Preliminary study of perceived cardiovascular disease risk and risk status of adults in small rural and urban locations in Ibadan, Nigeria

The burden of cardiovascular disease (CVD) has been on the rise in developing countries like Nigeria recently. Studies on perceived CVD risk and the risk status of adults in Ibadan are not readily available, hence this study. A mixed-method design involving a cross-sectional survey and an exploratory qualitative study was utilized. Convenience sampling was used to recruit 418 participants (209 from rural and 209 from urban) for the cross-sectional survey, while purposive sampling was used to recruit 14 participants for the qualitative aspect. The INTERHEART risk score and the Perception of Risk of Heart Disease Scale were used to investigate participants' CVD risk status and perceived risk, respectively. The data from the cross-sectional survey were summarized by using descriptive statistics, and the data were then analyzed by using the chi-square test of association and a multiple logistic regression model, while content thematic analysis was used to analyze the qualitative data. In the rural and urban areas, respectively, 39.7% and 52.2% had a positive perception of CVD risk. In the rural and urban areas, 44% and 41.6% of individuals respectively had moderate-to-high risk of CVD. Participants with at least secondary school education [2.66 (0.61–11.53)] and participants in the urban area [2.62 (0.78–7.08)] had twice higher odds of positive CVD risk perception. Males [3.91 (1.58–9.68)], adults aged 40 and above [1.59 (0.63–4.00)] and urban dwellers [1.21 (0.33–4.39)] had higher odds of a high CVD risk status. The qualitative aspect of the study corroborated the findings from the survey, as many participants did not perceive themselves as being at risk of CVD. The majority of the participants in this study were found to have a moderate-to-high risk of CVD, and many had a negative perception of their risk. Health education and CVD prevention programs are required to curb the burden of CVD

Development and structural validity of a Nigerian culture- and environment-friendly low back pain outcome measure: Ibadan Low Back Pain Disability Questionnaire

Background: Low Back Pain (LBP) is the leading cause of disability globally. Standardized outcome measures for measuring LBP disability exist but none was developed with consideration for the Nigerian culture and environment.Objective: This study was aimed to develop a Nigerian culture- and environment-friendly LBP scale, the Ibadan Low Back Pain Disability Questionnaire (ILBPDQ).Methods: Items on ILBPDQ were devised from literature review, interview of patients (231 consecutively-sampled patients with chronic non-specific LBP) and 12 professionals experienced in LBP management and were contentvalidated.The first draft of the questionnaire underwent pretesting twice among individuals with chronic non-specific LBP (n=35 and 114 respectively), factor analysis and experts’ reviews to produce the final version.Results: The final scale comprised 18 items with a two-factor structure (common Activity of Daily Living [ADL] and culture-specific ADL). It has eigen value ≥ 1 and explained 60% of variance. Items on ILBPDQ covered important constructs relevant to an average Nigerianpatient with LBP.Conclusion: A scale for assessing disability in LBP is made available for use in Nigeria and similar populations.Keywords: Low back pain, Outcome measure, Ibadan, Development, Structural validityFunding: None declare

Influence of well-being and quality of work-life on quality of care among healthcare professionals in southwest, Nigeria

The Nigerian healthcare industry is bedevilled with infrastructural dilapidations and a dysfunctional healthcare system. This study investigated the influence of healthcare professionals' well-being and quality of work-life (QoWL) on the quality of care (QoC) of patients in Nigeria. A multicentre cross-sectional study was conducted at four tertiary healthcare institutions in southwest, Nigeria. Participants' demographic information, well-being, quality of life (QoL), QoWL, and QoC were obtained using four standardised questionnaires. Data were summarised using descriptive statistics. Inferential statistics included Chi-square, Pearson's correlation, independent samples t-test, confirmatory factor analyses and structural equation model. Medical practitioners (n = 609) and nurses (n = 570) constituted 74.6% of all the healthcare professionals with physiotherapists, pharmacists, and medical laboratory scientists constituting 25.4%. The mean (SD) participants' well-being = 71.65% (14.65), QoL = 61.8% (21.31), QoWL = 65.73% (10.52) and QoC = 70.14% (12.77). Participants' QoL had a significant negative correlation with QoC while well-being and quality of work-life had a significant positive correlation with QoC. We concluded that healthcare professionals' well-being and QoWL are important factors that influence the QoC rendered to patients. Healthcare policymakers in Nigeria should ensure improved work-related factors and the well-being of healthcare professionals to ensure good QoC for patients

Cross-cultural adaptation, content validation, and reliability of the Nigerian Composite Lifestyle CVD Risk Factors Questionnaire for adolescents among Yoruba rural adolescents in Nigeria

CITATION: Odunaiya, N. A., Louw, Q. A. & Grimmer, K. 2017. Cross-cultural adaptation, content validation, and reliability of the Nigerian Composite Lifestyle CVD Risk Factors Questionnaire for adolescents among Yoruba rural adolescents in Nigeria. Malawi Medical Journal 29(2):03-107, doi:10.4314/mmj.v29i2.5.The original publication is available at The http://www.mmj.mwBackground: Assessment of lifestyle risk factors must be culturally and contextually relevant and available in local languages. This paper reports on a study which aimed to cross-culturally adapt a composite lifestyle cardiovascular disease (CVD) risk factors questionnaire into an African language (Yoruba) and test some of its psychometric properties, such as content validity and test–retest reliability in comparison to the original English version. Methods: This study utilised a cross-sectional design. Translation of the English version of the questionnaire into Yoruba was undertaken using the guideline by Beaton et al. The translated instrument was presented to 21 rural adolescents to assess comprehensibility and clarity, using a sample of convenience. A test–retest reliability exercise was conducted among 150 rural adolescents, using purposive sampling. Data were analysed using an intraclass correlation (ICC ) model 3, Cohen kappa statistics and prevalence rates. Results: ICC ranged between 0.4 and 0.8. The Yoruba version was completed in 15 to 20 minutes, and it was reported to be culturally appropriate and acceptable for rural Nigerian adolescents. Conclusions: The Yoruba translation of the Nigerian composite lifestyle risk factors questionnaire performs at least as well as the original English version in terms of content validity and reliability. It took a shorter time to complete and thus may be more acceptable to rural adolescents.http://www.mmj.mw/?p=5644Publisher's versio

Ergonomic suitability of educational furniture and possible health implications in a university setting

Ergonomically unsuitable school furniture is frequently considered one of the major causes of severe posture problems in adulthood. This study was designed to determine the ergonomic suitability of educational furniture in the lecture theaters at the University of Ibadan to serve as a case study. Sample of convenience was used to select participants for this study. The lecture theaters were selected based on their capacity, design, and dimension. A total of 240 students (120 males and 120 females) participated in this study. The ergonomic suitability of lecture theaters was determined by analyzing the mismatches between student anthropometric dimensions and furniture dimensions, and also by analyzing the design and orientation of the lecture theaters. The data were analyzed using descriptive statistics of mean, standard deviation, range, and median. The results showed that there was a significant difference in height between males and females but no significant difference between other anthropometric variables measured. About 20% of the participants had a fitting seat height, while seat height was unsuitable for the remaining 80.4%. On the other hand, 23.3% had a fitting seat depth, while it was unsuitable for 76.7% of the participants, and 99.6% of the participants had fitting desk clearance but 0.4% found it unsuitable. A total of 25.8% of the participants had a fitting desk height, while 74.2% of the students found it unsuitable. It was concluded that the furniture in the lecture theaters at the university studied was not ergonomically suitable for the students. Hence it is recommended that further studies, including more universities across a wide spectrum of society, should be performed to determine the effect of furniture on student health, and the need to adopt the use of adjustable furniture in lecture theaters to prevent health hazards that may occur secondary to the use of unsuitable furniture

Barriers and facilitators of health-enhancing physical activity behavior among health professional students in a nigerian university setting

Background: Health-enhancing physical activity (HEPA) is very beneficial to humans. However, physical activity levels are declining in  many countries even among health care professional students. The aim of this study was to investigate the perceived facilitators and barriers to the practice of HEPA among clinical students in a Nigerian University setting. Methods: The study utilized a mixed method design, which consisted of cross-sectional survey of 217 clinical students and explorative qualitative study involving 21 clinical students of a Nigerian University. Exercise Barriers Scale and Facilitators of Physical Activity  Questionnaire with Likert scale response options were used to assess the perceived barriers and facilitators of HEPA respectively. Descriptive statistics were used to summarize the data obtained from the cross-sectional study. Content thematic analysis was used to analyze the explorative qualitative study. Results: The female participants were 111 (51.85%) and 106 (48.15%) were male participants. The mean (± standard deviation) age of all the participants was 22 ± 2 years. The facilitators of HEPA among the participants include fitness and health benefits; opportunity to interact with others; availability of conducive environment for exercising; availability of time for physical activity and social support. Barriers to HEPA reported by the participants are tiring and fatiguing nature of exercise; lack of convenient schedule at exercise facilities; few available places for exercise, lack of motivation; and study overload. Conclusion: Barriers and facilitators of HEPA among college clinical students are very remediable factors. University management can encourage students' participation in HEPA by creating enabling environment and time for recreation