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Mwangi G, Sakyi L, Ae-Ngibise KA, Lund C, Weobong B. Mental health and disability research in Ghana: a rapid review. Pan Afr Med J 2023; 45:166. [PMID: 37900204 PMCID: PMC10611911 DOI: 10.11604/pamj.2023.45.166.38808] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2023] [Accepted: 04/02/2023] [Indexed: 10/31/2023] Open
Abstract
The objective of this rapid review was to explore the current evidence base for mental health and disability research in Ghana. The PRISMA-ScR (Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews) checklist was followed. Online databases were used to identify primary studies, systematic reviews, meta-analyses, rapid reviews, or guidelines published between 2010 and 2020. All relevant published (both peer-reviewed articles and grey literature) on mental health and/or disability research conducted in or on Ghana between 2010 and 2020 were included in this review. 4,791 articles were identified in the initial search. After the removal of duplicates, followed by title and abstract screening, 930 articles were selected for full-text review. An additional 8 articles identified from reference lists of included articles were also included in full-text review. After review, 375 articles were selected for inclusion; 234 (62%) were on mental health while the remaining 141 (38%) were on disability. There is an increasing trend in the absolute number of mental health and/or disability studies. Most of the mental health studies included in this review were either observational quantitative studies (n=132; 56%) or observational qualitative studies (n=79; 34%). There were very few interventional studies (n=6; 3%). A similar finding was noted for the disability studies. External funding accounted for 51% of mental health articles. Although there was a steady year-on-year increase in the absolute number of mental health and/or disability studies conducted between 2010 to 2020, there is a need for more intervention studies to evaluate what mental health and/or disability interventions work, for whom, and under what circumstances. These should include evaluations of the cost, benefits, effectiveness, and acceptability of various interventions for policy and planning. Further, there is a need for the Ministry of Health to prioritize research funding for mental health and disability and enhance technical and methodological capacity of researchers to conduct disability and mental health research in Ghana.
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Affiliation(s)
| | - Lionel Sakyi
- Ghana Somubi Dwumadie (Ghana Participation Programme), East Legon, Accra, Ghana
| | - Kenneth Ayuurebobi Ae-Ngibise
- Ghana Somubi Dwumadie (Ghana Participation Programme), East Legon, Accra, Ghana
- Kintampo Health Research Centre, Research and Development Division, Ghana Health Service, Kintampo North Municipality, Bono East Region, Ghana
| | - Crick Lund
- Centre for Global Mental Health, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's Global Health Institute, King's College London, London, United Kingdom
- Alan J Flisher Centre for Public Mental Health, Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa
| | - Benedict Weobong
- Department of Social and Behavioural Sciences, College of Health Sciences, University of Ghana, Accra, Ghana
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Shi XP, Dychangco MEA, Yang XM, Olivar JJR. Development and Validation of the Missed Nursing Care Tool for Pre-Operative Patients with Lung Cancer in China. Patient Prefer Adherence 2023; 17:1451-1465. [PMID: 37350778 PMCID: PMC10284153 DOI: 10.2147/ppa.s413585] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/09/2023] [Accepted: 06/06/2023] [Indexed: 06/24/2023] Open
Abstract
Introduction Current research suggests that missed nursing care is widespread in preoperative lung cancer patients in China, and preoperative airway management nursing care for lung cancer patients is not standardized. Missed nursing care for preoperative lung cancer patients, on the other hand, is rarely investigated, particularly from the patient's perspective. This study aimed to develop and validate the MISSCARE Survey for pre-operative patients with lung cancer in China. Methods This study generated the preliminary draft of the MISSCARE Survey - Lung Cancer Patient (MS-LCP) and tested its reliability and stability through three rounds of lung cancer resection (494, 50, and 309 cases, respectively). 20 patients and 6 experts determined the face and content validity. EFA and CFA assessed construct and convergent validity. Internal consistency, including Cronbach's alpha, Spearman-Brown reliability, and re-test reliability, was also examined. Results The scale contained 15 items, including specific care, communicative care, timely care, and basic care. KMO was 0.932 (> 0.6), and Bartlett's Test of Sphericity showed P = 0.000 (<0.05). The attribution factor's item loads ranged from 0.765 to 0.853, accounting for 82.20% of the variation. The scale's Cronbach's alpha, Spearman-Brown, and retest reliability were 0.945, 0.879, and 0.824. CFA showed goodness of fit (RMSEA = 0.021, χ2/df = 1.138, GFI = 0.900, AGFI = 0.945, CFI = 0.996, NFI = 0.967, IFI = 0.996). For each dimension, AVE ranged from 0.555 to 0.717 (>0.50) and CR from 0.861 to 0.904 (>0.70). Conclusion The MS-LCP was reliable and valid in this study, making it appropriate for the Chinese lung cancer patient population. This tool is more objective in its presentation of missed nursing care, assisting nursing staff in optimizing nursing procedures before surgery, increasing the implementation of higher-quality tumor care, and promoting the recovery of lung cancer surgery patients.
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Affiliation(s)
- Xin-ping Shi
- The Nursing Department, Henan Provincial People’s Hospital, People’s Hospital of Zhengzhou University, Zhengzhou, People’s Republic of China
| | - Ma Encarnacion A Dychangco
- Paulinian Leadership Academy, University Research Council, St Paul University Manila, Manila, Philippine
| | - Xu-ming Yang
- Operating Room, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, People’s Republic of China
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Affiliation(s)
- Chizimuzo Zim Okoli
- Chizimuzo (Zim) Okoli, PhD, MPH, MSN, PMHNP-BC, FAAN, American Psychiatric Nurses Association, Falls Church, VA, USA
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van Nieuw Amerongen-Meeuse JC, Braam AW, Anbeek C, Twisk JW, Schaap-Jonker H. Treatment alliance and needs of care concerning religiousness and spirituality: A follow-up study among psychiatric inpatients. Int J Soc Psychiatry 2022; 68:1341-1350. [PMID: 34100667 DOI: 10.1177/00207640211023065] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
BACKGROUND Patient satisfaction with religious/spiritual (R/S) care during mental health treatment has been associated with a better treatment alliance. AIMS To investigate the longitudinal relations between (un)met R/S care needs and treatment alliance/compliance over a 6-month period. METHOD 201 patients in a Christian (CC) and a secular mental health clinic completed a questionnaire (T0) containing an R/S care needs questionnaire, the Working Alliance Inventory (WAI) and the Service Engagement Scale (SES). After 6 months 136 of them took part in a follow-up (T1). Associations were analysed using hybrid linear mixed models and structural equation modelling. RESULTS R/S care needs decreased over time, but a similar percentage remained unanswered (e.g. 67% of the needs on R/S conversations in a secular setting). Over a 6-month period, met R/S care needs were associated with a higher WAI score (β = .25; p < .001), and unmet R/S care needs with lower WAI score (β = -.36; p < .001), which were mainly between subjects effects. Patients reporting a high score of unmet R/S care at baseline, reported a decrease in SES over time (β = -.13; p < .05). CONCLUSIONS Satisfaction with R/S care among mental health patients is related to a better treatment alliance. When unmet R/S care needs persist, they precede a decrease in treatment compliance. Mental health professionals are recommended to assess the presence of R/S care needs and consider possibilities of R/S care especially in the first weeks of treatment.
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Affiliation(s)
- Joke C van Nieuw Amerongen-Meeuse
- Department of Humanist Chaplaincy Studies for a Plural Society, University of Humanistic Studies, Utrecht, The Netherlands.,Center for Research and Innovation in Christian Mental Health Care, Amersfoort, The Netherlands
| | - Arjan W Braam
- Department of Humanist Chaplaincy Studies for a Plural Society, University of Humanistic Studies, Utrecht, The Netherlands.,Departments of Emergency Psychiatry and Residency Training, Altrecht Mental Health Care, Utrecht, The Netherlands
| | - Christa Anbeek
- Department of Religion and Theology, Vrije Universiteit, Amsterdam, The Netherlands
| | - Jos Wr Twisk
- Department of Epidemiology and Biostatistics, UMC Amsterdam, Department VUmC, Amsterdam, The Netherlands
| | - Hanneke Schaap-Jonker
- Center for Research and Innovation in Christian Mental Health Care, Amersfoort, The Netherlands.,Department of Religion and Theology, Vrije Universiteit, Amsterdam, The Netherlands
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Lee TH, Jarupreechachan W, Tseng YC. Exploring low-income migrant workers' health information-seeking behavior during COVID-19 in Taiwan: A qualitative study. Digit Health 2022; 8:20552076221133764. [PMID: 36312850 PMCID: PMC9608031 DOI: 10.1177/20552076221133764] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2022] [Accepted: 09/30/2022] [Indexed: 11/06/2022] Open
Abstract
Background COVID-19 pandemic is reported to exacerbate existing vulnerabilities of marginalized groups, and the lack of self-care can lead to the spread of the virus across society. Therefore, effective responses to the challenges imposed by the health crisis should consider the health information needs of migrant workers. Objective We aimed to explore how migrant low-income workers seek health information and how their health-related information needs were met during a health crisis. We also investigated migrant workers’ preferred information sources and types of content with the theoretical concept of health literacy to understand the development of health competencies among migrant workers. Methods We conducted semi-structured interviews with Thai low-income migrant workers. A total of 13 Thai migrant workers participated in the study, among whom five were undocumented. The interviews were audio-taped, transcribed, and analyzed with the thematic analysis approach. Results Our findings indicated that migrant workers’ health literacy and health information behavior could be improved through technology when facing a health crisis. We found that participants sought health information proactively to reduce their perceived risks. However, there is still space for design to support the ability to process jargon information and apply local policy, such as providing easy-to-understand, accurate, and timely information. The findings of this study provide some insights for the authority and technological design to respond to migrant workers’ health information needs. Conclusions This study acknowledges and understands the needs of vulnerable migrant workers in society. The findings of this study provide insights for the authority and technological design to respond to migrant workers’ health information needs. We also outline the areas worth further investigation, such as the communication between information seekers and providers, and the navigation of the healthcare system for migrants in the host country.
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Affiliation(s)
- Tuan-he Lee
- Institute of Service Science, National Tsing Hua University, Hsinchu, Taiwan,Information Science, Cornell University, Ithaca, NY, USA
| | | | - Yuan-Chi Tseng
- Institute of Service Science, National Tsing Hua University, Hsinchu, Taiwan,Yuan-Chi Tseng, Institute of Service Science, National Tsing Hua University, 101, Section 2, Kuang-Fu Road, Hsinchu 300044, Taiwan.
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Opoku R, Amoah PA, Nyamekye KA. Householders' perception about sustaining the useful life of long-lasting insecticide-treated nets in Ghana. Int Health 2021; 13:57-62. [PMID: 32497203 PMCID: PMC7807238 DOI: 10.1093/inthealth/ihaa019] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
Abstract
Background This article explores the multifaceted perceptions among householders about the care, efficacy and disposal of long-lasting insecticide-treated nets (LLINs), especially those regarding the end of the useful life of LLINs, and their implications for malaria control. Methods We used a cross-sectional qualitative design. Data were gathered in the Shai-Osudoku District in the Greater Accra Region of Ghana using focus group discussions and in-depth interviews. A thematic analysis technique was applied to analyse the data. Results Four findings emerged. First, participants were familiar with LLINs and the issues concerning the end of their useful life. However, the application of this knowledge was deficient. Second, characteristics of effectiveness (e.g. torn beyond repair) other than the age of a net determined the end of the useful life of LLINs. Third, social desirability and other social practices had positive and negative influences on perceptions about LLIN use and the end of their useful life. Fourth, repurposing of LLINs signified the end of their useful life. Conclusions Policies and strategies to position LLIN use as the leading resource for malaria control need to be innovative to accommodate the perceptions and practices of targeted households.
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Affiliation(s)
- Robert Opoku
- PMI VectorLink Project, Population Services International (PSI), P.O. Box Ct 4274, Cantonments, Accra, Ghana
| | - Padmore Adusei Amoah
- School of Graduate Studies, Asia Pacific Institute of Ageing Studies, Centre for Social Policy and Social Change, Lingnan University, 8 Castle Peak Rd., Tuen Mun, Hong Kong SAR, China
| | - Kingsley Atta Nyamekye
- Department of Planning and Sustainability, School of Geo-Sciences, University of Energy and Natural Resources. P.O.Box 214, Sunyani, Ghana
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Koduah AO, Amoah PA, Nkansah JO, Leung AYM. A Comparative Analysis of Student and Practising Nurses' Health Literacy Knowledge in Ghana. Healthcare (Basel) 2021; 9:healthcare9010038. [PMID: 33406747 PMCID: PMC7823597 DOI: 10.3390/healthcare9010038] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2020] [Revised: 12/22/2020] [Accepted: 12/22/2020] [Indexed: 11/23/2022] Open
Abstract
This study examined student and practising nurses’ health literacy knowledge, and its correlates in Ghana. It was underpinned by an adapted version of the Institute of Medicine’s (IOM) conceptual framework of health literacy. We used convenience and snowball sampling techniques to collect data from 876 nurses (477 student nurses and 399 practising nurses) in a cross-sectional survey from February 2019 to June 2019. The respondents were drawn from all the former ten administrative regions of Ghana. Approximately 75.4% of the respondents had heard of health literacy. However, health literacy knowledge was generally low (average score of 6.6 out of 20) among both groups, with student nurses (average score of 5.8 out of 20) having significantly lower scores than practising nurses (average score of 7.4 out of 20). Factors associated with health literacy knowledge among student nurses included gender (male, B = −0.499, p < 0.01), trust in others (B = −0.874, p < 0.001), cultural values (B = 0.276, p < 0.001), year of study (B = 0.244, p < 0.05), and frequency of curative care use (B = −0.236, p < 0.05). For practising nurses, trust (B = −1.252, p < 0.01), cultural values (B = 0.357, p < 0.01), and working experience (B = 0.612, p < 0.01) were associated with their health literacy knowledge. Thus, responses targeted at gaps in health literacy knowledge of student and practising nurses must be sensitive to personal characteristics (e.g., gender), social values (e.g., issues of trust, and cultural beliefs and practices), as well as factors relating to nursing education and experience.
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Affiliation(s)
- Adwoa Owusuaa Koduah
- Center of Gerontological Nursing, School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China;
| | - Padmore Adusei Amoah
- Institute of Policy Studies, Asia Pacific Institute of Ageing Studies, and School of Graduate Studies, Lingnan University, Hong Kong SAR, China
- Correspondence:
| | | | - Angela Y. M. Leung
- Centre for Gerontological Nursing, WHO Collaborating Centre for Community Health Services (WHOCC), School of Nursing, The Hong Kong Polytechnic University, Hong Kong SAR, China;
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Botero-Rodríguez F, Franco O, Carlos. Pandemic's glossary: The ABC of coronavirus concepts. BIOMEDICA : REVISTA DEL INSTITUTO NACIONAL DE SALUD 2020; 40:16-26. [PMID: 33152184 PMCID: PMC7676831 DOI: 10.7705/biomedica.5605] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/20/2020] [Accepted: 07/23/2020] [Indexed: 12/02/2022]
Abstract
Currently, the world is facing the pandemic generated by SARS-CoV-2. There are no no pharmacological measures for the prevention or treatment of this infection and, so far, it has caused more than 4´880.000 confirmed cases and 322.000 deaths. The different strategies for the control of the disease that have been proposed involve the participation of different actors. Such participation, guided by legal guidelines based on public health measures, include containment, mitigation, physical isolation, and quarantine. As this is a populationbased problem, information plays a primary role; however, the many new terms hat have arisen and their misuse confuse and, therefore, misinform thus limiting citizen participation. For this reason, we conducted a review of the terms used in epidemics and pandemics of infectious diseases, particularly COVID-19. We considered and differentiated the relevant terms to facilitate the understanding of pathogen’s behavior and epidemic and pandemic cycles, as well as the criteria for public health decision-making for the general public. This glossary should facilitate the use of the terms and standardize the information.
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Affiliation(s)
- Felipe Botero-Rodríguez
- Departamento de Epidemiología Clínica y Bioestadística, Facultad de Medicina, Pontificia Universidad Javeriana, Bogotá, D.C., Colombia.
| | - Oscar Franco
- Institute of Social and Preventive Medicine, University of Bern, Bern, Switzerland.
| | - Carlos
- Departamento de Epidemiología Clínica y Bioestadística, Departamento de Psiquiatría y Salud Mental, Facultad de Medicina, Pontificia Universidad Javeriana, Bogotá, D.C., Colombia; Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogotá, D.C., Colombia.
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Sentell T, Vamos S, Okan O. Interdisciplinary Perspectives on Health Literacy Research Around the World: More Important Than Ever in a Time of COVID-19. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E3010. [PMID: 32357457 PMCID: PMC7246523 DOI: 10.3390/ijerph17093010] [Citation(s) in RCA: 120] [Impact Index Per Article: 30.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/01/2020] [Revised: 04/22/2020] [Accepted: 04/22/2020] [Indexed: 01/06/2023]
Abstract
As we write our editorial for a health literacy special issue in the midst of the international COVID-19 crisis, we take this opportunity to highlight the importance of individual, community, and population health literacy. We are not only in a "pandemic" but also an "infodemic". Health literacy is more important than ever in the face of these global health threats, which have impacted outcomes across the levels of the socio-ecological model (SEM), including individual health behaviors, family relationships, organizational behavior, state policy-making, national mortality statistics, and the international economy in the span of weeks. Our special issue sought to pull together interdisciplinary threads guided by two principles. The first was defining health literacy as essential skills and situational resources needed for people to find, understand, evaluate, communicate, and use information and services in a variety of forms across various settings throughout their life course to promote health and wellbeing. The second was the idea that enhancing health literacy in populations and systems is critical to achieving health equity. In this time of public health need across traditional borders, the inter-sectoral and international perspectives of special issue articles are more urgent than ever. A greater understanding, appreciation, and application of health literacy can support policy action on multiple levels to address major public health challenges. Health literacy should be built deliberately as a population-level resource and community asset. We have summarized the set of articles in this special issue across the levels of the SEM, hoping their thoughtful considerations and interesting findings will help to support global health and wellness and inspire future research, policy, and practice in this global public health emergency and beyond.
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Affiliation(s)
- Tetine Sentell
- Office of Public Health Studies, University of Hawai’i at Mānoa, Honolulu, HI 96822, USA
| | - Sandra Vamos
- School of Interdisciplinary Health Programs, Western Michigan University, Kalamazoo, MI 49008, USA
| | - Orkan Okan
- Interdisciplinary Center for Health Literacy Research, Bielefeld University, 33615 Bielefeld, Germany
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