Browsing by Author "Yakubu, Kenneth"

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    Exploring gaps, strategies and solutions for primary care research mentorship in the African context: A workshop report
    (2020) McGuire, Chelsea M; Yakubu, Kenneth; Ayisi-Boateng, Nana K; Motlhatlhedi, Keneilwe
    Background: Primary care needs research to generate evidence relevant to community needs; however, there is a lack of research engagement among primary care physicians, especially in sub-Saharan Africa. Improved research mentorship for family physicians (FPs) can help address prevailing knowledge and practice gaps in primary care research. Workshop process: During the 6th annual Africa Regional Conference of the World Organization of Family Doctors (WONCA), we conducted three workshops on research mentorship for African FPs. Two workshops (one online and one onsite at the pre-conference) were geared towards the young doctors’ movement of WONCA Africa. The third was onsite during the main conference. Following a brief presentation on the concept of research mentorship and known gaps, participants broke into small groups and discussed additional gaps, solutions and anticipated readiness for implementing these solutions. We used content analysis to summarise key concepts and had participants to review the findings. Workshop findings: Identified gaps related to mentees’ difficulty initiating and maintaining mentorship relationships and an overall shortage of capable and willing mentors. Organizational solutions focused on capacity building and creating a culture of mentorship. Interpersonal solutions focused on reducing the power distance and increasing reflectivity and feedback. Increasing the use of research networks and both peer and online mentorship were advocated. Barriers to readiness included resource constraints and competing priorities. Conclusion: A multi-level approach is needed to address the gaps in research mentorship for African FPs. Identified solutions hold potential for supporting the research engagement needed to improve the population health across Africa. Keywords: research; mentorship; primary care; general practice; family medicine; sub- Saharan Africa; workshop report.
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    Lifestyle, cardiovascular risk knowledge and patient counselling among selected sub-Saharan African family physicians and trainees
    (AOSIS, 2019) Ameh, Pius O.; Yakubu, Kenneth; Miima, Miriam; Popoola, Olugbemi; Mohamoud, Gulnaz; Von Pressentin, Klaus B.
    Background: Cardiovascular disease (CVD)-related deaths in sub-Saharan Africa (SSA) are on the rise, and primary care physicians could facilitate the reversal of this trend through treatment and prevention strategies. Aim: The aim of this study was to determine the relationship between physician lifestyle practices, CVD prevention knowledge and patient CVD counselling practices among family physicians (FPs) and family medicine (FM) trainees affiliated to FM colleges and organisations in SSA. Setting: FPs and FM trainees affiliated to FM colleges and organisations in Anglophone SSA. Methods: A web-based cross-sectional analytical study was conducted using validated, self-administered questionnaires. Following collation of responses, the relationship between the participants’ CVD prevention knowledge, lifestyle practices and CVD counselling rates was assessed. Results: Of the 174 participants (53% response rate), 83% were married, 51% were females and the mean age was 39.2 (standard deviation [SD] 7.6) years. Most of the participants responded accurately to the CVD prevention knowledge items, but few had accurate responses on prioritising care by 10-year risk. Most participants had less than optimal lifestyle practices except for smoking, vegetable or fruit ingestion and sleep habits. Most participants (65%) usually counselled patients on nutrition, but less frequently on weight management, exercise, smoking and alcohol. The region of practice and physicians with poor lifestyle were predictive of patient counselling rates. Conclusion: Training on patient counselling and self-awareness for CVD prevention may influence patient counselling practice. Promoting quality training on patient counselling among FPs as well as a healthy self-awareness for CVD prevention is thus needed. The complex relationship between physician lifestyle and patient counselling warrants further study.
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    Perceptions about family-centred care among adult patients with chronic diseases at a general out-patient clinic in Nigeria
    (Stellenbosch : Stellenbosch University, 2017-12) Yakubu, Kenneth; Malan, Zelra; Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Family and Emergency Medicine. Family Medicine and Primary Care.
    ENGLISH SUMMARY : Background: Few studies in Africa have described patients’ preferences for family involvement in their care. Such perceptions when elicited, can provide the patient-oriented evidence needed for implementation of family-centred care (FCC) in an African context. The aim of this study was to explore perceptions of FCC among patients with chronic diseases. Specific objectives where therefore to elicit (1) patients’ perceptions of the meaning of FCC, explore (2) current involvement of family members in patient care (3), value of FCC from the patient’s perspective and (4) patients’ preferences in the delivery of FCC. Methods: A mixed-methods phenomological study design incorporating structured and semi-structured, individual in-depth interviews for 21 adult patients with chronic diseases was used. It was carried out at the general out-patient clinic of the Jos University Teaching Hospital, Jos, Plateau state, Nigeria. Results: Patients described FCC using various levels of family engagement with their care including, the doctor inquiring about history of similar disease in the family, information sharing with family members and fostering of family ties/relationships. These levels were also seen in the description of current family involvement in their care, including inquiring about their health, going with them to the clinic, offering material/social support and health advice. Similarly, patients considered the value of FCC based on how it meets information needs of the family, influences individual health behaviour and addresses family dynamics. The patients showed a broad range of preferences from minimal to maximum engagement of family in their care. This preference was influenced by the need for confidentiality, perception of the illness experience and whose opinion they valued most. Conclusion: Not all patients showed a preference for maximum family engagement in their care. Hence, there exists a need to be sensitive to the patient’s preferences during consultations. However, depending on perceived benefit, the family doctor may need to educate and negotiate with the patient, the extent to which family members can be involved in their care.
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    Perceptions about family-centred care among adult patients with chronic diseases at a general outpatient clinic in Nigeria
    (Publishers version, 2018-10) Yakubu, Kenneth; Malan, Zelra; Colon-Gonzalez, Maria C.; Mash, Bob
    Background: Few studies in Africa have described patients’ perceptions about family-centred care (FCC). Aim: The aim of this study was to explore perceptions of FCC among patients with chronic diseases. Setting: The study was conducted at a general outpatient clinic (GOPC) in Jos, north-central Nigeria. Methods: We used a mixed-methods phenomenological study design and conducted structured and semi-structured interviews with 21 adult patients with chronic diseases at a general outpatient clinic in north-central Nigeria. Results: Patients described FCC using progressive levels of family engagement including the doctor inquiring about history of similar disease in the family, information sharing with family members and fostering of family ties. They described current family involvement in their care as either inquiring about their health, accompanying them to the clinic or offering material or social support and health advice. Also, patients considered the value of FCC based on how it meets information needs of the family, influences individual health behaviour and addresses family dynamics. Those who were literate and older than 50 years of age favoured FCC during history taking. Those who were literate, aged lesser than 50 years and had poor disease control showed preference for FCC during treatment decision-making. Conclusion: The acceptability of FCC is a complex synthesis of age, socio-economic status, literacy and disease outcomes. Patients older than 50 years, with good treatment outcomes, and those without formal education may need further education and counselling on this approach to care.