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8. Applying arts to health interventions and health research in Ghana: a scoping review.

Author

de-Graft Aikins, Ama, Sanuade, Olutobi, Agyei, Francis, Bewong, Rita Fatric, and Akoi-Jackson, Bernard

Subjects
*DECORATIVE arts, *ELECTRONIC journals, *CINAHL database, *HEALTH policy, *PUBLIC health, *NURSING interventions
Abstract

BackgroundMethodsResultsConclusionThis review documents arts applied to health interventions and health research in Ghana, examines evidence of their impact on health outcomes, and identifies research and practice gaps.Eight databases (MEDLINE, Academic Search Complete, CINAHL, Health Source: Nursing/Academic Edition, Humanities International Complete, Scopus, African Journals Online and PsycINFO) were searched for articles published between 2000 and 2022. Following screening, seventeen articles reporting sixteen eligible studies were selected.Ten art forms (including comedy, music, theatre) were applied to eight health conditions (including HIV/AIDS, mental illness, COVID-19). Most studies involved artists and artist-researchers. The majority of studies were cross-sectional. Impact was reported on health education, illness management and community health development. Some studies engaged with health policy communities, but none reported impact on health policy change.Creative arts have a reported measurable impact on selected health outcomes in Ghana. Participatory arts-based projects have the greatest potential for sustainable and transformational social health impact. [ABSTRACT FROM AUTHOR]

Published
2024
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10. Anthropometric indices and their cut-off points in relation to type 2 diabetes among Ghanaian migrants and non-migrants: The RODAM study

Author

Darko, Samuel N., Meeks, Karlijn A.C., Owiredu, William K.B.A., Laing, Edwin F., Boateng, Daniel, Beune, Erik, Addo, Juliet, de-Graft Aikins, Ama, Bahendeka, Silver, Mockenhaupt, Frank, Spranger, Joachim, Agyei-Baffour, Peter, Klipstein-Grobusch, Kerstin, Smeeth, Liam, Agyemang, Charles, and Owusu-Dabo, Ellis

Published
2021
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11. Community social capital and mental health participation: Test of psychosocial mediators in two resource-poor urban communities in Ghana.

Author

Agyei, Francis, de-Graft Aikins, Ama, Osei-Tutu, Annabella, and Annor, Francis

Subjects
*MENTAL health promotion, *CRITICAL consciousness, *STRUCTURAL equation modeling, *SOCIAL cohesion, *TRUST
Abstract

We utilised a multiple mediation model to investigate the pathways linking dimensions of community social capital to collective participation in mental health promotion in two urban communities in Ghana. Participants (n = 384) were from Jamestown (n = 144) and Usshertown (n = 240) communities (female = 55.7%; mean age = 34.38 years, SD = 14.37 years). Structural equation modelling showed that shared concern and leadership trust directly facilitated mental health participation, whereas social cohesion had a direct negative impact on it. Interpersonal trust and critical consciousness partially mediated the effects of social cohesion and shared concern on mental health participation. Our study underscores the importance of considering not only the structural aspects of community social capital but also the interpersonal dynamics and individual perceptions that underpin collective action. These insights inform the development of more effective community-based interventions aimed at enhancing mental health outcomes in resource-poor urban settings. [ABSTRACT FROM AUTHOR]

Published
2024
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12. Group membership, social identification and mental health: A test of social cure or curse narrative in resource-poor communities in Ghana.

Author

Agyei, Francis, de-Graft Aikins, Ama, Osei-Tutu, Annabella, and Annor, Francis

Subjects
*SOCIAL groups, *PSYCHOLOGICAL research, *MENTAL depression, *GROUP identity, *SATISFACTION
Abstract

Mainstream psychology research promotes social group membership as a remedy for poor mental health. However, empirical evidence from African communities is limited. Using a survey of 384 respondents (female = 55.7%; mean age = 34.38 years, SD = 14.37 years), we examined this in two resource-poor Ghanaian urban communities. Depressive symptoms ranged from 11.5% to 28.1%, with severe symptom rates higher in male participants. Anxiety symptoms varied from 6.5% to 14.6%. Hierarchical regression showed that after accounting for demographic variables, multiple group membership, group stigma, and identity centrality were associated with heightened depressive and anxiety symptoms. Ingroup homogeneity, satisfaction with the group, and perceived solidarity were associated with lower levels of symptoms. The findings reveal a dual-edge impact of social identification on mental health, underscoring the need for the development of context-specific interventions to effectively harness social group membership as psychosocial resources to improve mental health within African contexts. [ABSTRACT FROM AUTHOR]

Published
2024
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13. Differential associations between psychosocial stress and obesity among Ghanaians in Europe and in Ghana: findings from the RODAM study

Author

Baratin, Clarissa, Beune, Erik, van Schalkwijk, Daan, Meeks, Karlijn, Smeeth, Liam, Addo, Juliet, de-Graft Aikins, Ama, Owusu-Dabo, Ellis, Bahendeka, Silver, Mockenhaupt, Frank P., Danquah, Ina, Schulze, Matthias B., Spranger, Joachim, Boateng, Daniel, Klipstein-Grobusch, Kerstin, Stronks, Karien, and Agyemang, Charles

Published
2020
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16. Cardiovascular disease risk prediction in sub-Saharan African populations — Comparative analysis of risk algorithms in the RODAM study

Author

Boateng, Daniel, Agyemang, Charles, Beune, Erik, Meeks, Karlijn, Smeeth, Liam, Schulze, Matthias B., Addo, Juliet, de-Graft Aikins, Ama, Galbete, Cecilia, Bahendeka, Silver, Danquah, Ina, Agyei-Baffour, Peter, Owusu-Dabo, Ellis, Mockenhaupt, Frank P., Spranger, Joachim, Kengne, Andre P., Grobbee, Diederick E., and Klipstein-Grobusch, Kerstin

Published
2018
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17. Type 2 diabetes mellitus management among Ghanaian migrants resident in three European countries and their compatriots in rural and urban Ghana – The RODAM study

Author

Bijlholt, Margriet, Meeks, Karlijn A.C., Beune, Erik, Addo, Juliet, Smeeth, Liam, Schulze, Matthias B., Danquah, Ina, Galbete, Cecilia, de-Graft Aikins, Ama, Klipstein-Grobusch, Kerstin, Owusu-Dabo, Ellis, Spranger, Joachim, Mockenhaupt, Frank P., Amoah, Stephen K., Bahendeka, Silver, Stronks, Karien, and Agyemang, Charles

Published
2018
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21. Factors Associated with Waiting Time for Breast Cancer Treatment in a Teaching Hospital in Ghana

Author

Dedey, Florence, Wu, Lily, Ayettey, Hannah, Sanuade, Olutobi A., Akingbola, Titilola S., Hewlett, Sandra A., Tayo, Bamidele O., Cole, Helen V., de-Graft Aikins, Ama, Ogedegbe, Gbenga, and Adanu, Richard

Abstract

Background: Breast cancer is the leading cause of cancer-related mortality among women in Ghana. Data are limited on the predictors of poor outcomes in breast cancer patients in low-income countries; however, prolonged waiting time has been implicated. Among breast cancer patients who received treatment at Korle Bu Teaching Hospital, this study evaluated duration and factors that influenced waiting time from first presentation to start of definitive treatment. Method: We conducted a hospital-based retrospective study of 205 breast cancer patients starting definitive treatment at Korle Bu Teaching Hospital between May and December 2013. We used descriptive statistics to summarize patient characteristics. Mann-Whitney U and Kruskal-Wallis tests and Spearman rank correlation were performed to examine the patients, health system, and health worker factors associated with median waiting time. Poisson regression was used to examine the determinants of waiting time. Results: The mean age of the patients was 51.1 ± 11.8 years. The median waiting time was 5 weeks. The determinants of waiting time were level of education, age, income, marital status, ethnicity, disease stage, health insurance status, study sites, time interval between when biopsy was requested and when results were received and receipt of adequate information from health workers. Conclusion: A prolonged waiting time to treatment occurs for breast cancer patients in Ghana, particularly for older patients, those with minimal or no education, with lower income, single patients, those with late disease, those who are insured, and who did not receive adequate information from the health workers. Time to obtain biopsy reports should be shortened. Patients and providers need education on timely treatment to improve prognosis.

Published
2016
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24. Correction to: African Control of Hypertension through Innovative Epidemiology and a Vibrant Ecosystem (ACHIEVE): novel strategies for accelerating hypertension control in Africa

Author

Owolabi, Mayowa, primary, Olowoyo, Paul, additional, Mocumbi, Ana, additional, Ogah, Okechukwu S., additional, Odili, Augustine, additional, Wahab, Kolawole, additional, Ojji, Dike, additional, Adeoye, Abiodun M., additional, Akinyemi, Rufus, additional, Akpalu, Albert, additional, Obiako, Reginald, additional, Sarfo, Fred S., additional, Bavuma, Charlotte, additional, Beheiry, Hind Mamoun, additional, Ibrahim, Moshen, additional, El Aroussy, Wafaa, additional, Parati, Gianfranco, additional, Dzudie, Anastase, additional, Singh, Sandhya, additional, Akpa, Onoja, additional, Kengne, Andre Pascal, additional, Okekunle, Akinkunmi Paul, additional, de Graft Aikins, Ama, additional, Agyemang, Charles, additional, Ogedegbe, Gbenga, additional, Ovbiagele, Bruce, additional, Garg, Renu, additional, Campbell, Norman R. C., additional, Lackland, Daniel T., additional, Barango, Prebo, additional, Slama, Slim, additional, Varghese, Cherian V., additional, Whelton, Paul K., additional, and Zhang, Xin-Hua, additional

Published
2023
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25. African Control of Hypertension through Innovative Epidemiology and a Vibrant Ecosystem (ACHIEVE): novel strategies for accelerating hypertension control in Africa

Author

Owolabi, Mayowa, primary, Olowoyo, Paul, additional, Mocumbi, Ana, additional, Ogah, Okechukwu S., additional, Odili, Augustine, additional, Wahab, Kolawole, additional, Ojji, Dike, additional, Adeoye, Abiodun M., additional, Akinyemi, Rufus, additional, Akpalu, Albert, additional, Obiako, Reginald, additional, Sarfo, Fred S., additional, Bavuma, Charlotte, additional, Beheiry, Hind Mamoun, additional, Ibrahim, Moshen, additional, El Aroussy, Wafaa, additional, Parati, Gianfranco, additional, Dzudie, Anastase, additional, Singh, Sandhya, additional, Akpa, Onoja, additional, Kengne, Andre Pascal, additional, Okekunle, Akinkunmi Paul, additional, de Graft Aikins, Ama, additional, Agyemang, Charles, additional, Ogedegbe, Gbenga, additional, Ovbiagele, Bruce, additional, Garg, Renu, additional, Campbell, Norman R. C., additional, Lackland, Daniel T., additional, Barango, Prebo, additional, Slama, Slim, additional, Varghese, Cherian V., additional, Whelton, Paul K., additional, and Zhang, Xin-Hua, additional

Published
2023
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26. African Control of Hypertension through Innovative Epidemiology and a Vibrant Ecosystem (ACHIEVE): novel strategies for accelerating hypertension control in Africa

Author

Owolabi, Mayowa, Olowoyo, Paul, Mocumbi, Ana, Ogah, Okechukwu S., Odili, Augustine, Wahab, Kolawole, Ojji, Dike, Adeoye, Abiodun M., Akinyemi, Rufus, Akpalu, Albert, Obiako, Reginald, Sarfo, Fred S., Bavuma, Charlotte, Beheiry, Hind Mamoun, Ibrahim, Moshen, El Aroussy, Wafaa, Parati, Gianfranco, Dzudie, Anastase, Singh, Sandhya, Akpa, Onoja, Kengne, Andre Pascal, Okekunle, Akinkunmi Paul, de Graft Aikins, Ama, Agyemang, Charles, Ogedegbe, Gbenga, Ovbiagele, Bruce, Garg, Renu, Campbell, Norman R. C., Lackland, Daniel T., Barango, Prebo, Slama, Slim, Varghese, Cherian V., Whelton, Paul K., and Zhang, Xin-Hua

Abstract

Hypertension is a leading preventable and controllable risk factor for cardiovascular and cerebrovascular diseases and the leading preventable risk for death globally. With a prevalence of nearly 50% and 93% of cases uncontrolled, very little progress has been made in detecting, treating, and controlling hypertension in Africa over the past thirty years. We propose the African Control of Hypertension through Innovative Epidemiology and a Vibrant Ecosystem (ACHIEVE) to implement the HEARTS package for improved surveillance, prevention, treatment/acute care of hypertension, and rehabilitation of those with hypertension complications across the life course. The ecosystem will apply the principles of an iterative implementation cycle by developing and deploying pragmatic solutions through the contextualization of interventions tailored to navigate barriers and enhance facilitators to deliver maximum impact through effective communication and active participation of all stakeholders in the implementation environment. Ten key strategic actions are proposed for implementation to reduce the burden of hypertension in Africa.

Published
2024
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30. Scoping review of community health participatory research projects in Ghana

Author

Kretchy, Irene A., primary, Okoibhole, Lydia O., additional, Sanuade, Olutobi Adekunle, additional, Jennings, Hannah, additional, Strachan, Daniel Ll, additional, Blandford, Ann, additional, Agyei, Francis, additional, Asante, Paapa, additional, Todowede, Olamide, additional, Kushitor, Mawuli, additional, Adjaye-Gbewonyo, Kafui, additional, Arhinful, Daniel, additional, Baatiema, Leonard, additional, Dankyi, Ernestina, additional, Grijalva-Eternod, Carlos S., additional, Fottrell, Edward F., additional, and de-Graft Aikins, Ama, additional

Published
2022
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38. Migration and Cardiovascular Disease Risk Among Ghanaian Populations in Europe: The RODAM Study (Research on Obesity and Diabetes Among African Migrants)

Author

Boateng, Daniel, Agyemang, Charles, Beune, Erik, Meeks, Karlijn, Smeeth, Liam, Schulze, Matthias, Addo, Juliet, de-Graft Aikins, Ama, Galbete, Cecilia, Bahendeka, Silver, Danquah, Ina, Agyei-Baffour, Peter, Owusu-Dabo, Ellis, Mockenhaupt, Frank P., Spranger, Joachim, Kengne, Andre P., Grobbee, Diederick E., Stronks, Karien, and Klipstein-Grobusch, Kerstin

Published
2017
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39. The Lancet Breast Cancer Commission: tackling a global health, gender, and equity challenge

Author

Abraham, Jean E, Anderson, Benjamin O, André, Fabrice, Barrios, Carlos H, Bliss, Judith M, Boughey, Judy C, Cameron, David A, Cardoso, Fatima V, Carey, Lisa A, Chatterjee, Sanjoy, Coles, Charlotte E, Cuzick, Jack, Du Plooy, Dorothy, Francis, Prudence A, Gralow, Julie R, Jagsi, Reshma, Knaul, Felicia M, Ma, Fei, Mann, Ritse M, McIntosh, Stuart A, Mertz, Shirley A, Mutebi, Miriam, Olopade, Funmi, Phillips, Kelly-Anne, Poortmans, Philip M, Spanic, Tanja, Spence, Dingle, Stobart, Hilary, Symmans, Fraser WF, Villarreal-Garza, Cynthia, Yip, Cheng-Har, Bienz, Maya J, Drewett, Lynsey M, Fulton, Alex, Inbah Rajah, Dharrnesha, Kazmi, Farasat, Rubasingham, Jeffrey, Thompson, Mareike, Vargas, Valentina, Arreola, Hector, Badwe, Raj A, Calderon Anyosa, Renzo JC, Dave, Rajiv V, De-Graft Aikins, Ama, Earl, Helena M, Essue, Beverley M, Etzioni, Ruth B, Hawley, Sarah T, Jiang, Xiaoxiao, Mittra, Indraneel, Moreno, Patricia I, Nargund, Renu Sara, Noble, Cara, Smith, Robert A, Verhoeven, Didier, Wang, Jiani N, Watkins, David A, Zikmund-Fisher, Brian J, Coles, Charlotte Elizabeth, Cameron, David, Cardoso, Fatima, Horton, Richard, Knaul, Felicia Marie, and Lee, Naomi

Published
2022
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40. The Lancet Breast Cancer Commission: tackling a global health, gender, and equity challenge

Author

Coles, Charlotte Elizabeth, primary, Anderson, Benjamin O, additional, Cameron, David, additional, Cardoso, Fatima, additional, Horton, Richard, additional, Knaul, Felicia Marie, additional, Mutebi, Miriam, additional, Lee, Naomi, additional, Abraham, Jean E, additional, André, Fabrice, additional, Barrios, Carlos H, additional, Bliss, Judith M, additional, Boughey, Judy C, additional, Cameron, David A, additional, Cardoso, Fatima V, additional, Carey, Lisa A, additional, Chatterjee, Sanjoy, additional, Coles, Charlotte E, additional, Cuzick, Jack, additional, Du Plooy, Dorothy, additional, Francis, Prudence A, additional, Gralow, Julie R, additional, Jagsi, Reshma, additional, Knaul, Felicia M, additional, Ma, Fei, additional, Mann, Ritse M, additional, McIntosh, Stuart A, additional, Mertz, Shirley A, additional, Olopade, Funmi, additional, Phillips, Kelly-Anne, additional, Poortmans, Philip M, additional, Spanic, Tanja, additional, Spence, Dingle, additional, Stobart, Hilary, additional, Symmans, Fraser WF, additional, Villarreal-Garza, Cynthia, additional, Yip, Cheng-Har, additional, Bienz, Maya J, additional, Drewett, Lynsey M, additional, Fulton, Alex, additional, Inbah Rajah, Dharrnesha, additional, Kazmi, Farasat, additional, Rubasingham, Jeffrey, additional, Thompson, Mareike, additional, Vargas, Valentina, additional, Arreola, Hector, additional, Badwe, Raj A, additional, Calderon Anyosa, Renzo JC, additional, Dave, Rajiv V, additional, De-Graft Aikins, Ama, additional, Earl, Helena M, additional, Essue, Beverley M, additional, Etzioni, Ruth B, additional, Hawley, Sarah T, additional, Jiang, Xiaoxiao, additional, Mittra, Indraneel, additional, Moreno, Patricia I, additional, Nargund, Renu Sara, additional, Noble, Cara, additional, Smith, Robert A, additional, Verhoeven, Didier, additional, Wang, Jiani N, additional, Watkins, David A, additional, and Zikmund-Fisher, Brian J, additional

Published
2022
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41. Breaking the glass ceiling: perspectives and strategies on gender and research leadership in the health sciences at African higher education institutions.

Author

Jackson-Malete, Jose, de-Graft Aikins, Ama, Mtwisha, Linda, Mitchel, Alison, Kebirungi, Harriet, Outtara, Karim, and Viney, Clare

Subjects
GLASS ceiling (Employment discrimination), UNIVERSITIES & colleges, LEADERSHIP in women, CAREER development, GENDER, CORE competencies
Abstract

The proportion of women researchers and those holding research leadership positions in the health sciences in Africa has increased but women still remain vastly underrepresented. The current research landscape shows a shift toward large collaborative, transdisciplinary and transnational platforms that require both strong scientific and relational leadership, which many researchers have often not been required or incentivized to develop. Given women's underrepresentation, this changing landscape may likely have a differential impact as they may not have the experience and confidence to navigate these spaces. This paper will provide perspectives on gender and research leadership from African researchers in the health sciences, and identify the core competencies, skills and experiences needed to be a successful research leader. It will also share strategies and actions that researchers, institutions and funders should adopt when shaping the career development of women researchers and addressing national health challenges at African higher education institutions. [ABSTRACT FROM AUTHOR]

Published
2023

47. Chronic Life-Limiting Illness and Informal Care in Ghana: Experiences of Older People and Their Family Carers

Author

Grealish, Laurie A, Moyle, Wendy, Davies, Nathan, de-Graft Aikins, Ama, Adonteng-Kissi, Barbara, Grealish, Laurie A, Moyle, Wendy, Davies, Nathan, de-Graft Aikins, Ama, and Adonteng-Kissi, Barbara

Abstract

Full Text, Thesis (PhD Doctorate), Doctor of Philosophy (PhD), School of Nursing & Midwifery, Griffith Health, Background: In Ghana, just as in many African countries, informal care for older people is derived from a shared culture of social responsibility, reciprocity and love. With a global increase in the older population and an increase in chronic life-limiting illness among older people, there is evidence of the emerging health, social and economic needs of older people living with chronic life-limiting illness. In rural Ghana, where there is limited access to adequate support services for chronic life-limiting illness management, the effect of globalisation on social change is impacting on the ability of the Ghanaian family systems to continue the historical culture of informal care for older people. However, there is limited evidence on the experiences of older people and their family carers with respect to chronic life-limiting illness and informal care in rural Ghana. Aim: To explore the experiences of older people and their family carers on chronic life-limiting illness and informal care in rural Ghana. Method: Underpinned by the transformative paradigm, a critical ethnographic research design was used as the logical framework for data collection and analysis of results. The research was conducted during 6 months of fieldwork in the Gomoa West District, Ghana. Four groups of participants, including 15 older people, 15 family carers and 5 health care professionals from a local hospital at the Gomoa West District, and 5 health care professionals from a national Palliative Care Clinic, were purposively sampled to participate in this research. An ethnographic interview method supported with daily fieldnote notes was used for data collection. The thematic analysis procedure suggested by Braun and Clarke (2013) was used for the analysis of each data set. Subsequently, conclusions were drawn based on the themes and their interpretation. Findings: Primary analysis of the data related to older people’s subjective experiences with chronic life-limiting illness included an in

Published
2021

48. Anthropometric indices and their cut-off points in relation to type 2 diabetes among Ghanaian migrants and non-migrants: The RODAM study

Author

Global Health team 1, Global Health, Circulatory Health, JC onderzoeksprogramma Cardiovasculaire Epidemiologie, Darko, Samuel N, Meeks, Karlijn A C, K B A Owiredu, William, Laing, Edwin F, Boateng, Daniel, Beune, Erik, Addo, Juliet, de-Graft Aikins, Ama, Bahendeka, Silver, Mockenhaupt, Frank, Spranger, Joachim, Agyei-Baffour, Peter, Klipstein-Grobusch, Kerstin, Smeeth, Liam, Agyemang, Charles, Owusu-Dabo, Ellis, Global Health team 1, Global Health, Circulatory Health, JC onderzoeksprogramma Cardiovasculaire Epidemiologie, Darko, Samuel N, Meeks, Karlijn A C, K B A Owiredu, William, Laing, Edwin F, Boateng, Daniel, Beune, Erik, Addo, Juliet, de-Graft Aikins, Ama, Bahendeka, Silver, Mockenhaupt, Frank, Spranger, Joachim, Agyei-Baffour, Peter, Klipstein-Grobusch, Kerstin, Smeeth, Liam, Agyemang, Charles, and Owusu-Dabo, Ellis

Published
2021

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