TY - JOUR
T1 - Knowledge, attitudes and practices related to stroke in Ghana and Nigeria
T2 - A SIREN call to action
AU - Jenkins, Carolyn
AU - Ovbiagele, Bruce
AU - Arulogun, Oyedunni
AU - Singh, Arti
AU - Calys-Tagoe, Benedict
AU - Akinyemi, Rufus
AU - Mande, Aliyu
AU - Melikam, Ezinne Sylvia
AU - Akpalu, Albert
AU - Wahab, Kolawole
AU - Sarfo, Fred Stephen
AU - Sanni, Taofeeq
AU - Osaigbovo, Godwin
AU - Tiwari, Hemant K.
AU - Obiako, Reginald
AU - Shidali, Vincent
AU - Ibinaiye, Philip
AU - Akpalu, Josephine
AU - Ogbole, Godwin
AU - Owolabi, Lukman
AU - Uvere, Ezinne
AU - Taggae, Raelle
AU - Adeoye, Abiodun Moshood
AU - Gebregziabher, Mulugeta
AU - Akintunde, Adeseye
AU - Adebayo, Oladimeji
AU - Oguntade, Ayodipupo
AU - Bisi, Ayotunde
AU - Ohagwu, Kenneth
AU - Laryea, Ruth
AU - Olowoniyi, Peter
AU - Yahaya, Isah Suleiman
AU - Olowookere, Samuel
AU - Adeyemi, Frederick
AU - Komolafe, Morenikeji
AU - Fawale, Michael Bimbola
AU - Sunmonu, Taofiki
AU - Onyeonoro, Ugochukwu
AU - Imoh, Lucius Chidiebere
AU - Oguike, Wisdom
AU - Olunuga, Taiye
AU - Kolo, Phillip
AU - Ogah, Okechukwu S.
AU - Efidi, Richard
AU - Chukwuonye, Ijezie
AU - Bock-Oruma, Andrew
AU - Owusu, Dorcas
AU - Odo, Chidi Joseph
AU - Faniyan, Moyinoluwalogo
AU - Ohnifeman, Osimhiarherhuo Adeleye
AU - Ajose, Olabanji
AU - Ogunjimi, Luqman
AU - Johnson, Shelia
AU - Ganiyu, Amusa
AU - Olowoyo, Paul
AU - Fakunle, Adekunle Gregory
AU - Tolulope, Afolaranmi
AU - Farombi, Temitope
AU - Obiabo, Monica Oghome
AU - Owolabi, Mayowa
N1 - Publisher Copyright:
© 2018 Jenkins et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
PY - 2018/11
Y1 - 2018/11
N2 - Introduction Stroke is a prominent cause of death, disability, and dementia in sub-Saharan Africa (SSA). The Stroke Investigative Research and Education Network works collaboratively with stroke survivors and individuals serving as community controls to comprehensively characterize the genomic, sociocultural, economic and behavioral risk factors for stroke in SSA. Purpose In this paper, we aim to: i) explore the attitudes, beliefs, and practices related to stroke in Ghana and Nigeria using the process of qualitative description; and ii) propose actions for future research and community-based participation and education. Methods Stroke survivors, their caregivers, health care professionals, and community representatives and faith-based leaders participated in one of twenty-six focus groups, which qualitatively explored community beliefs, attitudes and practices related to stroke in Ghana and Nigeria. Arthur Kleinman’s Explanatory Model of Illness and the Social Ecological Model guided the questions and/or thematic analysis of the qualitative data. We hereby describe our focus group methods and analyses of qualitative data, as well as the findings and suggestions for improving stroke outcomes. Results and discussion The major findings illustrate the fears, causes, chief problems, treatment, and recommendations related to stroke through the views of the participants, as well as recommendations for working effectively with the SIREN communities. Findings are compared to SIREN quantitative data and other qualitative studies in Africa. As far as we are aware, this is the first paper to qualitatively explore and contrast community beliefs, attitudes, and practices among stroke survivors and their caregivers, community and faith-based leaders, and health professionals in multiple communities within Nigeria and Ghana.
AB - Introduction Stroke is a prominent cause of death, disability, and dementia in sub-Saharan Africa (SSA). The Stroke Investigative Research and Education Network works collaboratively with stroke survivors and individuals serving as community controls to comprehensively characterize the genomic, sociocultural, economic and behavioral risk factors for stroke in SSA. Purpose In this paper, we aim to: i) explore the attitudes, beliefs, and practices related to stroke in Ghana and Nigeria using the process of qualitative description; and ii) propose actions for future research and community-based participation and education. Methods Stroke survivors, their caregivers, health care professionals, and community representatives and faith-based leaders participated in one of twenty-six focus groups, which qualitatively explored community beliefs, attitudes and practices related to stroke in Ghana and Nigeria. Arthur Kleinman’s Explanatory Model of Illness and the Social Ecological Model guided the questions and/or thematic analysis of the qualitative data. We hereby describe our focus group methods and analyses of qualitative data, as well as the findings and suggestions for improving stroke outcomes. Results and discussion The major findings illustrate the fears, causes, chief problems, treatment, and recommendations related to stroke through the views of the participants, as well as recommendations for working effectively with the SIREN communities. Findings are compared to SIREN quantitative data and other qualitative studies in Africa. As far as we are aware, this is the first paper to qualitatively explore and contrast community beliefs, attitudes, and practices among stroke survivors and their caregivers, community and faith-based leaders, and health professionals in multiple communities within Nigeria and Ghana.
UR - http://www.scopus.com/inward/record.url?scp=85056583715&partnerID=8YFLogxK
U2 - 10.1371/journal.pone.0206548
DO - 10.1371/journal.pone.0206548
M3 - Article
C2 - 30444884
AN - SCOPUS:85056583715
SN - 1932-6203
VL - 13
JO - PLoS ONE
JF - PLoS ONE
IS - 11
M1 - e0206548
ER -