2 research outputs found
Assessment of Perceived Health and Environmental Problems of Household Energy Consumption among Ilese Ijebu Residents Southwestern Nigeria
The study was carried out among Ilese-Ijebu residents southwestern Nigeria, to assess their perceived health and environmental problems associated with different sources of household energy use for cooking, then their perception and acceptability of adopting other alternative source of energy (biogas). A focused group discussion and self-structured questionnaire administration methodologies were adopted to elicit information on their current energy sources and adoption for alternative energy source (biogas). The researchers randomly selected twenty five (25) households to include the total sample size of one hundred (100) and organized an interactive session on the subject matter, during which three prepared forms were given out to the participants to filled their demographics characteristics, sources of energy for household cooking with associated health and environmental problems and perception and acceptability of biogas, descriptive statistics and likert scale technique were used to analyze the results obtained. The results of the analysis showed that, the respondents do make use of more than one source of energy for cooking, kerosene stoves (95), firewood (63), charcoal stove(32), while lesser people made use of liquefied gas (12) and electricity (5). Average numbers of respondents 50-60 are aware of associated health and environmental problems with firewood and charcoal, but not ready to use electricity and liquefied gas because of bills and fire hazards when the energy sources is not properly handled. However, the likert scale results of the positive score of 227 and the negative score of 598 on the acceptability of use of biogas for domestic cooking indicating that, presently, the residents are not ready to adopt the biogas as the alternative energy. Therefore, there is need to organize massive awareness campaign, health education talks among the residents on the effect of air pollution associated with household energy sources and consumption, health and financial benefits of adopting other alternative clean energy source
Adaptation of the Wound Healing Questionnaire universal-reporter outcome measure for use in global surgery trials (TALON-1 study): mixed-methods study and Rasch analysis
BackgroundThe Bluebelle Wound Healing Questionnaire (WHQ) is a universal-reporter outcome measure developed in the UK for remote detection of surgical-site infection after abdominal surgery. This study aimed to explore cross-cultural equivalence, acceptability, and content validity of the WHQ for use across low- and middle-income countries, and to make recommendations for its adaptation.MethodsThis was a mixed-methods study within a trial (SWAT) embedded in an international randomized trial, conducted according to best practice guidelines, and co-produced with community and patient partners (TALON-1). Structured interviews and focus groups were used to gather data regarding cross-cultural, cross-contextual equivalence of the individual items and scale, and conduct a translatability assessment. Translation was completed into five languages in accordance with Mapi recommendations. Next, data from a prospective cohort (SWAT) were interpreted using Rasch analysis to explore scaling and measurement properties of the WHQ. Finally, qualitative and quantitative data were triangulated using a modified, exploratory, instrumental design model.ResultsIn the qualitative phase, 10 structured interviews and six focus groups took place with a total of 47 investigators across six countries. Themes related to comprehension, response mapping, retrieval, and judgement were identified with rich cross-cultural insights. In the quantitative phase, an exploratory Rasch model was fitted to data from 537 patients (369 excluding extremes). Owing to the number of extreme (floor) values, the overall level of power was low. The single WHQ scale satisfied tests of unidimensionality, indicating validity of the ordinal total WHQ score. There was significant overall model misfit of five items (5, 9, 14, 15, 16) and local dependency in 11 item pairs. The person separation index was estimated as 0.48 suggesting weak discrimination between classes, whereas Cronbach's α was high at 0.86. Triangulation of qualitative data with the Rasch analysis supported recommendations for cross-cultural adaptation of the WHQ items 1 (redness), 3 (clear fluid), 7 (deep wound opening), 10 (pain), 11 (fever), 15 (antibiotics), 16 (debridement), 18 (drainage), and 19 (reoperation). Changes to three item response categories (1, not at all; 2, a little; 3, a lot) were adopted for symptom items 1 to 10, and two categories (0, no; 1, yes) for item 11 (fever).ConclusionThis study made recommendations for cross-cultural adaptation of the WHQ for use in global surgical research and practice, using co-produced mixed-methods data from three continents. Translations are now available for implementation into remote wound assessment pathways