Veen, A.W. ter (2016) The first steps in a cross cultural adaptation of the control of allergic rhinitis and asthma test (CARAT) in Luanda (Angola) : An exploration of the health care system and a recommendation on adopting the CARAT for use in Angola. thesis, Medicine.
Full text available on request.Abstract
Introduction: The control of allergic rhinitis and asthma test (CARAT) is a self-administered tool to assess control over these diseases in clinical practice. A measurement tool must be adapted to the targeted country before implementation. Thus far the CARAT has not been adapted for use in Angola. There is little research on the current state of the Angolan health care system and users’ opinions. Aim: To explore Angolan health care from a user’s perspective and gather suggestions for the CARAT to produce a recommendation for the Angolan CARAT (CARAT-AP). Methods: The first phase of this exploratory study consisted of 10 face-to-face semistructured interviews with Angolan adults. Topics prepared were: Angolan health care, participants’ knowledge on asthma and allergic rhinitis and experiences with a questionnaire. CARAT suggestions were also discussed. Qualitatively analysing the interviews with NVIVO was the second phase. Results: Participants were doctor (n=3), nurse (n=2), patient (n=3) or citizen not familiar with asthma (AC) (n=2). 83 codes were identified. A coding tree with 7 themes was formed: health care system, disease knowledge, disease control possibilities, medication, health information, experience with a questionnaire and the CARAT. Public hospitals deal with overcrowding and shortages. Patients experience long waiting hours and perceive their disease knowledge as limited. Money determines their living conditions, access to health information and medication and disease control possibilities. Working with a questionnaire is not common hospital practice but participants were positive on CARAT. A recommendation for CARAT-AP was written for dr. Fonseca, the original author. Conclusion: Findings on poor health care experiences are comparable to other African countries. Limited doctor-patient interaction results in the discrepancy between what doctors think their patient knows and patient’ actual disease knowledge. Together with limited financial resources this results in restricted disease control opportunities. Although future research through expert review and pilot testing is still needed, the first steps for the CARATAP have successfully been made.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Bernardino, L. and HOSPITAL PEDIATRICO DAVID BERNARDINO and IN LUANDA, ANGOLA. |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 10:54 |
| Last Modified: | 25 Jun 2020 10:54 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/1458 |
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