Development of a Family-Centred Nutrition and Exercise Diabetes Care Programme for Better Diabetes Outcomes in Rural Areas of Limpopo: Practice-Oriented Theory

MH Mphasha1, *, Linda Skaal2, Tebogo Maria Mothiba3
1 Department of Public Health, University of Limpopo, Limpopo Province, South Africa
2 School of Health Sciences, University of Limpopo, Limpopo Province, South Africa
3 Faculty of Healthcare Sciences Executive Dean’s Office, University of Limpopo, Limpopo Province, South Africa

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© 2022 Mphasha et al.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of Public Health; University of Limpopo, Limpopo province, South Africa; Tel: +27(0)658971490; E-mail:



Cost-effective interventions are required to manage the increasing prevalence of diabetes mellitus and minimize new cases. Family-centred care interventions positively influence patients’ diabetes outcomes and improve health and quality of life. This article aims to describe the development of family-centred nutrition and exercise diabetes care intervention.


A mixed method study design was used in the baseline study. The findings from the qualitative interviews and quantitative survey informed the development of the family-centred nutrition and exercise diabetes programme, with the guidance of practice-oriented theory.


Components of practice-oriented theory guided the study and were applied. The researcher outlined that dietitians and physiotherapists are agents to provide family-centred nutrition and exercise diabetes care to patients and their families. One element of practice-oriented theory involves how the programme is to be implemented, which will be face-to-face in focus groups.


The study further highlights the need for piloting the implementation of the intervention to determine other dynamics that may obstruct overall implementation.

Keywords: Practice-oriented theory, Diabetes care, Intervention, Programme, Family-centred care, Diabetes mellitus.