will significantly help in palliating the effect of this disease.

Keywords: Type-2 diabetes bellitus, KAP score, patient counselling, morbidity, mortality, developing countries, per capita income.

[1]
Wee HL, Ho HK, Li SC. Public awareness of diabetes mellitus in Singapore. Singapore Med J 2002; 43(3): 128-34.
[PMID: 12005338]
[2]
Park K. Park’s Textbook of Preventive and Social Medicine. (21st ed). Jabalpur, India: M/S Banarsidas Bhanot Publishers 2011; pp. 362-7.
[3]
Shooka M, Norimah A, Ruzita A, Reza A. Knowledge, attitude and practices on diabetes among type 2 diabetic patients in Iran: A cross-sectional study. Sci J Public Health 2015; 3: 520-4.
[http://dx.doi.org/10.11648/j.sjph.20150304.20]
[4]
Niroomand M, Ghasemi SN, Karimi-Sari H, Kazempour-Ardebili S, Amiri P, Khosravi MH. Diabetes knowledge, attitude and practice (KAP) study among Iranian in-patients with type-2 diabetes: A cross-sectional study. Diabetes Metab Syndr 2016; 10(1)(Suppl. 1): S114-9.
[http://dx.doi.org/10.1016/j.dsx.2015.10.006] [PMID: 26610404]
[5]
Asmelash D, Abdu N, Tefera S, Baynes HW, Derbew C. Knowledge, attitude, and practice towards glycemic control and its associated factors among diabetes mellitus patients. J Diabetes Res 2019; 2019: 2593684.
[http://dx.doi.org/10.1155/2019/2593684] [PMID: 31089472]
[6]
Ghannadi S, Amouzegar A, Amiri P, Karbalaeifar R, Tahmasebinejad Z, Kazempour-Ardebili S. Evaluating the effect of knowledge, attitude, and practice selfmanagement in type 2 diabetic patients on dialysis. J Diabetes Res 2016; 2016: 3730875.
[http://dx.doi.org/10.1155/2016/3730875] [PMID: 27478845]
[7]
Marian OA, Joy. IO. Knowledge, attitudes and practices of people with type 2 diabetes mellitus in a Tertiary Health Care Centre, Umuahia, Nigeria. J Diabetes Metab 2012; 3(3): 187.
[http://dx.doi.org/10.4172/2155-6156.1000187]
[8]
Mohammed AAG, Al-Aaragi ANH, Merzah MA. Knowledge, attitude, and practice regarding diabetic mellitus among a sample of students at technical institute of Karbala. Med J Babylon 2018; 15(2): 164-8.
[9]
Ng SH, Chan KH, Zi YL, Chuah YH, Waseem AN, Kadirvelu A. Reality vs. Illusion: Knowledge, attitude and practice among diabetic patients. Int J Collab Res Intern Med Public Health 2012; 4(5): 724.
[10]
Roux ML, Walsh C, Reid M, Raubenheimer J. Diabetes-related knowledge, attitude and practices (KAP) of adult patients with type 2 diabetes mellitus in the Free State province, South Africa. South Afr J Clin Nutr 2018; 32(4): 83-90.
[http://dx.doi.org/10.1080/16070658.2018.1468536]
[11]
Fatema K, Hossain S, Natasha K, et al. Knowledge attitude and practice regarding diabetes mellitus among Nondiabetic and diabetic study participants in Bangladesh. BMC Public Health 2017; 17(1): 364.
[http://dx.doi.org/10.1186/s12889-017-4285-9] [PMID: 28446194]
[12]
Rahaman KS, Majdzadeh R, Holakouie Naieni K, Raza O. Knowledge, Attitude and Practices (KAP) regarding chronic complications of diabetes among patients with type 2 diabetes in Dhaka. Int J Endocrinol Metab 2017; 15(3): e12555.
[http://dx.doi.org/10.5812/ijem.12555] [PMID: 29201069]
[13]
Gupta RK, Shora TN, Jan R, Raina SK, Mengi V, Khajuria V. Knowledge, attitude and practices in type 2 diabetes mellitus patients in rural Northern India. Indian J Community Health 2015; 27(3): 327-33.
[14]
Kant R, Thapliyal V. Knowledge attitude and practice of type 2 diabetic patients in a tertiary care teaching hospital in India. Integr Food Nutr Metab 2015; 2(1): 131-5.
[15]
Solanki JD, Sheth NS, Shah CJ, Mehta HB. Knowledge, attitude, and practice of urban Gujarati type 2 diabetics: Prevalence and impact on disease control. J Educ Health Promot 2017; 6(1): 35.
[http://dx.doi.org/10.4103/jehp.jehp_101_15] [PMID: 28584835]
[16]
Rathod S. Santosh Kumar, Rathod GB, Parmar P. Knowledge, attitude and practice (KAP) of general population of Vadodara towards diabetes mellitus. IAIM 2018; 5(4): 1-6.
[17]
Konduru SS, Ranjan AKK, Muddada S, Shaik S, Vakkapatla LS. Assessment of diabetes related knowledge, attitude and practice among diabetics and non-diabetics using self prepared questionnaire for awareness of health promotion. Indian J Phar Pract 2017; 10(1): 32-8.
[http://dx.doi.org/10.5530/ijopp.10.1.8]

Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy