Pregnant women with low social support were reported to have symptoms of depression during and after pregnancy, and it has been established that this has implication on complication during child birth. This study aimed at examining the knowledge, attitude and perception of pregnant women about social support during pregnancy. A descriptive cross sectional research design was adopted and questionnaire with reliability 0.82 was used to gather data from 208 pregnant women selected through simple random sampling technique. Data collected was analyzed using SPSS version 20.0. Findings revealed a good perception but negative attitude towards social support. There was a significant association between age and level of social support; marital status and level of social support; number of delivery and level of social support. Identified barriers to social support during pregnancy include poor family income, spouses’ nature of job and hospital policy.
Selected psychosocial predictors of treatment adherence among Individuals with Chronic Mechanical Low Back Pain (Published)
One of the most challenging problems facing health care professionals globally is patients’ non-adherence to treatment programs. This study therefore investigated the role of anxiety, depression, self-efficacy and social support on treatment adherence.Ninety-two purposively selected individuals diagnosed with mechanical low back pain (mean age =37.45 ± 5.48) participated in this cross-sectional survey. A 95-item battery of scales (questionnaire) was used in measuring participants’ bio-data, level of anxiety, depression, self-efficacy, social support, pain self-efficacy and treatment adherence. Descriptive (means; SD; and %) and inferential (multiple regression and ANOVA) statistics were employed in analysis, with three hypotheses tested at p<0.05. Anxiety, depression, self-efficacy and social support jointly predicted cognition (R=.57; R2=.33;F(4,87)=10.64; p<.01), behavioral (R = .29; R2 =.08; F (4,87) = 1.97; p<.05) and therapy satisfaction (R = .29; R2 =.08; F (4,87) = 1.94;p<.05) domains of treatment adherence. Self-efficacy independently predicted behavioral (β=.59) and therapy satisfaction (β=.25) domains of treatment adherence (β=.25). Self-efficacy, social support, anxiety and depression are jointly pertinent in forecasting the cognition, treatment satisfaction and behavioural domains of treatment adherence among low back pain patients. Attention to these psychological factors would be needful in the management of treatment adherence among patients with low back pain
The Social Issues among Adult Cancer Patients Attending Oncology Clinic at Moi Teaching and Referral Hospital, Eldoret, Kenya (Published)
Cancer diagnosis is associated with increased chance of developing social issues that impact on patient’s health state and medical treatment. The number of people diagnosed with cancer is on the increase every year in the developing countries with no exception of Kenya. The burden of cancer continues to grow. However, as much as social issues among adult cancer patients are well documented in the rest of the world, Kenya has little amount of data in place. A critical part of cancer care is the recognition of the levels of social problems that present among patients with cancer and determination of the appropriate form of intervention, ranging from brief counselling or social interventions and social support to medication and specific coping styles. This paper sought to determine the social issues among adult cancer patients seen at the oncology clinic of Moi Teaching and Referral Hospital (MTRH), Eldoret. Focus was on the social issues that are associated with cancer diagnosis and socio-demographic characteristics and clinical state of the patients diagnosed with cancer. This was a cross-sectional and descriptive study. The respondents included patients diagnosed with cancer who were enrolled and interviewed using researcher designed socio-demographic and clinical questionnaire and the Mini International Neuropsychiatric Interview for adults (M.I.N.I Plus) instruments. A total of 138 respondents participated in the study. The participants were assessed upon an informed consent and ethical approval from Institutional Research and Ethics Committee (IREC) Moi Teaching and Referral Hospital (MTRH) Moi University and Ethics and Research Committee Kenyatta National Hospital/ University of Nairobi.Microsoft excel worksheet and Statistical packages for social sciences (SPSS) version 16.0 were used for analysis. Females represented a higher number of cancer patients than male. Breast cancer and cervical cancer were the most common forms of cancer with most participants being in the advanced stages; between stage III and IV. Social phobia, obsessive compulsive disorder, generalised anxiety disorder, hypomanic episodes and manic episodes were the most observed social disorders.
Public Attitude and Social Support towards People Living With Epilepsy (PWE) Amongst Communities, In a Selected Local Government of Oyo State, Nigeria (Published)
Introduction – The reaction to epilepsy is shaped by traditional indigenous beliefs. Therefore this study assessed the societal attitude and social support towards people living with Epilepsy in Ogbomoso. Methodology- The study adopted cross sectional descriptive design using 410 respondents selected through multistage sampling technique. Information was collected from the respondents using standardized instrument of Interviewer Administered Questionnaire (IAQ), Attitudinal Scale and Social Support Scale. Data were analysed using descriptive and inferential statistics at 0.05 level of significance. Results – In terms of attitude, 273 (68%) of respondents strongly agreed that PWE would be a burden to the family, 251 (62%) expressed fear during seizures, 215 (53.8%) were of the opinion that PWE should not get manned: 258 (64.5%) would not definitely help someone with seizure, 258 (64.5%) would not stay in the room with person with epilepsy. There was a significant association between respondent area of residence and their attitude (X2 = 16.320, P = 0.012). Conclusion – It was concluded that there was a misconception about epilepsy resulting in negative attitude and poor social support towards People Living with Epilepsy.