Abstract
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? 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. 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. Clinicians provided valuable perceptions on the implementability and use of RAMCOM, a new communication tool designed to assist in caring for Muslim patients during Ramadan. These perceptions should be considered by different stakeholders to facilitate goal-concordant care for Muslim patients considering fasting.
Highlights
Ramadan, the ninth month in the lunar calendar, is a sacred month when hundreds of millions of Muslims refrain from eating, drinking and marital sex from dawn until sunset
Factors contributing to using RAMCOM included perception of tool, perceived norm, and ability to use tool
The first manuscript used social cognitive theory as a guiding framework to explore factors affecting counseling provided to Muslim patients considering fasting Ramadan from a clinician’s perspective [14]. This second manuscript complements earlier findings by proposing a communication tool, RAMCOM, which aims to assist clinicians in communicating with Muslim patients considering fasting during Ramadan
Summary
The ninth month in the lunar calendar, is a sacred month when hundreds of millions of Muslims refrain from eating, drinking and marital sex from dawn until sunset. This is a religious obligation for able-bodied adult Muslims, which has been prescribed in the Qur’an 2:183–184 [1]. Islamic Jurists have had differences in opinions on the kinds of dosage forms that nullify fasting[2]. A religious-medical symposium was held to address differences on dosage forms that nullify fasting [3]. I believe the opinion of another who disagrees with me is wrong with the possibility that it is right” [4]
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