Concurrent use of herbal and prescribed medicine by patients in primary health care clinics, South Africa.

BACKGROUND: The use of herbal medicine (HM) as a self-management practice for treating various diseases has gained popularity worldwide. Consumers co-administer herbal products with conventional medicine without the knowledge of possible herb-drug interaction (HDI). AIM: This study aimed to assess patients' perception and use of HM and their knowledge of HDI. SETTING: Participants attending primary health care (PHC) clinics in three provinces (Gauteng, Mpumalanga and Free State), South Africa, were recruited. METHODS: Focus group discussions comprising a total of thirty (N = 30) participants were conducted using a semi-structured interview guide. Discussions were audio-recorded and then transcribed verbatim. Data were analysed using thematic content analysis. RESULTS: Reasons for using HM, sources of information on HM, co-administration of HM and prescribed medicine, disclosure of the use of HM, PHC nurses' attitudes and not having time to engage were frequently discussed. Respondents' lack of knowledge and perceptions about HDI and their dissatisfaction with prescribed medicine because of experienced side effects were also discussed. CONCLUSION: Because of the lack of discussions and non-disclosure about HM in PHC clinics, patients are at risk of experiencing HDIs. Primary health care providers should regularly enquire about HM use on every patient, to identify and prevent HDIs. The lack of knowledge about HDIs by patients further compromises the safety of HM.Contribution: The results highlighted the lack of knowledge of HDI by patients thus assisting the healthcare stakeholders in South Africa to implement measures to educate patients attending PHC clinics.

Challenges that healthcare practitioners experience in the comprehensive assessment of patients with non-communicable diseases: a preliminary investigation.

BACKGROUND: Resource allocation and access to comprehensive treatment in the public healthcare sector are always under pressure. This pressure takes the form of staff shortages, treatment models and the holistic care of patients, compromising basic healthcare in South Africa. OBJECTIVES: The study's aim was to determine the challenges that healthcare practitioners experience while assessing patients with non-communicable diseases, in private and public healthcare sectors in the Gauteng Province of South Africa. METHODS: The research design was exploratory and contextual. Qualitative data were collected through focus groups and semi-structured interviews among healthcare practitioners (n = 12). Data analysis took place using Atlas.ti 8.4 Windows (2020). Inter-rater reliability (r = 93.68%) was calculated to ensure the rigour and validity of the results. RESULTS: From the discussion, four themes emerged: 1) limited consultation time; 2) overwhelming economic impact and healthcare cost for facilities and patients; 3) holistic patient care encompassing physical, mental and socioeconomic components; and 4) lack of patient education due to time constraints experienced by healthcare practitioners. CONCLUSION: Consultation times are reduced due to a shortage of medical staff, patient numbers, equipment, and poor working conditions. By improving these conditions, patients across all socioeconomic groups will be better assisted, treated, and educated, benefiting from equal access and quality healthcare.

Design and preliminary validation of the barriers to sports coaching questionnaire for women in South Africa: An application of the ecological model.

The purpose of this study was to develop and preliminarily validate a questionnaire to examine barriers to coaching that are encountered by women sports coaches in South Africa. Two series of studies were conducted to assess content and face validity, factorial structure, and reliability of a new questionnaire. In study one, 40 items were developed based on LaVoi and Dutove's ecological model of barriers and supports for female coaches and a thorough literature review. A panel of experts was employed to explore content validity and suitability of the provisional items. In study two, an initial 35-item questionnaire (the Barriers to Sports Coaching Questionnaire for Women; BSCQW) was administered to 152 women sports coaches who were working in South Africa. Principal component analysis was used to reduce items and determine the factorial structure of the questionnaire. Analyses resulted in a 32-item BSCQW, which consists of intrapersonal, interpersonal, organisational, and socio-cultural barriers to coaching. The most proximal barriers were organisational (M = 2.71, SD = 1.24) and interpersonal (M = 2.22, SD = 1.04). The findings indicate that the overall internal consistency of the BSCQW was .81, demonstrating that the questionnaire was reliable. Thus, BSCQW is a valid tool to assess barriers experienced by women sports coaches in South Africa. Further rigorous psychometric assessments are warranted.

Perceived Hindrances Experienced by Sport Coaches in South Africa.

The purpose of this study was to examine perceived hindrances encountered by sport coaches in the Gauteng Province of South Africa. A total of 224 sport coaches (122 males and 102 females) were purposively recruited to participate in this study. An exploratory factor analysis was used to assess the factor structure of the Perceived Hindrance Scale. The results of this study indicated the following as major hindrances encountered by sport coaches: "Lack of support systems for women players", "Lack of support for women coaches from superiors", "Low salary", "Lack of opportunities for promotion", "Difficulties with parents/spectators" and "Lack of job security". Recommendations on strategies to overcome these perceived hindrances are discussed.

Coaches' Preferences for Continuing Coaching Education in South Africa.

The purpose of this study was to examine coaches' preferences for continuing coaching education. The sample consisted of 122 male and 102 female coaches from the Gauteng Province of South Africa who were purposively recruited to participate in this study. The results of this study showed that the coaches wanted to learn more about motivational techniques, advanced instructional drills, advanced first aid, goal setting, character building and conditioning drills. The results further indicated that sport coaches would be more likely to continue their coaching education if they had a desire to coach at a high level, if topics were relevant and if courses were in line with league requirements and were available online. The practical implications of the findings for the development of coaching education programmes in South Africa were discussed.