Peter Delobelle | University of Cape Town (original) (raw)

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Papers by Peter Delobelle

Global Health Promotion

This paper explores how the salutogenic theory can enable us to re-envision health promotion work... more This paper explores how the salutogenic theory can enable us to re-envision health promotion work with marginalized communities, towards an approach that acknowledges and honours their resilience. We use the three core concepts in Antonovsky’s salutogenic model of health – sense of coherence, generalized resistance resources and specific resistance resources – to explore the theory’s relevance to health equity, thus presenting new opportunities for how we might radically re-evaluate current health promotion approaches. We conclude that a more equitable health promotion requires increased participation of marginalized communities in shaping their futures and suggest a new model for historically grounded salutogenic health promotion.

Health Promotion International

Diabetic Medicine

AimTo explore the impact of diabetes on sexual relationships among men and women living with Type... more AimTo explore the impact of diabetes on sexual relationships among men and women living with Type 2 diabetes (PLWD) and their partners in Cape Town, South Africa.MethodsAs part of a larger study developing an intervention to improve type 2 diabetes mellitus (T2DM) self‐management, we conducted in‐depth individual interviews with ten PLWD and their partners without diabetes about experiences living with T2DM, between July 2020 and January 2021. We used inductive thematic analysis.ResultsBoth PLWD and partners felt that their sexual relationships and desires changed post‐diagnosis, in ways beyond biomedical issues. Although couples’ reports on the quality of their sexual relationships were concordant, most participants had not communicated their sexual desires and concerns with each other, causing unhappiness and fears of disappointing or losing their partner. Participants felt uninformed about sexual dysfunction but had not discussed this with their health care provider, leading to i...

BMJ Open

ObjectivesType 2 diabetes (T2D) is a growing concern in South Africa, where many find self-manage... more ObjectivesType 2 diabetes (T2D) is a growing concern in South Africa, where many find self-management challenging. Behaviour-change health interventions are enhanced by involving partners of patients. We aimed to develop a couples-focused intervention to improve self-management of T2D among adults in South Africa.DesignWe used the person-based approach (PBA): synthesising evidence from existing interventions; background research; theory; and primary qualitative interviews with 10 couples to ascertain barriers and facilitators to self-management. This evidence was used to formulate guiding principles that directed the intervention design. We then prototyped the intervention workshop material, shared it with our public and patient involvement group and ran iterative co-discovery think-aloud sessions with nine couples. Feedback was rapidly analysed and changes formulated to improve the intervention, optimising its acceptability and maximising its potential efficacy.SettingWe recruited ...

Journal of Diabetes Science and Technology

Background: The COVID-19 pandemic has added to the pre-existing challenges of diabetes management... more Background: The COVID-19 pandemic has added to the pre-existing challenges of diabetes management in many countries. It has accelerated the wider use of digital health solutions which have tremendous potential to improve health outcomes for people with diabetes. However, little is known about the attributes and the implementation of these solutions. Objective: To identify and describe digital health solutions for community-based diabetes management and to highlight their key implementation outcomes. Methods: We searched Ovid Medline, CINAHL, Embase, PsycINFO, and Web of Science for relevant articles. A purposive search was also used to identify grey literature. Articles that described digital health solutions that aimed to improve community-based diabetes management were included in this review. We applied a thematic synthesis of evidence to describe the characteristics of digital health solutions, and to summarize their key implementation outcomes. Results: We included 15 articles ...

International Journal of Environmental Research and Public Health

The increasing burden of non-communicable diseases (NCDs), particularly cardiovascular diseases (... more The increasing burden of non-communicable diseases (NCDs), particularly cardiovascular diseases (CVD) in low- and middle-income countries (LMICs) poses a considerable threat to public health. Community-driven CVD risk screening, referral and follow-up of those at high CVDs risk is essential to supporting early identification, treatment and secondary prevention of cardiovascular events such as stroke and myocardial infarction. This protocol describes a multi-country study that aims to implement and evaluate a community health worker (CHW)-led CVD risk screening programme to enhance referral linkages within the local primary care systems in sub-Saharan Africa (SSA), using a participatory implementation science approach. The study builds upon a prior community-driven multicentre study conducted by the Collaboration for Evidence-based Health Care and Public Health in Africa (CEBHA+). This is a participatory implementation research. The study will leverage on the CVD risk citizen science...

African Journal of Primary Health Care & Family Medicine

Frontiers in Nutrition

BackgroundUnderstanding dietary patterns in a population is critical for decision making. This st... more BackgroundUnderstanding dietary patterns in a population is critical for decision making. This study aimed to identify the prevailing dietary patterns and their associated individual and school environment factors among school going adolescents in Lusaka, Zambia.MethodA cross-sectional study involving 404 Grade 10 pupils from 10 secondary schools in Lusaka district was conducted. A 108-item unquantified Food Frequency Questionnaire (FFQ) was used to assess the learner's food intake practices. Principal component analysis (PCA) was used to derive dietary patterns from the 108 food items. In addition, a mapping of food vendors and types of food sold was conducted in the same 10 schools using a semi-structured observation checklist. Bivariate and multivariate multilevel regression was used to analyse the individual and school level determinants of the adolescent dietary patterns.ResultsThe average age of learners was 16.1 years (SD 1.4 years); 234 (58%) were female while 170 (42%) ...

Health Promotion

This chapter outlines the development of two health promoting schools (HPS) programs in resource-... more This chapter outlines the development of two health promoting schools (HPS) programs in resource-limited settings in South Africa, informed by work from two PhD tracks and a round table discussion on core health promotion competencies. The chapter focuses on the development, implementation, and evaluation of a training program for HPS among high school educators in the Limpopo Province guided by an assessment of priority needs; and factors influencing HPS implementation in three secondary schools in Cape Town. The first case study focuses on training program objectives, learning outcomes, and critical cross-field outcomes related to introducing the concept of HPS, empowerment of educators to initiate and evaluate HPS program design, and implementation. The second case study focuses on the role of external actors and stakeholders in designing and implementing HPS in resource-limited settings and the barriers and enablers related to HPS capacity building. The findings are discussed wi...

jaarverslag, Apr 30, 2005

Nova Science Publishers, May 1, 2013

Finds and Results from the Swedish Cyprus Expedition: A Gender Perspective at the Medelhavsmuseet, May 1, 2008

ISECN Newsletter, Sep 1, 2009

BackgroundType 2 diabetes (T2D) and its complications are increasing rapidly. Support for healthy... more BackgroundType 2 diabetes (T2D) and its complications are increasing rapidly. Support for healthy lifestyle and self-management is paramount, but not adequately implemented in health systems in most countries. Process evaluations facilitate understanding why and how interventions work through analysing the interaction between intervention theory, implementation and context. The SMART2D project implemented and evaluated community-based support interventions for persons at high risk of or having T2D in a rural community in Uganda, an urban township in South Africa, and socio-economically disadvantaged urban communities in Sweden. This study presents comprehensive analyses of the implementation process and interaction with context.MethodsThis paper reports implementation process outcomes across the three sites, guided by the MRC framework for complex intervention process evaluations and focusing on the three community strategies (peer support program; care companion; and link between f...

Background: The rise in non-communicable diseases (NCDs) burden, particularly, cardiovascular dis... more Background: The rise in non-communicable diseases (NCDs) burden, particularly, cardiovascular diseases (CVDs) in Ethiopia is driven by rapid urbanization, globalization, urban poverty, a shift in diet and physical inactivity. To tackle this, adoption of appropriate lifestyle and behaviour modifications are required. Such behavioural adoption in turn demands appropriate knowledge about the risk factors, and a reasonably perception of threat of CVDs. Objective: To explore CVDs risk perception, communication, and health seeking intentions of residents of rural and urban communities in Ethiopia.Methods: We conducted four focus group discussions (FGDs) and semi-structured risk communication interviews with residents of two communities (urban and rural) in Ethiopia. Two FGDs were conducted in each of the rural and urban communities with separate groups for men and women. The FGD participants were purposively selected with the help of local health extension workers. The FGDs were facilitat...