Patients with diabetes observing Ramadan: The experience of Muslims in the United States

Myers, Pauline; Shoqirat, Noordeen; Allen, Deborah H.; Dardas, Latefa Ali

doi:10.1016/j.diabres.2018.12.011

Cited by 20 publications

(27 citation statements)

References 18 publications

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“…For the sample characteristics of the studies, seven studies included only T2DM participants (152 participants) [22,23,36,37,39,40,43], two studies included only T1DM (87 participants) [19,38], and the other two studies included both T1DM and T2DM (28 participants) [20,21]. Regarding medication, for T2DM participants, anti-diabetics, such as metformin, sulfonylureas and sitagliptin, insulin, or both oral medication and insulin, were reported.…”

Section: Plos Onementioning

confidence: 99%

“…In addition, verbal consent and written informed consent were also obtained in some studies. With respect to the methods of trustworthiness, only three studies [36,39,40] mentioned credibility, dependability, confirmability and validity. Data saturation was discussed in eight studies [19, 20, 22-23, 36, 38, 40, 43].…”

Section: Plos Onementioning

confidence: 99%

“…Data saturation was discussed in eight studies [19, 20, 22-23, 36, 38, 40, 43]. Regarding the relationship between researchers and participants, only three studies critically examined the authors' role [19,38,40]. All the studies provided a clear statement of the findings.…”

Section: Plos Onementioning

confidence: 99%

“…The reasons could be explained by physiological, religious and social aspects [39]. Regarding the physical benefits, many participants indicated that fasting benefits their overall health, i.e., better diabetes management, control of blood glucose levels, body weight loss, and lowering levels of cholesterol [36,39,40,43]. Some participants reported waited for the Ramadan month like celebrating a festival or observing a holiday.…”

Section: Plos Onementioning

confidence: 99%

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Experiences and views of people with diabetes during Ramadan fasting: A qualitative meta-synthesis

Liao

Wang

et al. 2020

PLoS ONE

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Objectives To review and appraise the existing qualitative studies on Ramadan fasting in participants with diabetes and to integrate valuable qualitative evidence for optimizing diabetes management. Methods Twelve databases (PubMed, Embase, Cochrane Library, Science Direct, CINAHL, PsycINFO, JBI (Joanna Briggs institute), Web of Science, and four Chinese databases) were searched to identify qualitative studies on experiences and perspectives of Ramadan fasting in participants with diabetes. CASP (Critical Appraisal Skills Program) Qualitative Checklists were applied to appraise the included studies. A meta-synthesis approach was used to analyze the included studies. Through the strategy of inductive thematic synthesis and reciprocal interpretation, the findings and quotations of the included studies were integrated into new themes and categories. The CERQual (Confidence in the Evidence from Reviews of Qualitative Research) tool was used to grade the confidence of the new themes. Results A total of 11 qualitative studies were included, and 43 findings were isolated. Ten new themes were identified and synthesized from the findings. Finally, four new categories were integrated, including the knowledge and understanding of observing Ramadan fasting, well-being and challenges, self-efficacy, and needs and expectations of participants with diabetes during Ramadan. Conclusions Insulin-dependent individuals call for special concern during Ramadan fasting. Ramadan-focused education needs to be developed and generalized, and existing guidelines should be improved to optimize the management of diabetes. Professional HCPs contribute to weigh the health risks and mental satisfaction for their patients, partly, to balance health and religion. Participants’ psychological construction is another concern for religious scholars and psychologists.

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Section: Plos Onementioning

confidence: 99%

Section: Plos Onementioning

confidence: 99%

Section: Plos Onementioning

confidence: 99%

Section: Plos Onementioning

confidence: 99%

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Experiences and views of people with diabetes during Ramadan fasting: A qualitative meta-synthesis

Liao

Wang

et al. 2020

PLoS ONE

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“…A number of studies, the majority of which were done in non-Muslim countries, addressed the communication lapses between clinicians and patients who decide to fast during Ramadan [18][19][20][21][22][23][24][25][26][27]. At times, the topic is never addressed in clinical encounters that occur before or during Ramadan.…”

Section: Introductionmentioning

confidence: 99%

RAMCOM: A qualitative study of clinicians’ viewpoints on a tool for communication with Muslim patients considering fasting during Ramadan

Amin

Abdelmageed

2020

PLoS ONE

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Fasting during the month of Ramadan is a basic pillar of Islam. While patients may be religiously exempted from fasting, literature indicates that the majority decide to fast. Caring for millions of Muslim patients who decide to fast during Ramadan can be challenging for clinicians around the globe. This study proposes a communication tool, RAMCOM, which aims to assist clinicians in communicating with Muslim patients considering fasting during Ramadan. It addresses the following questions: What are the clinicians' preferences for the tool in terms of Content, Format, Style, Length and language? How do clinicians perceive factors that would impact their intentions to sue the tool? What would facilitate the implementation and dissemination of the proposed tool? Methods Semi-structured interviews were conducted with a purposeful sample of clinicians in Egypt (11) and the US (10). Clinicians were purposefully sampled to assure variance in age, gender, time in practice, specialty, and religious background. Directed content analysis was conducted and emerging data were mapped to constructs within the theory of planned behavior. Iterative sampling and analysis continued until saturation was reached. Results In total, 21 clinicians were interviewed. The tool was iteratively revised according to clinicians' comments on format, content, language and usability. Factors contributing to using RAMCOM included perception of tool (need for use, perceived burden of use), perceived norm (perceived patient expectations), and ability to use tool (time, frequency of seeing patients, knowledge of Ramadan and Islam). Practice environment factors that impact the use of RAMCOM include education, early reminders, colored laminated copies, communication training, involvement of support staff, and patient education.

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Perceptions among Muslims regarding fasting, medication use and provider engagement during Ramadan in the United States

Alshehri

Barner

Wong

et al. 2021

Health Planning & Management

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Background: Muslims with chronic diseases tend to fast during Ramadan, although Islam allows them not to fast. Therefore, understanding their perceptions and how they manage their health, especially as a minority population, is very important. Objective: To examine Muslims' (1) perceptions of fasting exemptions, (2) medication usage behaviour, (3) perceptions of relationships with healthcare providers and (4) factors impacting health management during Ramadan. Method: This was a qualitative study employing four focus groups (two groups of women and two groups of men). Adult Muslims (aged 18 years or more) with chronic diseases were invited to participate. Participants were asked open-ended questions about their fasting ability, medication usage behaviours, healthcare access and collaboration with providers during Ramadan. Trained researchers conducted the focus groups interviews in both English and Arabic. Each focus group was recorded, and three investigators independently transcribed the data and extracted themes and categories. Coding terminology issues were resolved through discussion. Results: Twenty-five Muslims with chronic diseases (e.g., diabetes, hypertension, renal failure and anaemia) participated. The most prominent themes/subthemes were as follows: (1) fasting exemption (e.g., uncontrolled medical

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Patients with diabetes observing Ramadan: The experience of Muslims in the United States

Cited by 20 publications

References 18 publications

Experiences and views of people with diabetes during Ramadan fasting: A qualitative meta-synthesis

Experiences and views of people with diabetes during Ramadan fasting: A qualitative meta-synthesis

RAMCOM: A qualitative study of clinicians’ viewpoints on a tool for communication with Muslim patients considering fasting during Ramadan

Perceptions among Muslims regarding fasting, medication use and provider engagement during Ramadan in the United States

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