Addressing Stroke Literacy in Nigeria Through Music: A Qualitative Study of Community Perspectives.


Journal

Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association
ISSN: 1532-8511
Titre abrégé: J Stroke Cerebrovasc Dis
Pays: United States
ID NLM: 9111633

Informations de publication

Date de publication:
Dec 2020
Historique:
received: 04 08 2020
accepted: 07 09 2020
entrez: 1 12 2020
pubmed: 2 12 2020
medline: 17 12 2020
Statut: ppublish

Résumé

The incidence of stroke in Nigeria is unknown, but stroke literacy, defined here as awareness of stroke warning symptoms and risk factors may be poor in high-risk communities. Although there is growing recognition of the use of music as a conduit to promote health literacy, African music is often overlooked as a source of health information. We sought to understand community-level perspectives on using African music to promote acute stroke literacy. A purposive sample of education, health and music professionals, high school and university students were recruited to participate in the qualitative study. Study participants completed a brainstorming exercise that elicited their perceptions of potential barriers and facilitators to the use of music to promote acute stroke literacy in Nigeria. Content analysis was used to identify key themes emerging from the brainstorming exercise. A total of 44 individuals, comprising of 25 students with a mean age of 15.9 ± 1.6 years (52% females) and 19 professionals with a mean age of 39 ± 7.7 years (57.9% males) participated in the brainstorming exercise. Facilitators to the use of music to promote acute stroke literacy in Nigeria include the cultural relevance of music, the ubiquity of music, and government involvement. Key barriers include religious beliefs that discourage the use of "secular" music, cost-related barriers, and limited government support. Findings from this study provide guidance aimed at improving acute stroke literacy in Nigeria, particularly the importance of government involvement in the development and implementation of stroke literacy interventions guided by African music. Future work should consider implementing interventions that leverage the cultural elements of African music and further assess the extent to which these identified facilitators and/or barriers may influence stroke literacy.

Sections du résumé

BACKGROUND BACKGROUND
The incidence of stroke in Nigeria is unknown, but stroke literacy, defined here as awareness of stroke warning symptoms and risk factors may be poor in high-risk communities. Although there is growing recognition of the use of music as a conduit to promote health literacy, African music is often overlooked as a source of health information. We sought to understand community-level perspectives on using African music to promote acute stroke literacy.
METHODS METHODS
A purposive sample of education, health and music professionals, high school and university students were recruited to participate in the qualitative study. Study participants completed a brainstorming exercise that elicited their perceptions of potential barriers and facilitators to the use of music to promote acute stroke literacy in Nigeria. Content analysis was used to identify key themes emerging from the brainstorming exercise.
RESULTS RESULTS
A total of 44 individuals, comprising of 25 students with a mean age of 15.9 ± 1.6 years (52% females) and 19 professionals with a mean age of 39 ± 7.7 years (57.9% males) participated in the brainstorming exercise. Facilitators to the use of music to promote acute stroke literacy in Nigeria include the cultural relevance of music, the ubiquity of music, and government involvement. Key barriers include religious beliefs that discourage the use of "secular" music, cost-related barriers, and limited government support.
CONCLUSIONS CONCLUSIONS
Findings from this study provide guidance aimed at improving acute stroke literacy in Nigeria, particularly the importance of government involvement in the development and implementation of stroke literacy interventions guided by African music. Future work should consider implementing interventions that leverage the cultural elements of African music and further assess the extent to which these identified facilitators and/or barriers may influence stroke literacy.

Identifiants

pubmed: 33254374
pii: S1052-3057(20)30730-8
doi: 10.1016/j.jstrokecerebrovasdis.2020.105312
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

105312

Informations de copyright

Copyright © 2020 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest The authors declare that they do not have any conflicts of interest.

Auteurs

Ucheoma Nwaozuru (U)

Saint Louis University, College for Public Health and Social Justice, Department of Behavioral Science and Health Education, 3545 Lafayette Ave, St. Louis, MO 63104, U.S.A.

Chizoba Ezepue (C)

SSM Health DePaul Hospital, St. Louis, MO 63104, U.S.A.

Juliet Iwelunmor (J)

Saint Louis University, College for Public Health and Social Justice, Department of Behavioral Science and Health Education, 3545 Lafayette Ave, St. Louis, MO 63104, U.S.A.. Electronic address: Juliet.iwelunmor@slu.edu.

Chisom Obiezu-Umeh (C)

Saint Louis University, College for Public Health and Social Justice, Department of Behavioral Science and Health Education, 3545 Lafayette Ave, St. Louis, MO 63104, U.S.A.

Florida Uzoaru (F)

Saint Louis University, College for Public Health and Social Justice, Department of Behavioral Science and Health Education, 3545 Lafayette Ave, St. Louis, MO 63104, U.S.A.

Daudet Ilunga Tshiswaka (DI)

University of West Florida, 11000 University Pkwy, Pensacola, FL 32514.

Njideka Okubadejo (N)

University of Lagos, College of Medicine, Moyo Agoro St, Idi Oro, Ikeja, Nigeria.

Randall Edgell (R)

Saint Louis University, Department of Neurology, 3545 Lafayette Ave, St. Louis, MO 63104, U.S.A.

Oliver Ezechi (O)

Nigerian Institute of Medical Research, Clinical Sciences Department, Medical Compound, Yaba, Lagos, Nigeria.

Titilola Gbajabiamila (T)

Nigerian Institute of Medical Research, Clinical Sciences Department, Medical Compound, Yaba, Lagos, Nigeria.

Adeola Z Musa (AZ)

Nigerian Institute of Medical Research, Monitoring and Evaluation Unit, Yaba, Lagos, Nigeria.

David Oladele (D)

Nigerian Institute of Medical Research, Clinical Sciences Department, Medical Compound, Yaba, Lagos, Nigeria.

Olugbenga Ogedegbe (O)

NYU Langone Medical Center, Division of Health & Behavior, Department of Population Health, New York, NY 10032, U.S.A.

Olajide Williams (O)

Columbia University Irving Medical Center, Department of Neurology, 622 W 168th St, New York, NY 10032, U.S.A.

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