Rufus O Akinyemi1, Mayowa O Owolabi2, Philip B Adebayo3, Joshua O Akinyemi4, Folajimi M Otubogun5, Ezinne Uvere2, Olaleye Adeniji5, Osimhiarherhuo Adeleye5, Olumayowa Aridegbe5, Funmilola T Taiwo6, Shamsideen A Ogun7, Adesola Ogunniyi2. 1. Department of Medicine, Federal Medical Centre Abeokuta, Nigeria; Institute of Neuroscience, Newcastle University, UK. Electronic address: rufusakinyemi@yahoo.com. 2. Department of Medicine, College of Medicine, University of Ibadan, Nigeria. 3. Department of Medicine, Ladoke Akintola University of Technology, Ogbomoso, Nigeria. 4. Department of Epidemiology and Medical Statistics, College of Medicine, University of Ibadan, Nigeria. 5. Department of Medicine, Federal Medical Centre Abeokuta, Nigeria. 6. Ben Carson School of Medicine, Babcock University, Ilishan-Remo, Nigeria. 7. Olabisi Onabanjo University, Ago Iwoye, Nigeria.
Abstract
BACKGROUND: The increasing stroke burden in sub-Saharan Africa far outstrips the availability of skilled human resource to provide timely and efficient acute, rehabilitative and preventive services. The objective of this study was to examine the impact of a short-term task-shifting stroke training program on the stroke knowledge of a cohort of Nigerian non-neurologist health workers (NNHWs). METHODS: Utilizing a quasi-experimental design, NNHWs drawn from 53 local government areas of Ogun and Oyo states participated in an intensive, multicomponent one-day stroke workshop. Stroke knowledge was evaluated before and after the training using a self-administered questionnaire. RESULTS: Out of a total of 210 NNHWs who participated in the session, 116 (55.2%) completed the pre-workshop questionnaire survey of stroke knowledge while 191 (91.0%) completed the post-workshop questionnaire survey. There were no statistically significant differences in the distribution of the age, gender and professional categories of the two groups. The participants' knowledge was significantly increased at the end of the training about stroke risk factors (p<0.001), stroke symptoms (p<0.001) and how stroke develops (p=0.009). The proportion of respondents who understood the FAST mnemonic increased from 10.3% before the training to 90.6% at the end of the training (p<0.001). The professional category of participants was associated with knowledge gain about swallowing test and thrombolysis. CONCLUSION: Our data support the effectiveness of stroke-specific task-shifting training for non-neurologist health workers in a low resource setting. Interim studies with intermediate outcomes are needed to show that improved knowledge results in better care despite resource limitation. Randomized controlled trials will be useful to confirm findings and translate knowledge improvement into practical intervention.
BACKGROUND: The increasing stroke burden in sub-Saharan Africa far outstrips the availability of skilled human resource to provide timely and efficient acute, rehabilitative and preventive services. The objective of this study was to examine the impact of a short-term task-shifting stroke training program on the stroke knowledge of a cohort of Nigerian non-neurologist health workers (NNHWs). METHODS: Utilizing a quasi-experimental design, NNHWs drawn from 53 local government areas of Ogun and Oyo states participated in an intensive, multicomponent one-day stroke workshop. Stroke knowledge was evaluated before and after the training using a self-administered questionnaire. RESULTS: Out of a total of 210 NNHWs who participated in the session, 116 (55.2%) completed the pre-workshop questionnaire survey of stroke knowledge while 191 (91.0%) completed the post-workshop questionnaire survey. There were no statistically significant differences in the distribution of the age, gender and professional categories of the two groups. The participants' knowledge was significantly increased at the end of the training about stroke risk factors (p<0.001), stroke symptoms (p<0.001) and how stroke develops (p=0.009). The proportion of respondents who understood the FAST mnemonic increased from 10.3% before the training to 90.6% at the end of the training (p<0.001). The professional category of participants was associated with knowledge gain about swallowing test and thrombolysis. CONCLUSION: Our data support the effectiveness of stroke-specific task-shifting training for non-neurologist health workers in a low resource setting. Interim studies with intermediate outcomes are needed to show that improved knowledge results in better care despite resource limitation. Randomized controlled trials will be useful to confirm findings and translate knowledge improvement into practical intervention.
Authors: Rufus O Akinyemi; Isameldin M H Izzeldin; Catherine Dotchin; William K Gray; Olaleye Adeniji; Osheik A Seidi; Josephine J Mwakisambwe; Carl J Mhina; Florence Mutesi; Helen Z Msechu; Kien A Mteta; Mayada A M Ahmed; Shahd H M Hamid; Nazik A A Abuelgasim; Sumia A A Mohamed; Ashraf Y O Mohamed; Fidelis Adesina; Mohammed Hamzat; Taiwo Olunuga; Venance P Maro; Richard Walker Journal: J Am Geriatr Soc Date: 2014-07-15 Impact factor: 5.562
Authors: Gbenga Ogedegbe; Jacob Plange-Rhule; Joyce Gyamfi; William Chaplin; Michael Ntim; Kingsley Apusiga; Kiran Khurshid; Richard Cooper Journal: Implement Sci Date: 2014-06-12 Impact factor: 7.327
Authors: Rohina Joshi; Mohammed Alim; Andre Pascal Kengne; Stephen Jan; Pallab K Maulik; David Peiris; Anushka A Patel Journal: PLoS One Date: 2014-08-14 Impact factor: 3.240
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Authors: Aaron Berkowitz; Nirali Vora; Morgan L Prust; Deanna Saylor; Stanley Zimba; Fred Stephen Sarfo; Gentle S Shrestha Journal: Stroke Date: 2022-01-20 Impact factor: 7.914
Authors: Leonard Baatiema; Michael Otim; George Mnatzaganian; Ama De-Graft Aikins; Judith Coombes; Shawn Somerset Journal: BMC Health Serv Res Date: 2017-02-02 Impact factor: 2.655
Authors: Leonard Baatiema; Ama de-Graft Aikins; Adem Sav; George Mnatzaganian; Carina K Y Chan; Shawn Somerset Journal: BMJ Open Date: 2017-04-27 Impact factor: 2.692
Authors: Daniel Boateng; Frederick Wekesah; Joyce L Browne; Charles Agyemang; Peter Agyei-Baffour; Ama de-Graft Aikins; Henriette A Smit; Diederick E Grobbee; Kerstin Klipstein-Grobusch Journal: PLoS One Date: 2017-12-12 Impact factor: 3.240