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DETERMINANTS OF TREATMENT ADHERENCE AMONG TUBERCULOSIS-INFECTED HIV PATIENTS IN CROSS RIVER STATE, NIGERIA
Published 2013-07Subjects: “…Patient counselling…”
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Assessing learners' satisfaction towards support services delivery in National Open University Nigeria: implications for counselling services
Published 2013-10Subjects: “…Support and Counselling Services…”
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Expanding access to voluntary HIV counselling and testing in the rural communities of Oyo state, Nigeria;- home based approach for improving uptake
Published 2014-05Subjects: “…Counselling and testing…”
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EFFECTS OF TWO HEALTH EDUCATION INTERVENTIONS ON ADHERENCE TO ANTIHYPERTENSIVE MEDICATION AND ON BLOOD PRESSURE IN SELECTED TERTIARY HEALTH FACILITIES IN SOUTHWESTERN NIGERIA
Published 2014-10Subjects: “…Patient education and counselling…”
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Page will reload when a filter is selected or excluded.- Counselling 7 results 7
- Counseling 3 results 3
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- Pharmacist 2 results 2
- "Social exclusion is a form of depriving an individual/ group of people from participating or benefiting from some factors /activities of which they have the right to partake from. This study therefore, examined the role of counselling services in eradicating social exclusion of underachieving students. A descriptive survey research design of an expost facto type was adopted. A total of 500 participants were randomly selected from underachieving secondary school students in Ibadan. 228 (45.6%) were males while 272 (54.4%) were females. The instruments used for the study were School Counselling services scale (SCSS) and Social Inclusion Scale (515). Data were analysed using Pearson's Product Moment Correlation and t-test tested at the 0.05 level of significance. The result showed that counselling has been perceived to be an effective tool in eradicating social exclusion among underachieving students in schools. It was therefore recommended that Counsellors should ensure to help students who may feel excluded or who show signs of isolation and truancy to ensure they are assisted to develop courage and determination to Improve. " 1 results 1
- Access to voluntary HIV 1 results 1
- Adolescents and future career 1 results 1
- Adolescents with Hearing impairment 1 results 1
- Adolescents with hearing impairment are often viewed as psychologically and socially maladjustment by all and sundry. This could be as a result of the inability of the environment to meet their psychological and social needs. Consequently, they have low sense of belonging in the society. Although, various scholars have attempted to address the psychosocial needs of students with hearing impairment through various strategies. This paper addressed the meeting of the psychosocial needs of students with hearing impairment though counselling services. It is strongly believed that counselling services in our schools will help students with hearing impairment to be aware of the various opportunities that will help them to adjust to their environment maximally. 1 results 1
- Adolescents with hearing impairment experience grievous psychological and emotional problems due to their hearing defect, culminating in their poor quality of life. Earlier studies in this direction have not done much. This study, therefore, examined the influence of social support and counselling on the quality of life among secondary school adolescents with hearing impairment in Ibadan, utilising the descriptive survey research design of correlational type for carrying out the study, while the purposive sampling technique was used to select sixty (60) respondents. The instruments used were structured questionnaire tagged ‘Social Support and Counselling Questionnaire (r = 0.64) and Students with Hearing Impairment Quality of Life Questionnaire (0.86) while four research questions were answered. Data were analysed using descriptive statistics, Pearson Product Moment Correlation, Multiple Regression Analysis. Social support (r = 906*, p <0.05) and counselling (r = 368*, p < 0.05) were positively correlated with the quality of life of adolescents with hearing impairment. Social support and counselling predicted improved quality of life of adolescents with hearing impairment (F(2 57) = 226.583, p < 0.05) and accounted for about 89% of the total variance to the dependent variable. The relative contributions of the independent variables to the quality of life of adolescents with hearing impairment are as follows: social support (b = 0.874), and counselling (b = 0.261). Social support and counselling are important factors that influence the quality of life of adolescents with hearing impairment. Therefore, parents, teachers, government at all levels and other relevant stakeholders are enjoined to ensure adequate provision of social support and counselling to improve the quality of life of adolescents with hearing impairment. 1 results 1
- Anxiety 1 results 1
- Appointment-keeping 1 results 1
- As a result of previous studies that anxiety has deleterious effect on pregnancy, 146 primigradae were tested, on the modified Sarason s General Anxiety scale, at the ante-nata! clinics of the three biggest hospitals in Nigeria. The data generated was analyzed using simple frequency count and percentages. The result indicated that 81% of the primigravidae, representing about 109 of the subjects, were anxious. Similar result was obtained far young, elderly, educated, uneducated and subjects in their second and third trimesters. The counselling implication of the findings includes the need to provide young women with basic childbirth information and counselling before and during pregnancy. Added to this is the need to subject every pregnant woman, who comes far ante-natal clinic, to anxiety test so that remedial action could be taken on those who were found to have anxiety 1 results 1
- Attrition 1 results 1
- Background: A major characteristic of all developing countries is rapid population growth which is due to high fertility, birth rates and poor utilization of contraceptive methods. This study therefore assessed the predictors of contraceptive implants utilization among women of reproductive age in Ondo State, Nigeria. Methods: A descriptive cross-sectional study design was used and a total of 230 women were selected by multi-stage sampling technique. Questionnaire administration was interviewer-based majority of the women could not read. Data analysis was con- ducted using SPSS version 23. Research questions and hypotheses were answered and tested with descriptive statistics (frequency, percentages), chi-square test of significance and binary logistic regression. Levels of significance was set at p ≤ 0.05. Results: The prevalence of contraceptive utilization (any method) and contraceptive implant utilization were 92.2% and 31.1% respectively. Variables such as education (72= 6.91, p = 0.03) and lack of counseling from providers (72 5.05, p = 0.03) were significantly associated with the utilization of contraceptive implant. These two variables were also the predictors of contraceptive implant utilization. Women with secondary and tertiary education have higher odds of utilizing contraceptive implants (OR = 1.21, 95% CI = 1.01-7.82, p = 0.04) and (OR = 2.53, 95% CI = 1.49-11.47, p = 0.03) compared to women who had primary or no education while those who claimed to be adequately counseled by providers are about two times more likely to use contraceptive implants (OR = 2.33, 95% CI = 1.08-5.51) Conclusion: This study showed the important role of education and health workers in providing information about contraceptive implants. Therefore, health workers' knowledge of family planning counseling and services should be constantly upgraded so as to improve their roles in educating, mobilizing, counseling the women regarding contraceptive implant insertion. 1 results 1
- Background: Falls and fall-related injuries are a foremost health concern among older adults aged 60 years and above. Fall-risk-increasing drugs (FRIDs) use by older adults is one related cause of falling, and it is frequently used among older adults. Pharmacist-led counselling is an aspect of patient education that has been associated with improved therapeutic outcome and quality of life in high income countries with scarcity of information in lowmiddle income countries. This study therefore aims to assess hospital pharmacists’ knowledge and counselling on fall-related medications using the list compiled by the Swedish National Board of Health and Welfare on FRIDs and orthostatic drugs (ODs). Methods: A cross-sectional survey was carried out among 56 pharmacists working in a teaching hospital in Nigeria, between July and August 2019, using a self-administered questionnaire. Data were summarized with descriptive statistics while chi-square test was used for categorical variables at p < 0.05. Results: Thirty-five (62.5%) were within 10 years of practice experience. Two-third (62.5%) of the pharmacists possessed an additional qualification to Bachelor of Pharmacy degree. Twenty-two (40.0%) were aware of the FRIDs and ODs list. In all, (89.3%) had “unsatisfactory” knowledge of classes of medications and specific medicines that could cause a fall. Most pharmacists 42 (80.8%) focused counsel on appropriate medication use, adverse effects of drugs and storage of medications. Knowledge score of both FRIDs and ODs were neither significantly associated with pharmacists’ years of qualification (χ 2 = 1.282; p = 0.733), (χ 2 = 2.311; p = 0.510) nor with possession of additional qualification (χ 2 = 0.854; p = 0.836), (χ 2 = 2.996; p = 0.392). Majority, 53 (98.1%) believed that patients will benefit from effective counselling on FRIDs and ODs. About half (25; 51.0%) suggested training through seminar presentation as a measure for FRIDs and ODs sensitization. Conclusion: A substantial gap in knowledge and awareness of FRIDs and ODs was noted among the hospital pharmacists. However, engagement of pharmacists on counsel that focus on medication use, adverse effect and storage was relatively better. Thus, there is a general need to create awareness about fall-risk-increasing drugs among hospital pharmacists, so as to help improve the therapeutic outcome particularly in the older adults. 1 results 1
- Background: Patient medication counseling (PMC) is a pharmaceutical care service targeted at optimizing patient drug use, safety and improving treatment outcomes. This study assessed the content and quality of PMC from the community pharmacists’ (CPs) and pharmacy customers’ (PCs) perspectives. Methods: A cross-sectional questionnaire-guided survey was conducted in Ibadan, Nigeria, among 125 CPs and 612 PCs. The 35-counselling items validated United States Pharmacopeia Medication Counseling Behavior Guideline scale with 10-point graded responses (1 = poor to 10 = excellent) was used. Self-reported medication counseling information content provided by CPs and received by PCs was assessed and expressed in median and interquartile ranges. The quality of PMC was evaluated and graded as poor (1–29.9%), unsatisfactory (30–59.9%), satisfactory (60–79.9%) and excellent (80–100%). Associations between demographic variables and overall quality of counseling were determined with Mann–Whitney U and Kruskal–Wallis tests at p < 0.05. Results: The response rate was 92.5% and 97.6% for PCs and CPs, respectively. The PCs’ opinions on the individual content of the PMC provided by the CPs were significantly different from the pharmacists’ self-report (p < 0.05). Some of the PMC content included how to take the medicine PC = 6.00 (2.00) vs CP = 8.00 (2.00), information on possible side effects PC = 6.00 (2.00) vs CP = 8.00 (2.00), taking history of allergies and other medications PC = 6.00 (6.00) vs CP = 7.00 (1.00), and how to incorporate drug regimen into daily routine PC = 5.00 (6.00) vs CP = 8.00 (3.00). The quality of PMC purportedly provided by CPs and received by the PCs was satisfactory (75%) and unsatisfactory (55%), respectively. The quality of communication counseling offered by CPs trained in Nigeria (Mean rank = 62.49) was higher than those trained outside Nigeria (Mean rank = 26.40), U = 228.00, p = 0.024. The PC’s age, marital status, and highest educational qualification were significantly associated with their opinion on the quality of counseling received. Conclusions: Both the community pharmacists and pharmacy customers reported the provision of patient medication counseling on side effects, drug usage, medication history and allergies among others. However, the quality of counseling provided by the pharmacists was satisfactory, but the quality of counseling received by the pharmacy customers was unsatisfactory. Pharmacists may need to engage pharmacy customers more during medication counseling 1 results 1
- Background: Postpartum family planning is vital in the prevention of unintended pregnancy and closely spaced pregnancies in the first year post-delivery. This study was designed to examine the postpartum women's knowledge, attitude, belief and readiness to contraceptive use. Methods: This descriptive cross-sectional study was conducted among one hundred and ninety-four consenting women, six weeks post-delivery, at the University College Hospital, Ibadan, Nigeria using an interviewer-assisted structured questionnaire. Data was analysed using IBM Statistics for Windows Version 23.0. Tests of association was done using chi-square and statistical significance was set at p-value of < 0.05. Results: Many of the respondents (60.8%) were in the age group 30-39 years and the majority (90.3%) had tertiary level of education. Most of the respondents got their information from health talks at antenatal clinic (42.8%) and health workers (42.3%).The majority (82.5%) of respondents were aware of contraception and 157(80.9%) intended to use contraceptives. The most preferred contraceptive methods were implants (19.1%). Respondents with three or more children alive(p=0.001), had statistically significant associations with prior use of contraception while those with the tertiary level of education(p=0.001), of the Christian religion (p=<0.001) and had contraceptive counselling during pregnancy (p=0.031)had statistically significant associations with good knowledge of contraception. Conclusion: The knowledge and readiness to use contraceptives was high but only about half were willing to adopt contraception post-delivery. There is therefore the need for the enactment of government policy and legislation that will ensure wide coverage and availability of contraception counselling among pregnant women. 1 results 1
- Barriers 1 results 1
- Birth control 1 results 1
- Career choice is one of the major decisions made during the adolescent stage of development. Wrong decisions have led to various lifelong psychological problems, poor performance and lack of achievement. Many of these children would have found themselves in the career before understanding what it entails. This has brought into focus the importance of counselling in solving adolescent students’ career decision challenges. The general objective of this study was to examine the perceived role of counselling on students' career decision making in selected secondary schools in Ibadan North Local Government area of Oyo State. The descriptive survey was conducted among one hundred and forty (140) adolescents selected through systematic random sampling method from a total study population of 260 respondents. Self-administered questionnaire was the major instrument used to elicit information from the respondents. Permission was sought and obtained from relevant authorities before data collection. Collected data were analyzed using chi square test at p<0.05, The findings revealed that the students perceived career counselling as having important role to play in their career decision making. Though majority of the students had received counselling but only a few were counselled on career choice. The tested hypothesis revealed a significant association between availability of counselling Services and perceived role of counselling in students’ future career choice (x2=7.935, p= 0.019). Students perceived counselling as being very important in helping them in making career choice. This Service is not well implemented in some of the schools. There is need for adoption of counselling Services as an instrument for adolescent future choice career needs in all secondary school levels in the federation. This will help in fostering good harmony in the educational System and also make the students have good choice in terms of career or vocational needs 1 results 1
- Career development 1 results 1
- Career planning 1 results 1
- Cervical cancer is the second most common cancer among women worldwide, with an estimated 529,409 new cases and 274,883 deaths in 2008, about 86% of the cases occur in developing countries, representing 13% of female cancers (IARC, GLOBOCAN, 2008). All sexually active women are at risk for the development of this disease and it is one of the leading causes of death for middle-aged women in the developing world. It is almost completely preventable, if precancerous lesions are identified and treated early (Carr and Sellors, 2004; Ayinde and Omigbodun, 2003). Uptake of screening services has remained low. Pre-screening counseling (PSC) could help increase compliance with screening schedule. Various studies identified ignorance/lack of knowledge, inappropriate/cultural beliefs about the illness; apprehension, etc., as barriers to utilization of screening services (Gharoro and Ikeanyi, 2006; Mutyaba et al., 2007). Also, a positive correlation between Pap test awareness and utilization was reported by Gharoro and Ikeanyi (2006). Pre-screening counseling is very important in order to achieve the purpose of screening. counseling is a two-way dialogue that enables a woman gain knowledge and improve her ability to make informed choice about type of screening procedure she will undertake, being fully aware of the risks and benefits of such. This was explained using the theory of planned behaviour. The nurse/midwife should be well versed in cervical cancer natural history, prevention and management in order to counsel effectively. She should also avail herself of every opportunity to counsel and inform women about cervical cancer. 1 results 1
- Childlessness 1 results 1
- Co-infected patients 1 results 1
- Coaching 1 results 1
- Concurrent tuberculosis and HIV treatment is a standard practice in co-infected patients. However, adherence to combined treatment is challenging because of multiplicity of drugs involved. Although studies exist on adherence to either HIV or tuberculosis treatment, negligible attention has been paid to adherence among patients on combined HIV and tuberculosis treatments. This study therefore examined the factors influencing treatment adherence among tuberculosis-infected HIV patients in Cross River State (CRS), where prevalence is higher than the national average. Parsonian Social Action theory, Social Cognitive theory and Health Belief Model were employed as theoretical framework. The study adopted a cross-sectional design using 333 patients. A three-stage purposive sampling technique was used to select respondents. This involved identification of treatment facilities across CRS, selection of facilities that had up to 10 co-infected patients and selection of patients who had received concurrent treatment for three months or more prior to the study. A semi-structured questionnaire was used to generate data. Adherence was assessed with a 14-item scale categorised as low (>7), moderate (2-7) and high (0-1). Knowledge was measured using a 17-item instrument categorised as low (≤8) and high (>8). Four Focus Group Discussion sessions comprising seven discussants each were conducted and four case studies were undertaken with patients. Quantitative data were analysed using descriptive statistics, Chi-square and ordinal regression test at 0.05 level of significance while qualitative data were content analysed. The mean age of respondents was 34.5±9.6 and 61.9% were female. Fifty-seven percent of respondents had high knowledge of treatment and 48.7% did not link poor adherence to poor treatment outcomes. Level of adherence was high (38.1%), moderate (29.4%) and low (32.4%). Adherence to tuberculosis treatment was significantly higher than to HIV treatment. Respondents’ reasons for missing drugs included not being at home (64.7%), not having eaten (45.5%), being busy (44.9%) and avoiding status disclosure (25.1%). Having good knowledge of treatment was significantly related to low level of adherence. The likelihood of adherence was significantly high among males (OR: 1.8; 95% CI: 0.4-2.4), those with a minimum of secondary education (OR: 2.7; 95% CI: 1.2-3.4) and those not living in the same community as the location of their treatment facility (OR: 1.7; 95% CI: 1.0-3.5). Patients who received adequate social support showed the likelihood of better adherence relative to those who received little or no support (OR: 3.0; 95% CI: 1.3-4.7). Patients reported that when in the midst of other people, they did not want to be seen using drugs to forestall stigmatisation. Respondents demonstrated enthusiasm at the start of the treatment but adherence reduced when difficulties were encountered. Respondents whose spouses or regular sexual partners were not infected encountered more difficulties with adherence because they were believed to be under spiritual attacks not HIV. Patients benefitted much from counselling and good care-provider/patient relationship. Treatment adherence among tuberculosis-infected HIV patients was influenced by personal characteristics and health facility location. Training on how to overcome the stigma, initiation of patient-selected treatment facility options and policies that emphasise sustained patient counselling could improve adherence. 1 results 1
- Consumer 1 results 1
- Contraceptive Counselling 1 results 1
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