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      Previous Involvement in Research and Knowledge Regarding Basic Research Methods Among Doctors Working at Primary Care in Central Region, Saudi Arabia

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          Abstract

          Introduction:

          The cumulative outcomes of health research in the modern times had a huge effect on human health and longevity. The primary care physicians are the first point of contact between the health system and the society. Therefore their responsibility is higher to provide the latest information to their patients, in the context of rapidly changing field of medical science. Doctors are expected to have a basic knowledge of research methodology in order to develop a critical thinking and this is the rationale to include the research activity is an integral part of post-graduate medical training.

          Aim:

          We aimed to assess the previous involvement in research activities and knowledge in basic research methods among primary care physicians in central region, Saudi Arabia.

          Methods:

          It was a cross sectional descriptive study conducted on a conveniently selected sample of doctors (N=80) working under general directorate of health affairs in Riyadh region, Ministry of Health. The data was collected through a pre-designed, self-administered survey instrument containing closed ended questions.

          Results:

          The mean age of the physicians was observed to be 44.7 ± 9.6 years. About 32% doctors had previous experience of writing a research proposal while only 20% had any publication in a scientific journal. About 45% had attended workshop on research methodology within last five years. Only one item related to ‘consent in medical research’ was answered correctly by 60% respondents. The correct responses in other knowledge items scored less than 50% (ranging from 18.8% to 37.5%). The proportion of doctors having any publication was observed to significantly higher among younger age (p<0.05). Significantly higher proportion was observed for “having experience of proposal writing” and “paper presentation in a scientific conference” among family medicine and other specialties as compared to general practice (p<0.05).

          Conclusion:

          We found low previous engagement with research among doctors with low level of knowledge regarding basic research methods. This was particularly evident among general practitioners as compared specialist doctors. Regular conduction of research workshop with encouragement to undertake small research activities at the primary care should be promoted.

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          Most cited references15

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          Experiences, attitudes and barriers towards research amongst junior faculty of Pakistani medical universities

          Background The developing world has had limited quality research and in Pakistan, research is still in its infancy. We conducted a study to assess the proportion of junior faculty involved in research to highlight their attitude towards research, and identify the factors associated with their research involvement. Methods A cross-sectional study was conducted in four medical universities/teaching hospitals in Pakistan, representing private and public sectors. A pre-tested, self-administered questionnaire was used to collect information from 176 junior faculty members of studied universities/hospitals. Logistic regression analysis was used to identify factors related to attitudes and barriers in research among those currently involved in research with those who were not. Results Overall, 41.5% of study subjects were currently involved in research. A highly significant factor associated with current research involvement was research training during the post-graduate period (p < 0.001). Other factors associated with current involvement in research were male gender, working in the public sector and previous involvement in research. Overall, a large majority (85.2%) of doctors considered research helpful in their profession and had a positive attitude towards research; nevertheless this positive attitude was more frequently reported by doctors who were currently involved in research compared to those who were not (OR = 4.69; 95% CI = 1.54-14.26). Similarly, a large proportion (83.5%) of doctors considered research difficult to conduct; higher by doctors who were not presently involved in research (OR = 2.74; 95% CI = 1.20-6.22) Conclusion Less than half of the study participants were currently involved in research. Research output may improve if identified barriers are rectified. Further studies are recommended in this area.
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            Being tested but not educated – a qualitative focus group study exploring patients’ perceptions of diabetic dietary advice

            Background Diet is a key component of the management of diabetes. Several studies suggest that patients receive insufficient and inadequate information. As a first step for developing an intervention for improving dietary advice in primary care, we aimed to explore patients’ experience of receiving dietary advice; their attitudes towards that advice; their perceived dietary advice needs, and any barriers faced in adopting a diet that supports the management of their diabetes. Methods A qualitative study with three focus groups (20 purposively sampled participants) was conducted with adult primary care patients with Type 2 diabetes in 2016. A semi-structured topic guide was developed from the literature. The focus groups were audio recorded and transcribed. The data were analysed by emergent themes analysis. Data saturation was achieved in the third focus group. Results The majority of participants were given dietary advice in the form of a generic healthy eating leaflet from a Practice Nurse. Participants had their Haemoglobin A1c (HbA1c) reviewed regularly, but the results seemed not to be linked with review of dietary habits. The test was perceived as being a “pass or fail”, judgmental experience. Participants felt tested but not educated. Conclusion Individuals with type 2 diabetes seem not to receive dietary advice according to their expectations. Information collected as part of the study can be used to inform the development of interventions aimed at improving dietary advice in this population.
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              Factors that influence doctors' participation in clinical research.

              Although clinical investigators are regarded as an endangered species, no systematic investigation of the factors that influence doctor participation in clinical research has previously been performed. The objective of this study was to evaluate the influences of selected aspects of medical education, specialty selection and practice type upon current involvement in clinical research. Data were obtained by a mail survey of 428 graduates from the 1985-95 classes of the Penn State College of Medicine. Among the 34% (n = 145) of doctors who were currently participating in clinical research, there was a higher rate of participation among those in medical and surgical specialties versus those in primary care or hospital-based specialties. Of those participating in clinical research, 46% (n = 65) had sought external funds for their research, and 82% (n = 51) of that group had been awarded funds. Those who had been awarded funds as the percentage of their time involved in clinical research increased were more likely to report that research carried out in medical school had positively influenced their current involvement in clinical research (P = 0.004). The gender distribution among both this latter funded group and the larger group of 145 who were participating in clinical research was 72% men and 28% women, whereas the gender distribution among all respondents was 60% men and 40% women. The 283 individuals who were not participating in clinical research cited financial, family, career plan and practice philosophy as reasons for not doing so. The authors conclude that participation in medical research as a medical student may be under-recognised as a determinant of future involvement in clinical research and that the gender disparity of young doctors entering clinical research must be addressed.
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                Author and article information

                Journal
                Mater Sociomed
                Mater Sociomed
                Materia Socio-Medica
                AVICENA, d.o.o., Sarajevo (Bosnia and Herzegovina )
                1512-7680
                1986-597X
                December 2020
                : 32
                : 4
                : 263-266
                Affiliations
                [1 ]Department of Public Health, General Directorate of Health Affairs in Riyadh region, Ministry of Health, Riyadh, Saudi Arabia
                Author notes
                Corresponding author: Dr. Shibli Sayeed, MD, MPH. Public Health Specialist, Department of Public Health, General Directorate of Health Affairs in Riyadh region, Ibn Badis, Al Rabwa, Riyadh, Saudi Arabia. dr_shiblisayeed@ 123456yahoo.com . ORCID ID: http//www.orcid.org/0000-0000-0000-0000.
                Article
                MSM-32-263
                10.5455/msm.2020.32.263-266
                7879434
                33628127
                d26dc0bf-bbd1-46d0-9cf9-bd5f58f53334
                © 2020 Amirah Abdulmohsen Al-Rossais, Shibli Sayeed, Mohammad Shibly Khan, Abeer Ali Bin Jaber, Malak Ayedh Al-Qahtani, Aedh bin Fardan

                This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License ( http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 09 November 2020
                : 20 December 2020
                Categories
                Original Paper

                primary care physicians,research participation,knowledge,medical research,saudi arabia

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