Communicating the ethical, legal, and social issues in neurobiobanking and stroke genomic research in Africa: Project intervention tools development and evaluation procedures

Babatunde R. Ojebuyi, Ibukun Afolami, Muyiwa Adigun, Arti Singh, Carolyn Jenkins, Michelle Nichols, Kolawole Wahab, Abiodun Bello, Fred S. Sarfo, Lukman F. Owolabi, Rabiu Musbahu, Reginald Obiako, Albert Akpalu, Mayowa Ogunronbi, Olorunyomi Olorunsogbon, Benedict Calys-Tagoe, Deborah Adesina, Nathaniel Coleman, Abdullateef G. Sule, Aliyu MandeMuhammed Uthman, Musibau Titiloye, Ezinne Uvere, Odunola Bukola, Ruth Laryea, Adekunle Fakunle, Osi Adeleye, Nathaniel Mensah, Jibril Yusuf, Sunday Adeniyi, Shadrack Asibey, Lanre Omotoso, Lois Melikam, Dorcas Olujobi, Wisdom Oguike, Joshua Akinyemi, Ayodele Jegede, Rajesh Kalaria, Bruce Ovbiagele, Mayowa Owolabi, Oyedunni Arulogun, Rufus Akinyemi

Research output: Contribution to journalArticlepeer-review

Abstract

Background and Aim: Issues concerning appropriate Community Engagement (CE) and communication of research outcomes with stakeholders have received the attention of scholars in different sub-fields of clinical research. However, given its novel nature, especially in Sub-Saharan Africa, CE addressing the ethical, legal, and social implications (ELSI) of neurobiobanking and stroke genomic research has not received much scholarly attention. Therefore, this study was designed as a pioneering effort to report the procedures for developing and evaluating intervention tools for the CE component of the African Neurobiobank for Precision Stroke Medicine ELSI Project. Methods: A community-based participatory research design was adopted. The intervention tools we developed include general advocacy, educative, and training videos focusing on neurobiobanking, stroke genomics and precision stroke medicine in Africa; infographics; and a policy brief. An adapted Doak and Doak's Suitability Assessment Measure (SAM), the Agency for Healthcare Research and Quality (AHRQ) Patient Education Materials Assessment Tool (PEMAT), and semi-structured interview questions based on Willis’ Cognitive Interviewing Techniques were used to evaluate the suitability, actionability, understandability and cultural appropriateness of the tools. Results: PEMAT mean percentage scores of 71.4 % for actionability and 82.4 % for understandability, and a SAM suitability score of 67.9 % were reported for the videos. Identified weaknesses captured in seven thematic areas after assessment analysis by experts and community members guided the final refinement of the tools. Conclusion: The overall reviewers’ reports and evaluation scores indicate that the intervention tools are generally suitable for community deployment in sub-Saharan Africa. Clinical researchers must partner with key stakeholders, define policy objectives and desired behaviour change, and develop appropriate persuasive communication strategies and tools for community engagement.

Original languageEnglish
Article number108378
JournalJournal of Stroke and Cerebrovascular Diseases
Volume34
Issue number8
DOIs
Publication statusPublished - Aug 2025

Keywords

  • Community Engagement
  • Community-Based Participatory Research, ELSI
  • Health Literacy
  • Neurobiobanking in Africa
  • Persuasive Communication
  • Precision Stroke Medicine

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