Pinto Cathryn, Puoane Thandi, Schouw Darcelle, Majikela-Dlangamandla Buyelwa, Paka Cynthia, Muhali Kenneth, Datay Ishaaq, Delobelle Peter, Levitt Naomi, McGrath Nuala
Department of Primary Care, Population Sciences, and Medical Education, Faculty of Medicine, University of Southampton, Southampton.
Afr J Prim Health Care Fam Med. 2025 Jul 21;17(1):e1-e9. doi: 10.4102/phcfm.v17i1.4947.
BACKGROUND: There is a growing prevalence of type 2 diabetes (T2D) in South Africa and a high proportion of people have poor glycaemic control. AIM: Having developed 'Diabetes Together', a couples-based intervention to support diabetes self-management, we explored places of worship as potential options for recruiting couples in the community. SETTING: Places of worship in low-income settings in Cape Town, South Africa. METHODS: Community entry involved approaching leadership of each place of worship to discuss the programme and our target of recruiting 15-20 eligible couples, where one partner was living with T2D. The research team and study were introduced to each congregation. Enrolment took place at the first of three intervention sessions. Attendance, participant feedback and facilitator observations were recorded. Recruitment and retention outcomes were summarised using descriptive statistics. Participant and facilitator feedback was deductively coded based on the evaluation questions and overarching themes identified. RESULTS: The intervention was conducted in two churches and one mosque after engaging with leaders of six places of worship. A total of 37 people living with T2D were screened; 34 were eligible and had a self-reported T2D diagnosis, 32 partners were screened. Twenty-nine couples were eligible, and 24 couples enrolled. Retention was good across all three places, minimum 75% by session three. Participant and facilitator feedback revealed that participants gained new knowledge, reported having a positive attitude towards diabetes management and valued group interaction and open communication. CONCLUSION: Recruitment of couples from places of worship in low-income settings in Cape Town was feasible under certain conditions. The intervention was acceptable and retention of couples for repeated sessions was high.Contribution: As there is limited evidence on using community settings like places of worship for diabetes management programmes, we present practical considerations for successful recruitment from these settings in South Africa.
背景：南非2型糖尿病（T2D）的患病率日益上升，且很大一部分人的血糖控制不佳。 目的：在开发了“共同应对糖尿病”这一基于夫妻的干预措施以支持糖尿病自我管理后，我们探索了宗教场所作为在社区招募夫妻的潜在选择。 地点：南非开普敦低收入地区的宗教场所。 方法：进入社区包括与每个宗教场所的负责人联系，讨论该项目以及我们招募15 - 20对符合条件夫妻的目标，其中一方患有T2D。研究团队和研究项目被介绍给每个会众。招募在三次干预课程的第一次进行。记录出勤情况、参与者反馈和主持人观察结果。使用描述性统计总结招募和留存结果。根据评估问题和确定的总体主题对参与者和主持人的反馈进行演绎编码。 结果：在与六个宗教场所的负责人接触后，该干预措施在两座教堂和一座清真寺实施。共筛查了37名T2D患者；34名符合条件且有自我报告的T2D诊断，筛查了32名伴侣。29对夫妻符合条件，24对夫妻登记参加。在所有三个场所留存情况良好，到第三次课程时最低留存率为75%。参与者和主持人的反馈显示，参与者获得了新知识，报告对糖尿病管理持积极态度，并重视小组互动和开放交流。 结论：在特定条件下，从开普敦低收入地区的宗教场所招募夫妻是可行的。该干预措施是可接受的，夫妻重复参加课程的留存率很高。贡献：由于关于利用宗教场所等社区环境开展糖尿病管理项目的证据有限，我们提出了在南非这些环境中成功招募的实际考虑因素。
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