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Ogunlana MO, Oyewole OO, Aderonmu JA, Onyeso OK, Faloye AY, Govender P. Patterns and predictors of cultural competence practice among Nigerian hospital-based healthcare professionals. BMC Med Educ 2023; 23:933. [PMID: 38066501 PMCID: PMC10709888 DOI: 10.1186/s12909-023-04910-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Accepted: 11/28/2023] [Indexed: 12/18/2023]
Abstract
BACKGROUND Being culturally competent would enhance the quality of care in multicultural healthcare settings like Nigeria, with over 200 million people, 500 languages, and 250 ethnic groups. This study investigated the levels of training and practice of cultural competence among clinical healthcare professionals in two purposively selected Nigerian tertiary hospitals. METHODS The research was a cross-sectional study. A multi-stage sampling technique was used to recruit participants who completed the adapted version of Cultural Competence Assessment Instrument (CCAI-UIC). Data were analysed using descriptive statistics, Pearson's correlation, ANOVA, and multivariate linear regression. RESULTS The participants were mainly women (66.4%), aged 34.98 ± 10.18 years, with ≤ 5 years of practice (64.6%). Personal competence had a positive weak correlation with age (p < 0.001), practice years (p = 0.01), training (p = 0.001), practice (p < 0.001), and organisational competence (p < 0.001). There were significant professional differences in the level of training (p = 0.005), and differences in training (p = 0.005), and personal competence (p = 0.015) across levels of educational qualifications. Increasing practise years (p = 0.05), medical/dental profession relative to nursing (p = 0.029), higher personal (p = 0.013), and organisational (p < 0.001) cultural competences were significant predictors of the level of training. Male gender (p = 0.005), higher years in practice (p = 0.05), local language ability (p = 0.037), rehabilitation professionals relative to nursing (p = 0.05), high culturally competent practice (p < 0.001), higher training opportunities (p = 0.013), and higher organisational competence (p = 0.001) were significant predictors of higher personal competence. CONCLUSION About a third of the participants had no formal training in cultural competence. Incorporating cultural competence in the Nigerian healthcare professionals' education curricula may enhance the quality of care in the multicultural setting.
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Affiliation(s)
- Michael O Ogunlana
- Department of Physiotherapy, Federal Medical Centre Abeokuta, Abeokuta, Ogun State, Nigeria.
- College of Health Sciences, University of KwaZulu-Natal, Private Bag X54001, Durban, South Africa.
| | - Olufemi O Oyewole
- College of Health Sciences, University of KwaZulu-Natal, Private Bag X54001, Durban, South Africa
- Department of Physiotherapy, Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria
| | - Joseph A Aderonmu
- Department of Medical Rehabilitation, Obafemi Awolowo University, Ile-Ife, Nigeria
| | - Ogochukwu Kelechi Onyeso
- Population Studies in Health, Faculty of Health Sciences, University of Lethbridge, Lethbridge, AB, Canada
| | - Ayobamigbe Y Faloye
- Unit of Planning Research and Statistics, Federal Medical Centre Abeokuta, Abeokuta, Ogun State, Nigeria
| | - Pragashnie Govender
- College of Health Sciences, University of KwaZulu-Natal, Private Bag X54001, Durban, South Africa
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Ogunlana MO, Oyewole OO, Fafolahan A, Govender P. Exploring community reintegration among Nigerian stroke survivors. S Afr J Physiother 2023; 79:1857. [PMID: 37415852 PMCID: PMC10319923 DOI: 10.4102/sajp.v79i1.1857] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2022] [Accepted: 05/02/2023] [Indexed: 07/08/2023] Open
Abstract
Background Community reintegration is one of the ultimate goals of stroke rehabilitation. The increasing burden of stroke morbidity by other non-communicable diseases in Nigeria indicated the need for our study. Objectives The authors explored the factors contributing to successful community reintegration among Nigerian stroke survivors. Method We conducted an explorative qualitative study design to achieve this aim using in-depth semi-structured interviews with 12-purposively sampled stroke survivors. Results Three overarching themes emerged: restriction of participation experienced by stroke survivors, activity limitation as pointers to the quality-of-life experience of stroke survivors and enablers or barriers to community reintegration for stroke survivors. Among the core, sub-themes included incapability of returning to work, difficulty performing domestic activities, social isolation or separation, recreation and leisure time. Enablers of community reintegration included creating a positive mindset, encouragement and social support, while barriers included mobility and speech or language challenges. Conclusion Stroke survivors have challenges in returning to work and experience varying levels of activity limitation, which affects their quality of life with identifiable enablers or barriers to community reintegration. Clinical implications Stroke survivors with severe functional deficits should be monitored closely and given further rehabilitative assistance to aid functional recovery, thereby facilitating community reintegration.
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Affiliation(s)
- Michael O Ogunlana
- Department of Physiotherapy, Federal Medical Centre Abeokuta, Abeokuta, Ogun State, Nigeria
- Department of Occupational Therapy, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa
| | - Olufemi O Oyewole
- Department of Physiotherapy, Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria
| | - Abiola Fafolahan
- Department of Physiotherapy, Federal Medical Centre Abeokuta, Abeokuta, Ogun State, Nigeria
| | - Pragashnie Govender
- Department of Occupational Therapy, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa
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Oyewole OO, Ale AO, Ogunlana MO, Gurayah T. Burden of disability in type 2 diabetes mellitus and the moderating effects of physical activity. World J Clin Cases 2023; 11:3128-3139. [PMID: 37274052 PMCID: PMC10237122 DOI: 10.12998/wjcc.v11.i14.3128] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/03/2022] [Revised: 03/02/2023] [Accepted: 04/06/2023] [Indexed: 05/16/2023] Open
Abstract
The growing diabetic epidemic has created a substantial burden, not only on the people with diabetes but also on society at large. This mini-review discussed the limitations and patterns of disability in type 2 diabetes mellitus and put forward a case for the moderating effects of physical activity (PA) in the management of diabetes. The limitations and impairments associated with diabetes include vascular, neurological, cardiac, and renal impairments. Moreover, individuals participate less in their daily lives and in their instrumental activities of daily living, which negatively impacts the quality of life of individuals with diabetes. This often leads to a loss of quality of life due to disabilities, resulting in an increased rate of disability-adjusted life years among people with type 2 diabetes mellitus. Moreover, there are psychosocial sequelae of diabetes mellitus. This necessitates looking for moderating factors that may reduce the burden of the disease. PA has been shown to be one of the factors that can mitigate these burdens. PA does this in several ways, including through the benefits it confers, such as a reduction of hemoglobin A1c, a reduction of excess fat in the liver and pancreas, and the reduction of cardiovascular risk factors, all of which favorably affect glycemic parameters. Specifically, PA regulates or moderates diabetes disability through two mechanisms: The regulation of glucolipid metabolism disorders and the optimization of body mass index and systemic conditions. Therefore, efforts should be directed at PA uptake through identified strategies. This will not only prevent diabetes or diabetes complications but will reduce its burden.
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Affiliation(s)
- Olufemi O Oyewole
- Department of Physiotherapy, Olabisi Onabanjo University Teaching Hospital, Sagamu 201101, Ogun, Nigeria
- College of Health Sciences, University of KwaZulu-Natal, Durban 3629, South Africa
| | - Ayotunde O Ale
- Department of Medicine, Olabisi Onabanjo University, Sagamu 121101, Ogun, Nigeria
- Department of Endocrinology, Diabetes and Metabolism Unit, Medicine, Olabisi Onabanjo University Teaching Hospital, Sagamu 121101, Ogun, Nigeria
| | - Michael O Ogunlana
- College of Health Sciences, University of KwaZulu-Natal, Durban 3629, South Africa
- Department of Physiotherapy, Federal Medical Centre, Abeokuta 110101, Ogun, Nigeria
| | - Thavanesi Gurayah
- Occupational Therapy, School of Health Sciences, University of Kwazulu Natal, Private Bag X54001, Durban, 4000
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Odole AC, Ogunlana MO, Odunaiya NA, Oyewole OO, Mbada CE, Onyeso OK, Ayodeji AF, Adegoke OM, Odole I, Sanuade CT, Odole ME, Awosoga OA. Influence of well-being and quality of work-life on quality of care among healthcare professionals in southwest, Nigeria. Sci Rep 2023; 13:7830. [PMID: 37188741 DOI: 10.1038/s41598-022-25057-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2022] [Accepted: 11/24/2022] [Indexed: 05/17/2023] Open
Abstract
The Nigerian healthcare industry is bedevilled with infrastructural dilapidations and a dysfunctional healthcare system. This study investigated the influence of healthcare professionals' well-being and quality of work-life (QoWL) on the quality of care (QoC) of patients in Nigeria. A multicentre cross-sectional study was conducted at four tertiary healthcare institutions in southwest, Nigeria. Participants' demographic information, well-being, quality of life (QoL), QoWL, and QoC were obtained using four standardised questionnaires. Data were summarised using descriptive statistics. Inferential statistics included Chi-square, Pearson's correlation, independent samples t-test, confirmatory factor analyses and structural equation model. Medical practitioners (n = 609) and nurses (n = 570) constituted 74.6% of all the healthcare professionals with physiotherapists, pharmacists, and medical laboratory scientists constituting 25.4%. The mean (SD) participants' well-being = 71.65% (14.65), QoL = 61.8% (21.31), QoWL = 65.73% (10.52) and QoC = 70.14% (12.77). Participants' QoL had a significant negative correlation with QoC while well-being and quality of work-life had a significant positive correlation with QoC. We concluded that healthcare professionals' well-being and QoWL are important factors that influence the QoC rendered to patients. Healthcare policymakers in Nigeria should ensure improved work-related factors and the well-being of healthcare professionals to ensure good QoC for patients.
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Affiliation(s)
- Adesola C Odole
- Department of Physiotherapy, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - Michael O Ogunlana
- Department of Physiotherapy, Federal Medical Centre, Abeokuta, Nigeria
- College of Health Sciences, University of KwaZulu-Natal, Private Bag X54001, Durban, South Africa
| | - Nse A Odunaiya
- Department of Physiotherapy, College of Medicine, University of Ibadan, Ibadan, Nigeria.
| | - Olufemi O Oyewole
- College of Health Sciences, University of KwaZulu-Natal, Private Bag X54001, Durban, South Africa
- Department of Physiotherapy, Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State, Nigeria
| | - Chidozie E Mbada
- Department of Medical Rehabilitation, Obafemi Awolowo University, Ile-Ife, Nigeria
| | | | - Ayomikun F Ayodeji
- Department of Physiotherapy, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - Opeyemi M Adegoke
- Department of Physiotherapy, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - Iyanuoluwa Odole
- University College Hospital, Ibadan, Nigeria
- Department of Public Health, Yale University, New Haven, CT, USA
| | - Comfort T Sanuade
- Department of Physiotherapy, College of Medicine, University of Ibadan, Ibadan, Nigeria
- Department of Health, Kinesiology, and Applied Physiology, Concordia University, Montreal, Canada
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Awosoga OA, Odunaiya NA, Oyewole OO, Ogunlana MO, Mbada CE, Onyeso OK, Adegoke OM, Ayodeji AF, Odole AC. Pattern and perception of wellbeing, quality of work life and quality of care of health professionals in Southwest Nigeria. BMC Health Serv Res 2022; 22:1387. [PMID: 36419074 PMCID: PMC9682769 DOI: 10.1186/s12913-022-08808-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2022] [Accepted: 11/08/2022] [Indexed: 11/24/2022] Open
Abstract
BACKGROUND Personal wellbeing (PW) including quality of life and work life is a very complex concept that influences health professionals' commitment and productivity. Improving PW may result in positive outcomes and good quality of care. Therefore, this study aimed to assess the pattern and perception of wellbeing, quality of work life (QoWL) and quality of care (QoC) of health professionals (HPs) in southwest Nigeria. METHODS: The study was a convergent parallel mixed method design comprising a cross-sectional survey (1580 conveniently selected participants) and a focus group interview (40 purposively selected participants). Participants' PW, quality of life (QoL), QoWL, and QoC were assessed using the PW Index Scale, 5-item World Health Organization Well-Being Index, QoWL questionnaire, and Clinician QoC scale, respectively. The pattern of wellbeing, QoWL and quality of care of HPs were evaluated using t-test and ANOVA tests. Binary regression analysis was used to assess factors that could classify participants as having good or poor wellbeing, QoWL, and quality of care of HPs. The qualitative findings were thematically analyzed following two independent transcriptions. An inductive approach to naming themes was used. Codes were assigned to the data and common codes were grouped into categories, leading to themes and subthemes. RESULTS Of 1600 administered questionnaires, 1580 were returned, giving a 98.75% response rate. Only 45.3%, 43.9%, 39.8% and 38.4% of HP reported good PW, QoL, QoC and QoWL, respectively; while 54.7%, 56.1%, 60.2% and 61.6% were poor. There were significant gender differences in PW and QoC in favor of females. With an increase in age and years of practice, there was a significant increase in PW, QoWL and QoC. As the work volume increased, there was significant decrease in QoWL. Participants with master's or Ph.D. degrees reported improved QoWL while those with diploma reported better QoC. PWI and QoC were significantly different along the type of appointment, with those who held part-time appointments having the least values. The regression models showed that participant's characteristics such as age, gender, designation, and work volume significantly classified health professionals who had good or poor QoC, QoWL, PW and QoL. The focus group interview revealed four themes and 16 sub-themes. The four themes were the definitions of QoC, QoWL, and PW, and dimensions of QoC. CONCLUSION More than half of health professionals reported poor quality of work life, quality of life and personal wellbeing which were influenced by personal and work-related factors. All these may have influenced the poor quality of care reported, despite the finding of a good knowledge of what quality of care entails.
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Affiliation(s)
- Oluwagbohunmi A. Awosoga
- grid.47609.3c0000 0000 9471 0214Faculty of Health Sciences, University of Lethbridge, Alberta, Canada
| | - Nse A. Odunaiya
- grid.9582.60000 0004 1794 5983Department of Physiotherapy, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - Olufemi O. Oyewole
- grid.412349.90000 0004 1783 5880Department of Physiotherapy, Olabisi Onabanjo University Teaching Hospital, PMB 2001, Sagamu, Nigeria ,grid.16463.360000 0001 0723 4123College of Health Sciences, University of KwaZulu-Natal, Private Bag X54001, Durban, South Africa
| | - Michael O. Ogunlana
- grid.16463.360000 0001 0723 4123College of Health Sciences, University of KwaZulu-Natal, Private Bag X54001, Durban, South Africa ,grid.414821.aDepartment of Physiotherapy, Federal Medical Centre, Abeokuta, Nigeria
| | - Chidozie E. Mbada
- grid.25627.340000 0001 0790 5329Department of Health Professions, Manchester Metropolitan University, Manchester, UK
| | - Ogochukwu K. Onyeso
- grid.47609.3c0000 0000 9471 0214Faculty of Health Sciences, University of Lethbridge, Alberta, Canada
| | - Opeyemi M. Adegoke
- grid.9582.60000 0004 1794 5983Department of Physiotherapy, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - Ayomikun F. Ayodeji
- grid.9582.60000 0004 1794 5983Department of Physiotherapy, College of Medicine, University of Ibadan, Ibadan, Nigeria
| | - Adesola C. Odole
- grid.9582.60000 0004 1794 5983Department of Physiotherapy, College of Medicine, University of Ibadan, Ibadan, Nigeria
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Buys E, Nadasan T, Pefile N, Ogunlana MO, Naidoo D. Clinical and socio-demographic determinants of community reintegration in people with spinal cord injury in eThekwini Municipality, KwaZulu-Natal province. S Afr j physiother 2022; 78:1631. [PMID: 35747514 PMCID: PMC9210146 DOI: 10.4102/sajp.v78i1.1631] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2021] [Accepted: 03/05/2022] [Indexed: 11/26/2022] Open
Abstract
Background Community reintegration is a major outcome of rehabilitation after the acute phase in people with spinal cord injury (PWSCI). Objective To investigated clinical and socio-demographic factors determining community participation in PWSCI, living in the greater eThekwini Municipality, KwaZulu-Natal province. Method Our quantitative, cross-sectional study had a convenient sample of 41 PWSCI. A trained interviewer obtained socio-demographic information using a structured questionnaire. Participants completed the Reintegration to Normal Living Index (RNLI). Descriptive statistics were used in summarising the data; inferential statistics, -a t-test and analysis of variance (ANOVA) assessed the association of clinical and socio-demographic factors with the extent of community reintegration. A multiple linear regression investigated the determinants of community reintegration with the alpha level set at p = 0.05. Results Mean age of the participants was 41 years (s.d.: 10, range 25–66), with the majority (n = 32, 78%) being male. The mean RNLI score was 68% (s.d.: 22, range 24–100). Participants scored higher on the RNLI if they were male (mean difference [MD] 18%, 95% confidence interval [CI]: 2–34), were employed (MD 16%, 95% CI: 0–32), had a salary (MD 19%, 95% CI: 5–32) and had no muscle spasms (MD 14%, 95% CI: 1–27. Muscle spasms (p = 0.012, 95% CI: 3.85–29.05) and being female PWSCI (p = 0.010, 95% CI: −35.75 to −5.18) were significant negative predictors of community reintegration. Conclusion Community reintegration may be influenced by socio-economic factors. Special interventions for muscle spasms and support for women living with spinal cord injuries may enhance community reintegration. Clinical implication Therapists need to focus on community reintegration with female PWSCI and on returning to PWSCI to work as this was improved community reintegration.
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Affiliation(s)
| | - Thayananthee Nadasan
- Department of Physiotherapy, Faculty of Health Sciences, University of KwaZulu-Natal, Durban, South Africa
| | - Ntsikelelo Pefile
- Department of Physiotherapy, Faculty of Health Sciences, University of KwaZulu-Natal, Durban, South Africa
| | - Michael O. Ogunlana
- Department of Occupational Therapy, Faculty of Health Sciences, University of KwaZulu-Natal, Durban, South Africa
- Department of Physiotherapy, Federal Medical Centre, Abeokuta, Nigeria
| | - Deshini Naidoo
- Department of Occupational Therapy, Faculty of Health Sciences, University of KwaZulu-Natal, Durban, South Africa
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York SJ, Rencken G, Ogunlana MO, Dawood A, Govender P. Expert opinions on knowledge-translation interventions for occupational therapists working with neonates in South Africa: A Delphi study. Health SA 2022; 27:1724. [PMID: 35281286 PMCID: PMC8905405 DOI: 10.4102/hsag.v27i0.1724] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2021] [Accepted: 10/22/2021] [Indexed: 11/02/2022] Open
Abstract
Background Aim Setting Method Results Conclusion Contribution
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Affiliation(s)
- Samantha J. York
- Private, Samantha Campbell Occupational Therapy, Durban, South Africa
| | - Gina Rencken
- Department of Occupational Therapy, Faculty of Health Sciences, University of KwaZulu-Natal, Durban, South Africa
| | - Michael O. Ogunlana
- College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa
- Department of Physiotherapy, Federal Medical Centre Abeokuta, Ogun State, Nigeria
| | - Ayesha Dawood
- Department of Occupational Therapy, General Justice Gizenga Mpanza Regional Hospital, Durban, South Africa
| | - Pragashnie Govender
- Department of Occupational Therapy, Faculty of Health Sciences, University of KwaZulu-Natal, Durban, South Africa
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Ogunlana MO, Govender P, Oyewole OO. Prevalence and patterns of musculoskeletal pain among undergraduate students of occupational therapy and physiotherapy in a South African university. Hong Kong Physiother J 2021; 41:35-43. [PMID: 34054255 PMCID: PMC8158404 DOI: 10.1142/s1013702521500037] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/11/2020] [Accepted: 12/08/2020] [Indexed: 11/19/2022] Open
Abstract
Background: Musculoskeletal pain (MSP) conditions are common in the educational leaning environment and are often associated with poor ergonomic conditions. Objective: This study investigated the prevalence, pattern and possible risk factors of MSP among undergraduate students of occupational therapy and physiotherapy in a South African university. Methods: A cross-sectional survey using an internet-based self-designed electronic questionnaire was used to obtain information about participants’ socio-demography, ergonomic hazards, MSP, and relevant personal information. Descriptive statistics, chi-square, and logistic regression were used in analyzing the data. Results: There were 145 participants (females 115 (79.3%); physiotherapy (74) 51.03%), making 36.7% of the present undergraduate student population in the two departments. The most prevalent ergonomic work hazards were prolonged sitting (71.7%) and repetitive movements (53.8%). The 12 months prevalence of MSP among the students was 89.7%. The pattern of MSP revealed that pain on the neck region was most prevalent (66.2%) followed by pain in the low back region (64.4%). Duration of daily travels and participation in regular exercise activities were significantly associated with the prevalence of MSP. Logistic model explained 23.6% of the variance in prevalence of MSP and correctly classified 94.1% of cases (χ2=13.73, p=0.03). The right-handed students were 0.13 times more likely to present with MSP than left-handed students. Also, students who exercised regularly were 9.47 times less likely to present with MSP. Conclusion: MSP is highly prevalent among health science undergraduates and is significantly associated with sedentary postures and inadequacy in structured physical activity participation.
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Affiliation(s)
- Michael O Ogunlana
- Federal Medical Centre Abeokuta, Ogun State, Nigeria.,College of Health Sciences, University of KwaZulu-Natal, Private Bag X54001, Durban, South Africa
| | - Pragashnie Govender
- Discipline of Occupational Therapy, School of Health Sciences, University of KwaZulu-Natal, Private Bag X54001, Durban, South Africa
| | - Olufemi O Oyewole
- Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun State, Nigeria
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Ogunlana MO, Oyewole OO, Lateef AI, Ayodeji AF. Anthropometric determinants of lung function in apparently healthy individuals. S Afr J Physiother 2021; 77:1509. [PMID: 33604480 PMCID: PMC7876940 DOI: 10.4102/sajp.v77i1.1509] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2020] [Accepted: 09/29/2020] [Indexed: 11/22/2022] Open
Abstract
Background Forced vital capacity (FVC) and peak expiratory flow rate (PEFR) are used to assess and monitor the management of lung pathology. Objectives Our study documented spirometry reference values for apparently healthy Nigerians and developed predictive equations for pulmonary function. Method A cross-sectional survey involving healthy adult Nigerians included anthropometric measurements of weight, height, waist, hip circumference (HC), sagittal abdominal diameter (SAD) and percentage body fat. Anthropometric indices (body mass index [BMI] and waist-to-hip ratio [WHR]) were estimated and pulmonary function tests (FVC, forced expiratory volume in 1 s [FEV1], PEFR, FEV1/FVC ratio) measured. The association amongst selected anthropometric and socio-demographic variables and pulmonary function test parameters were established using t-tests and Pearson’s product moment correlation tests. The predictors of pulmonary function were established using stepwise multiple linear regression models. Results Four hundred and forty-four adults (156 [35.1%] men) were included, mean age 37.3 ± 8.25 (range 22–25) years. Male participants had significantly higher lung volumes than females (p < 0.05). Age, height, weight and percentage body fat had significant low correlations with lung function test parameters (p < 0.05). Fat-free mass (FFM), fat mass (FM), SAD, height and age of participants were main predictors of FVC and FEV1 (R2 = 0.43 and 0.41, respectively). Fat-free mass and SAD were main predictors of PEFR (R2 = 0.53). Sagittal abdominal diameter and age were main predictors of FEV1/FVC ratio (R2 = 0.34). Conclusion Fat-free mass, FM, height, age and SAD are important determinants of lung volumes and key variables for predictive equations of pulmonary function. Clinical implications An accurate documentation of pulmonary function values for apparently healthy Nigerian adults may be useful in identifying deviations from normative values thereby giving an index of suspicion for the diagnosis of pulmonary dysfunction. Keywords anthropometric; lung function; spirometry; fat-free mass; apparently healthy.
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Affiliation(s)
- Michael O Ogunlana
- Department of Physiotherapy, Federal Medical Centre Abeokuta, Abeokuta, Nigeria.,Department of Health Sciences, University of KwaZulu Natal, Durban, South Africa
| | - Olufemi O Oyewole
- Department of Physiotherapy, Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria
| | - Adetutu I Lateef
- Department of Physiotherapy, Federal Medical Centre Abeokuta, Abeokuta, Nigeria
| | - Ayomikun F Ayodeji
- Department of Physiotherapy, Federal Medical Centre Abeokuta, Abeokuta, Nigeria
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Oyewole OO, Ogunlana MO, Gbiri CAO, Oritogun KS, Osalusi BS. Impact of post-stroke disability and disability-perception on health-related quality of life of stroke survivors: the moderating effect of disability-severity. Neurol Res 2020; 42:835-843. [PMID: 32573376 DOI: 10.1080/01616412.2020.1785744] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
OBJECTIVE The influence of disability-perception on health-related quality of life (HRQoL) remains unclear. This study investigated impact of disability and disability-perception on HRQoL of stroke survivors and explores the moderating effect of disability-severity. METHODS Post-stroke disability, disability-perception/acceptance and HRQoL were assessed in 102 stroke survivors using the World Health Organisation Disability Assessment Schedule, Attitudes towards Disabled Persons Form-A and Short Form-36, respectively. RESULTS There was significant disability score of at least 42 in the participants with severe disability accounting for 76.5% while 52% of them having positive disability-perception. Although no sex difference exists in their HRQoL, their score was just fair (46.1 ± 1.9) with their physical health being most affected. Severe disability impacted negatively on their HRQoL but disability-perception had no significant effect except in 'role limitation due to the emotional problem' domain. Only severe disability moderated the effects of disability on the overall HRQoL (R 2 change = 3.2%; p = 0.018). Disability-severity (mild/moderate and severe disability) moderated the effects of disability level on their physical health (R 2 change = 3.1% and 6%; p = 0.012 and 0.0001, respectively). CONCLUSION Significant disability exists among stroke survivors and impaired their HRQoL while disability-severity moderating the effect. More stroke survivors have positive attitude towards their disability and impact positively on their physical health.
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Affiliation(s)
- Olufemi O Oyewole
- Physiotherapy Department, Olabisi Onabanjo University Teaching Hospital , Sagamu, Nigeria
| | - Michael O Ogunlana
- Physiotherapy Department, Federal Medical Centre, Nigeria and College of Health Sciences, University of KwaZulu Natal, Westville Campus , Durban, South Africa
| | - Caleb A O Gbiri
- Physiotherapy Department, University of Lagos , Lagos, Nigeria
| | - Kolawole S Oritogun
- Department of Community Medicine and Primary Care, Olabisi Onabanjo University , Sagamu, Nigeria
| | - Bamidele S Osalusi
- Department of Medicine, Olabisi Onabanjo University Teaching Hospital , Sagamu, Nigeria
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Ogunlana MO, Awobayo AO, Oyewole OO, Ayodeji AF. Work and musculoskeletal discomfort of Nigerian health workers: pattern and predictors. Physical Therapy Reviews 2019. [DOI: 10.1080/10833196.2019.1662208] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Affiliation(s)
- Michael O. Ogunlana
- Department of Physiotherapy, Federal Medical Centre Abeokuta, Abeokuta, Nigeria
| | | | - Olufemi O. Oyewole
- Department of Physiotherapy, Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria
| | - Ayomikun F. Ayodeji
- Department of Physiotherapy, Federal Medical Centre Abeokuta, Abeokuta, Nigeria
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Oyewole OO, Ogunlana MO, Gbiri CAO, Oritogun KS. Sexual Dysfunction in a Nigerian Stroke Cohort: A Comparative Cross-Sectional Study. Sex Disabil 2017. [DOI: 10.1007/s11195-017-9488-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Oyewole OO, Ogunlana MO, Gbiri CAO, Oritogun KS. Prevalence and impact of disability and sexual dysfunction on Health-Related Quality of Life of Nigerian stroke survivors. Disabil Rehabil 2016; 39:2081-2086. [PMID: 27548503 DOI: 10.1080/09638288.2016.1219395] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
PURPOSE To investigate the impact of disability and sexual dysfunction on Health-Related Quality of Life (HRQoL) among Nigerian stroke survivors (SSv) and to determine their association using sexual functioning (SF), Global Disability Measure and Function (GDMF), and demographic profiles. METHODS This study involved 121 consecutive SSv attending healthcare services in two tertiary health facilities in Nigeria. Demographic details were obtained through interview while HRQoL, SF, and Global Disability (GD) were assessed using Stroke-Specific Quality of Life (SS-QoL-12), Changes in Sexual Functioning Questionnaire (CSFQ-14), and World Health Organization Disability Assessment Schedule (WHODAS-2.0), respectively. Determinants of HRQoL were explored using the Poisson regression analysis. RESULTS Most of the SSv had moderate/severe GD (95%) and low SF (86.8%). Their HRQoL decreased with increase in their age (p = 0.005) and with increase in GD (p = 0.001). This association remained unchanged even when adjusted for SF (p = 0.001). Those with low SF but with mild GD had relatively better HRQoL than those with moderate/severe GD even when they had higher SF. Their HRQoL was negatively impacted by their GD but not by their SF despite direct correlation between SF and HRQoL. With a unit increase in level of GD, there was 8% decrease in HRQoL scores in psychosocial and 17% decrease in physical domains. CONCLUSION Although sexual dysfunction and global disability are prevalent among Nigerian SSv, their low HRQoL is determined by their disability and not by SF. Hence, effort at reducing global disability should be the focus of rehabilitation after stroke. Implication for Rehabilitation Global functional and sexual deficiencies abound in stroke survivors and they impact negatively on their overall quality of life. Sexual dysfunction correlates negatively on physical and psychosocial wellbeing of stroke survivors. Rehabilitation goal(s) should focus disability reduction and improvement of sexual functioning to enhance quality of life. Rehabilitation professionals should equip themselves with tools to counsel stroke survivors on sex issue since sexual dysfunction is common post stroke.
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Affiliation(s)
- Olufemi O Oyewole
- a Department of Physiotherapy , Olabisi Onabanjo University Teaching Hospital , Sagamu , Nigeria
| | - Michael O Ogunlana
- b Department of Physiotherapy , Federal Medical Centre , Abeokuta , Nigeria
| | - Caleb A O Gbiri
- c Department of Physiotherapy, College of Medicine , University of Lagos , Lagos , Nigeria
| | - Kolawole S Oritogun
- d Department of Community Medicine and Primary Care , Olabisi Onabanjo University, OACHS , Sagamu , Nigeria
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Ogunlana MO, Dada OO, Oyewo OS, Odole AC, Ogunsan MO. Quality of life and burden of informal caregivers of stroke survivors. Hong Kong Physiother J 2014. [DOI: 10.1016/j.hkpj.2013.11.003] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Ogunlana MO, Odunaiya NA, Dairo MD, Ihekuna O. Predictors of Health-related Quality of Life in Patients with Non-specific Low Back Pain. ACTA ACUST UNITED AC 2012. [DOI: 10.4314/ajprs.v4i1-2.3] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Ogunlana MO, Adedokun B, Dairo MD, Odunaiya NA. Profile and predictor of health-related quality of life among hypertensive patients in south-western Nigeria. BMC Cardiovasc Disord 2009; 9:25. [PMID: 19534800 PMCID: PMC2706218 DOI: 10.1186/1471-2261-9-25] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/22/2008] [Accepted: 06/17/2009] [Indexed: 01/22/2023] Open
Abstract
Background The health-related quality of life (HRQOL) of hypertensives may be influenced by blood pressure, adverse effects of drugs used to treat hypertension, or other factors, such as the labelling effect, or beliefs and attitudes about illness and treatment. There is paucity of information on the determinants of HRQOL among black hypertensives especially in the developing countries such as Nigeria. This study describes the HRQOL and its determinants among black patients diagnosed and treated for Hypertension in Nigeria. Methods The study was a cross sectional in design that involved 265 hypertensive patients receiving treatment at the medical outpatient unit of the Federal Medical Centre Abeokuta, Nigeria. They were all consecutive patients that presented at the hospital during the period of the study who meet the inclusion criteria and consented to participate in the study. Demographic data, disease characteristics such as symptoms and signs and recent drug history were obtained from the patients and their hospital records as documented by the physician. The SF-36 questionnaire was administered once by interview to the participants to measure their HRQOL. Descriptive statistics was used in summarizing the demographic data and hypertension related histories of the participants. Multiple linear regression was used to model for the influence of socio demographic and clinical variables of the hypertensives on their HRQOL. Results Physical functioning domain mean score was far below average (33.53 ± 29.65). Role physical and role emotional domains were a little above average (54.7 ± 40.4, 51.1 ± 40.6 respectively). Role Physical (p = 0.043), Role Emotional (p = 0.003), Vitality (p = 0.014) and Mental Health (p = 0.034) domain mean scores for patients with controlled BP were significantly higher than patients with uncontrolled BP. The overall HRQOL was significantly better in the group of hypertensives with controlled blood pressure (p = 0.014). Increasing blood pressure (p = 0.005) and symptom count (p < 0.001), the presence of stroke (p = 0.008) and visual impairment (p = 0.015) were significant negative predictors of the overall HRQOL. Conclusion This study provides evidence for a model that links patients' status with regard to biology (blood pressure), symptoms, and functionality (HRQOL) and may prove useful in guiding follow-up of patients who receive treatment for hypertension. Identification of patient's symptoms, blood pressure, complication/comorbidity and changes in functioning may help clinicians increase their effectiveness in helping patients maintain adherent behaviour with drug and non drug interventions in chronic diseases such as hypertension.
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Affiliation(s)
- Michael O Ogunlana
- Department of Epidemiology and Medical Statistics, Faculty of Public Health, College of Medicine, University of Ibadan, Oyo State, Nigeria.
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