Non-Expert Health Communication and Its Influence on Diabetes Self-Management Practices Among Patients in University of Port Harcourt Teaching Hospital, Rivers State

Kingsley-Omadudu; Ezechiyere; Ihejirika; Walter Chikwendu; Asadu; Clement Afamefuna

doi:10.56201/rjmcit.vol.11.no9.2025.pg90.103

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Non-Expert Health Communication and Its Influence on Diabetes Self-Management Practices Among Patients in University of Port Harcourt Teaching Hospital, Rivers State

Kingsley-Omadudu, Ezechiyere, Ihejirika, Walter Chikwendu, Asadu, Clement Afamefuna

Abstract

This study assessed non-expert health communication and its influence on diabetes self- management practices among patients in University of Port Harcourt Teaching Hospital, Rivers State. Social cognitive theory was anchored in this study. This study adopted an interpretivist research philosophy. Guided by this philosophy, a descriptive survey design was employed, utilising in-depth interviews and focus group discussions. The study population comprised adult patients diagnosed with type 2 diabetes attending the University of Port Harcourt Teaching Hospital, Rivers State, estimated at 1,200 individuals based on hospital records from the Endocrinology and Diabetes Unit (University of Port Harcourt Teaching Hospital, 2025). A sample size of 12 participants was determined using purposive sampling, ensuring that those selected had lived experiences relevant to non-expert health communication and were actively involved in daily self-care. Participants were recruited through a combination of purposive and convenience sampling techniques, allowing for the inclusion of patients who were willing and able to provide detailed accounts of their experiences. Data were collected using semi-structured interview guides for one-on-one interviews and structured discussion prompts for focus group sessions. Thematic content analysis was employed to analyse the qualitative data. The findings revealed that family members, peers, religious and community leaders, and mass media were the primary sources of informal health information. Participants reported that advice from these sources occurred frequently in daily routines, social interactions, and media consumption, shaping both their knowledge and perceptions of diabetes management. The study concluded that non expert sources, including family, peers, community leaders, and media, play a significant role in shaping patients’ knowledge and perceptions of diabetes self-management, highlighting the importance of considering social and inform

Keywords

Non-Expert Health CommunicationDiabetes Self-Management PracticesPatients University of Port Harcourt Teaching HospitalRivers State.

References

Adejumo, O. A., Akinbodewa, A. A., Ogunleye, A., & Okunola, O. O. (2020). Self-care practices and associated factors among patients with type two diabetes in Southwest Nigeria. Journal of Diabetes and Metabolic Disorders, 19(1), 33–40. Atun, R., Davies, J. I., Gale, E. A. M., Bärnighausen, T., Beran, D., Kengne, A. P., & Levitt, N. S. (2017). Diabetes in sub Saharan Africa: From clinical care to health policy. The Lancet Diabetes and Endocrinology, 5(8), 622–667. Bains, S. S., & Egede, L. E. (2011). Associations between health literacy, diabetes knowledge, self-care behaviours, and glycaemic control in a low income population with type two diabetes. Diabetes Technology and Therapeutics, 13(3), 335–341. Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Prentice Hall. Hashim, M. J. (2020). Patient centred communication and chronic disease management in low and middle income countries. Journal of Family Medicine and Primary Care, 9(1), 1–6. Heisler, M., Spencer, M., Forman, J., Robinson, C., Shultz, C., & Kieffer, E. (2010). Social support, self-efficacy, and diabetes self-management. Patient Education and Counselling, 78(2), 282–287. Hong, Y. R., Kang, J., & Park, J. (2021). Health literacy, health related behaviours, and diabetes self-management. International Journal of Environmental Research and Public Health, 18(5), 1–13. Howells, L., Adebayo, A., & Ogunleye, O. (2025). Effects of print based health education on diabetes self-care practices in tertiary hospitals in Southwest Nigeria. BMC Endocrine Disorders, 25(1), 1–10. Iregbu, K. C., Odugbemi, B. A., & Odugbemi, T. O. (2022). Knowledge, beliefs, and practices of diabetes self-management among patients in Nigeria. African Journal of Primary Health Care and Family Medicine, 14(1), 1–8. McKinley, C. J., Wright, P. J., & McBride, C. M. (2024). Social support, health communication, and chronic illness self-management. International Journal of Communication, 18, 2451– 2470. Nutbeam, D. (2008). The evolving concept of health literacy. Social Science and Medicine, 67(12), 2072–2078. Ogunfowokan, A. A., & Shiyanbola, O. O. (2013). Cultural beliefs and diabetes self- management among African populations. African Journal of Primary Health Care and Family Medicine, 5(1), 1–8. Powers, M. A., Bardsley, J., Cypress, M., Duker, P., Funnell, M. M., Fischl, A. H., & Vivian, E. (2020). Diabetes self-management education and support in adults with type 2 diabetes. Diabetes Care, 43(7), 1636–1649. Schillinger, D., Grumbach, K., Piette, J., Wang, F., Osmond, D., Daher, C., & Bindman, A. B. (2002). Association of health literacy with diabetes outcomes. Journal of the American Medical Association, 288 (4), 475–482. Shrivastava, S. R., Shrivastava, P. S., & Ramasamy, J. (2013). Role of self-care in management of diabetes mellitus. Journal of Diabetes and Metabolic Disorders, 12(1), 1–5.

Non-Expert Health Communication and Its Influence on Diabetes Self-Management Practices Among Patients in University of Port Harcourt Teaching Hospital, Rivers State

Abstract

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References

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