PMID- 37791594
OWN - NLM
STAT- MEDLINE
DCOM- 20231005
LR  - 20231006
IS  - 1460-2245 (Electronic)
IS  - 0957-4824 (Print)
IS  - 0957-4824 (Linking)
VI  - 38
IP  - 5
DP  - 2023 Oct 1
TI  - Lived experience of diet-related health education in type 2 diabetes and 
      hypertension comorbidity in The Gambia.
LID - 10.1093/heapro/daad125 [doi]
LID - daad125
AB  - The incidence and prevalence of type 2 diabetes mellitus (T2DM) and hypertension 
      (and their comorbidity) have been increasing in sub-Saharan Africa, including The 
      Gambia. Diet is a critical driver of these public health problems, and 
      diet-related health education is a major strategy employed for their prevention 
      and management. The aim of this paper is to explore the lived experiences of 
      diet-related health education among individuals with comorbid type 2 diabetes and 
      hypertension in Serrekunda, The Gambia, a subject hitherto unexplored in the 
      country. The study employed a qualitative (interpretivist) methodology. 
      Thirty-two interviews were conducted with 18 participants, with most 
      participating in two interviews at separate time-points between November 2018 and 
      July 2019. In addition to participant validation, the two points in time 
      interviews elicited more depth and provided rich data. The data were analysed 
      using Braun and Clarke's six-phased approach to Thematic Analysis. Four main 
      themes were generated in relation to the experiences: (i) one-off blanket dietary 
      advice (ii) education in a vacuum (iii) diabetes-hypertension diet dichotomy and 
      (iv) imbalanced power relationship. The study underscores the need for a 
      reconfiguration of diet-related health education in The Gambia to include lived 
      experiences as critical components of health promotion in tackling T2DM and 
      hypertension. This requires an ecological approach, critical health education, 
      regulations on unhealthy foods, and active participation of individuals as equal 
      partners in health education.
CI  - (c) The Author(s) 2023. Published by Oxford University Press.
FAU - Touray, Tahir Ahmad
AU  - Touray TA
AUID- ORCID: 0000-0002-6859-9545
AD  - Cardiff School of Sports and Health Sciences, Cardiff Metropolitan University, 
      Cardiff, UK.
FAU - Woodall, James
AU  - Woodall J
AUID- ORCID: 0000-0003-1989-3999
AD  - Centre for Health Promotion Research, Leeds Beckett University, Leeds, UK.
FAU - Warwick-Booth, Louise
AU  - Warwick-Booth L
AD  - Centre for Health Promotion Research, Leeds Beckett University, Leeds, UK.
LA  - eng
PT  - Journal Article
PL  - England
TA  - Health Promot Int
JT  - Health promotion international
JID - 9008939
SB  - IM
MH  - Humans
MH  - *Diabetes Mellitus, Type 2/prevention & control
MH  - Gambia/epidemiology
MH  - Diet
MH  - Health Promotion/methods
MH  - Comorbidity
MH  - *Hypertension/epidemiology
MH  - Qualitative Research
PMC - PMC10548409
OTO - NOTNLM
OT  - diet-related
OT  - health education
OT  - hypertension
OT  - lived experience
OT  - type 2 diabetes
EDAT- 2023/10/04 12:45
MHDA- 2023/10/05 06:43
PMCR- 2023/10/04
CRDT- 2023/10/04 06:53
PHST- 2023/10/05 06:43 [medline]
PHST- 2023/10/04 12:45 [pubmed]
PHST- 2023/10/04 06:53 [entrez]
PHST- 2023/10/04 00:00 [pmc-release]
AID - 7288731 [pii]
AID - daad125 [pii]
AID - 10.1093/heapro/daad125 [doi]
PST - ppublish
SO  - Health Promot Int. 2023 Oct 1;38(5):daad125. doi: 10.1093/heapro/daad125.