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Technologically-assisted interventions in neurological and psychological applied disciplines in South Africa : a scoping review
Published 2023Subjects: “…Technology-assisted interventions…”
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Does Green Pay Less? Global Corporate Bond Evidence on Primary and Secondary Yields by El Kenawy, Youssef
Published 2026Subjects: “…Treatment variable Variable representing exposure to an intervention or condition. Outcome variable Variable measuring the effect or response of interest. …”
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Page will reload when a filter is selected or excluded.- Intervention 3 results 3
- Primary care 3 results 3
- Adolescents 2 results 2
- Diabetes 2 results 2
- Educational intervention 2 results 2
- Intervention programmes 2 results 2
- Niger Delta Development Commission 2 results 2
- Nigeria 2 results 2
- Odi 2 results 2
- Peace and conflict impact assessment 2 results 2
- Psychosocial interventions 2 results 2
- This paper discussed the problem of the unknown and unexpected burden of the girl-child, and the intervention programme developed to address it. The burden comprises peoples of all ages (such as the elderly, adult, children); social and economic problem, such as pregnancy (wanted or unwanted, planned or unplanned), street hawking, child trafficking, illiteracy and poverty; and diseases (such as HIV/AIDS, STDs). The purpose of this paper is to create awareness, especially for policymakers, government functionaries and, most importantly, the girl-child, so that appropriate legislative actions are taken and so that the girl child can make informed decision about her sexuality. In the course of the discourse, experiences will be shared, to identify girls who have been 'trapped' in the cycle of 'the unknown burden'. Various research findings have confirmed the reality of this burden: hence, the recommendations include the replication of programmes in many public schools across Nigeria so as to compile baseline data. 2 results 2
- intervention programme 2 results 2
- "Comorbidity of depression and diabetes is common, and each disorder has a negative impact on the outcome of the other. The direction of causality is not certain as each disorder seems to act as both a risk factor and consequence for the other in longitudinal studies. This bidirectional association is possibly mediated by shared environmental and genetic risk factors. Comorbid depression is associated with reduced adherence to medication and self-care management, poor glycaemic control, increased health care utilization, increased costs and elevated risk of complications, as well as mortality in patients with diabetes. Psychological and pharmacological interventions are shown to be effective in improving depression symptoms; however, collaborative care programs that simultaneously manage both disorders seem to be most effective in improving diabetes-related outcomes." 1 results 1
- "Depression 1 results 1
- "Self-reported physical activity 1 results 1
- "Social work intervention, psycho-social managem.ent, stress, industrial workers. " 1 results 1
- "The nurse’s role has long been regarded as stress filled based on the physical labour human suffering, work hours, staffing and interpersonal relationships that are central to the work nurses do. Occupational stress is thus, a recognized problem among health care workers in general. Nursing has therefore been identified as an occupation that has high level of risks and stress in the work place environment. Therefore the study investigated the effects of occupational health intervention programme on environmental risks and stress management of staff nurses in South-west Nigeria. A pretest, posttest, control group, quasi-experimental research design was adopted. Two hundred and twenty five (225) respondents were selected for the study. One hundred and twelve (112) respondents were used as experimental group while one hundred and thirteen (113) respondents were used as control group. Fish bowl method was used for grouping the participants into experimental and control groups respectively. A self-developed questionnaire tagged ‘Occupational Health Intervention Programme, Environmental Risks and Stress Management Questionnaire OHIPERSMQ’ with a reliability coefficient of 0.88 was used. The experimentation lasted 8 weeks. Analysis was done using ANCOVA and Multiple Classification Analysis. Hypotheses were tested at 0.05 alpha level. Findings revealed that occupational health intervention programme has significant effect on risk management knowledge of staff nurses. The experimental group had mean = 4.44, better than the control group that had mean = 2.92. Also, occupational health intervention programme had significant effect on stress management knowledge of nurses with experimental group mean = 7.78, better than the control group mean = 2.36. Based on these findings, it was recommended that medical social workers should ensure that nurses participate in educational training in skills associated with risk reduction, stress reduction and safety promotion so as to guarantee their wellbeing and good job performance." 1 results 1
- African Women’s Development Fund 1 results 1
- After school programme 1 results 1
- Age-long interventions 1 results 1
- Aim: To develop a Primary Healthcare-Based Physiotherapy Intervention (PHCPI) that requires simple, inexpensive, easy-to-use equipment for stroke rehabilitation and evaluate its effects on selected clinical indices of recovery among post-acute stroke survivors over a 10-week period. Methods: Three databases (Medline, Pubmed and PEDro) were used to identify treatment approaches with proven efficacy. The authors synthesised these treatment approaches to develop the PHCPI, which was used in a repeated measure design involving 25 (mean age=60.6 ± 10.2 years) consenting individuals with first-incidence stroke. These individuals were treated at a primary health centre, twice weekly for 10 consecutive weeks. Outcomes were assessed using the Modified Motor Assessment Scale (MMAS), the Short Form Postural Assessment Scale for Stroke (SF-PASS) and the Reintegration to Normal Living Index (RNLI), before the intervention and fortnightly thereafter. Walking speed and quality of life were also assessed before the intervention and at week 10 of it. Results: Within-subject multivariate analysis, after controlling for gender, showed a significant increase in motor function, postural balance, walking speed and quality of life. Their community reintegration scores also improved over the period. Conclusion: The PHCPI resulted in improved motor function, community reintegration, walking speed, postural balance and quality of life among community-dwelling stroke survivors. This intervention can be used for stroke rehabilitation at primary health centres. 1 results 1
- Antidepressant medications 1 results 1
- Attitude Cervical cancer. Educational intervention 1 results 1
- Background: Child car-passenger safety practices remain low in Nigeria. Findings from the formative phase of a project to deliver an m-health intervention on child-passenger safety to mothers/caregivers attending selected child-immumzation clinics in Ibadan are presented in this paper. The aim of this study was to describe stakeholders’ awareness of child passenger safety measures; to determine the cost of child car seats and acceptability of interventions to improve child-passenger safety practices. Methods: Twenty-four key-informant interviews with traffic enforcement officers (four), physicians (five), and mothers of children (fifteen) ;and a market survey was conducted. Results: Physicians and traffic law enforcement officers were more knowledgeable about child passenger safety measures compared to mothers. Cost of infant seats ranged from N6, 000.00 - N36, 000.00 (USD27.9 - USD167.67) and toddler seats, N6, 000.00 - N81, 000.00 (USD27.95 - USD377.27). Acceptance of a mobile-phone intervention and its accompanying law enforcement was very high. Conclusions: Our findings suggest that an intervention to improve child-passenger safety practices using mobile technology is acceptable to stakeholders in the study area. The intervention should address caregivers’ misconceptions about current child passenger safety measures as this could further enhance compliance with these safety measures. 1 results 1
- Background: Child car-passenger safety practices remain low in Nigeria. Findings from the formative phase of a project to deliver an m-health intervention on child-passenger safety to mothers/caregivers attending selected child-immunization clinics in Ibadan are presented in this paper. The aim of this study was to describe stakeholders’ awareness of child passenger safety measures; to determine the cost of child car seats and acceptability of interventions to improve child-passenger safety practices. Methods: Twenty-four key-informant interviews with traffic enforcement officers (four), physicians (five), and mothers of children (fifteen) ;and a market survey was conducted. Results: Physicians and traffic law enforcement officers were more knowledgeable about child passenger safety measures compared to mothers. Cost of infant seats ranged from N6, 000.00 - N36, 000.00 (USD27.9 - USD 167.67) and toddler seats, N6, 000.00 - N81, 000.00 (USD27.95 - USD377.27). Acceptance of a mobile-phone intervention and its accompanying law enforcement was very high. Conclusions: Our findings suggest that an intervention to improve child-passenger safety practices using mobile technology is acceptable to stakeholders in the study area. The intervention should address caregivers’ misconceptions about current child passenger safety measures as this could further enhance compliance with these safety measures. 1 results 1
- Background: Depression is common in primary care and is often unrecognized and untreated. Studies are needed to demonstrate the feasibility of implementing evidence-based depression care provided by primary health care workers (PHCWs) in sub-Saharan Africa. We carried out a pilot two-parallel arm cluster randomized controlled trial of a package of care for depression in primary care. Methods: Six primary health care centers (PHCC) in two Local Government Areas of Oyo State, South West Nigeria were randomized into 3 intervention and 3 control clinics. Three PHCWs were selected for training from each of the participating clinics. The PHCWs from the intervention clinics were trained to deliver a manualized multicomponent stepped care intervention package for depression consisting of psychoeducation, activity scheduling, problem solving treatment and medication for severe depression. Providers from the control clinics delivered care as usual, enhanced by a refresher training on depression diagnosis and management. Outcome measures Patient’s Health Questionnaire (PHQ-9), WHO quality of Life instrument (WHOQOL-Bref) and the WHO disability assessment schedule (WHODAS) were administered in the participants’ home at baseline, 3 and 6 months. Results: About 98% of the consecutive attendees to the clinics agreed to have the screening interview. Of those screened, 284 (22.7%) were positive (PHQ-9 score ≥ 8) and 234 gave consent for inclusion in the study: 165 from intervention and 69 from control clinics. The rates of eligible and consenting participants were similar in the control and intervention arms. In all 85.9% (92.8% in intervention and 83% in control) of the participants were successfully administered outcome assessments at 6 months. The PHCWs had little difficulty in delivering the intervention package. At 6 months follow up, depression symptoms had improved in 73.0% from the intervention arm compared to 1.6% control. Compared to the mean scores at baseline, there was improvement in the mean scores on all outcome measures in both arms at six months. Conclusion: The results provide support for the feasibility of conducting a fully-powered randomized study in this setting and suggest that the instruments used may have the potential to detect differences between the arms. 1 results 1
- Background: Given the limited healthcare resources in low and middle income countries (LMICs), effective rehabilitation strategies that can be realistically adopted in such settings are required. Objective: A systematic review of literature was conducted to identify pragmatic solutions and outcomes capable of enhancing stroke recovery and quality of life of stroke survivors for low- and middle- income countries. Methods: PubMed, HINARI, and Directory of Open Access Journals databases were searched for published Randomized Controlled Trials (RCTs) till November 2018. Only completed trials published in English with non-pharmacological interventions on adult stroke survivors were included in the review while published protocols, pilot studies and feasibility analysis of trials were excluded. Obtained data were synthesized thematically and descriptively analyzed. Results: One thousand nine hundred and ninety six studies were identified while 347 (65.22% high quality) RCTs were found to be eligible for the review. The most commonly assessed variables (and outcome measure utility) were activities of daily living [75.79% of the studies, with Barthel Index (37.02%)], motor function [66.57%; with Fugl Meyer scale (71.88%)], and gait [31.12%; with 6min walk test (38.67%)]. Majority of the innovatively high technology interventions such as robot therapy (95.24%), virtual reality (94.44%), transcranial direct current stimulation (78.95%), transcranial magnetic stimulation (88.0%) and functional electrical stimulation (85.00%) were conducted in high income countries. Several traditional and low-cost interventions such as constraint-induced movement therapy (CIMT), resistant and aerobic exercises (R&AE), task-oriented therapy (TOT), body weight supported treadmill training (BWSTT) were reported to significantly contribute to the recovery of motor function, activity, participation, and improvement of quality of life after stroke. Conclusion: Several pragmatic, in terms of affordability, accessibility and utility, stroke rehabilitation solutions, and outcome measures that can be used in resource-limited settings were found to be effective in facilitating and enhancing post-stroke recovery and quality of life. 1 results 1
- Background: Medication reconciliation is an evidence-based practice that reduces medication-related harm to patients. This study evaluated the effect of educational intervention on medication reconciliation practice of pharmacists among ambulatory diabetes and hypertensive patients. Methods: A non-randomized clinical trial on medication reconciliation practice was carried out among 85 and 61 pharmacists at the intervention site and control site, respectively. Medication reconciliation was carried out among 334 (intervention-183; control-151) diabetes and/or hypertensive patients by the principal investigator to indirectly evaluate pharmacists’ baseline medication reconciliation practice at both sites. A general educational intervention was carried out among intervention pharmacists. Medication reconciliation was carried out by the principal investigator among another cohort of 96 (intervention-46; control-50) and 90 (intervention-44; control-46) patients at three and six months postintervention, respectively, to indirectly assess pharmacists’ postintervention medication reconciliation practice. Thereafter, a focused educational intervention was carried out among 15 of the intervention pharmacists. Three experts in clinical pharmacy analysed the medication reconciliation form filled by the 15 pharmacists after carrying out medication reconciliation on another cohort of 140 patients, after the focused intervention. Data was summarized with descriptive and inferential statistics with level of significance set at p<0.05. Key findings: Baseline medication reconciliation practice was poor at both sites. Post-general educational intervention, medication discrepancy was significantly reduced by 42.8% at the intervention site (p<0.001). At the intervention site, a significant increase of 54.3% was observed in patients bringing their medication packs for clinic appointments making medication reconciliation easier (p=0.003), at 6-months postintervention. Thirty-five, 66 and 48 drug therapy problems were detected by 31 (43.1%), 33 (66.0%) and 32 (71.1%) intervention pharmacists at 1-, 3- and 6-month post-general educational intervention, respectively. Post-focused educational intervention, out of a total of 695 medications prescribed, 75 (10.8%) medication discrepancies were detected and resolved among 42 (30%) patients by the 15 pharmacists. Conclusions: The educational interventions improved pharmacists’ medication reconciliation practice at the intervention site. 1 results 1
- Background: Non-adherence to recommended therapy remains a challenge to achieving optimal clinical outcome with resultant economic implications. Objective: To evaluate the effect of a pharmacist-led intervention on treatment non-adherence and direct costs of management among patients with type 2 diabetes (T2D). Method: A quasi-experimental study among 201-patients with T2D recruited from two-tertiary healthcare facilities in southwestern Nigeria using semi-structured interview. Patients were assigned into control (HbA1c < 7%, n = 95) and intervention (HbA1c ≥ 7%, n = 106) groups. Baseline questionnaire comprised modified 4-item Medication Adherence Questions (MAQ), Perceived Dietary Adherence Questionnaire (PDAQ) and International Physical Activity Questionnaire, to assess participants’ adherence to medications, diet and physical activity, respectively. Postbaseline, participants were followed-up for 6-month with patient-specific educational intervention provided to resolve adherence discrepancies in the intervention group only, while control group continued to receive usual care. Subsequently, direct costs of management for 6-month pre-baseline and 6-month post-baseline were estimated for both groups. Data were summarized using descriptive statistics. Chi-square, McNemar and paired t-test were used to evaluate categorical and continuous variables at p < 0.05 1 results 1
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