RP-School of Health Sciences

Permanent URI for this community

https://repository.ku.ac.ke/handle/123456789/1311

Browse

Browsing RP-School of Health Sciences by Subject "Adherence"

Now showing 1 - 4 of 4
  • Thumbnail Image
    Item
    Abagusii Traditional Environmental Knowledge and HIV/AIDS Management: Implications for English Language Teaching
    (International Ecolinguistics Association, 2021) Maroko, Geoffrey Mokua; Mokua, Gladys Nyamoita; Nyakundi, Augustus Onchari; Onyambu, Meshack Ondora
    Multidisciplinary and multisectoral interventions are necessary for the management of chronic conditions such as HIV/AIDS. One such intervention is the promotion of socially responsible teaching. Anchored within an eclectic theoretical framework involving traditional environmental knowledge, the Sapir-Whorf Hypothesis, and Vygotsky’s theory of thought, language and culture, this paper analyses the link between Abagusii traditional environmental knowledge and management of HIV/AIDS. Seven groups of people living with HIV/AIDS were engaged in focus group discussions on the management of HIV/AIDS treatment adherence through sustainable production and use of natural products. The paper reveals that the Abagusii have rich ecological knowledge on the production and use of natural products, which could improve treatment outcomes of people living with HIV/AIDS. This ecological knowledge can be harnessed, documented and ploughed into ELT materials for English Language Teaching. A three-tier ELT framework comprising classroom activities, integrated tasks and practical actions could be adopted for teaching integrated English in interesting ways while at the same time restoring the environment, food sufficiency and health.
  • Thumbnail Image
    Item
    Effectiveness of Short Message Service Support on Adherence to Chemotherapy Treatment among Patients Attending Cancer Treatment Facilities in Kenya
    (Scientific Research Publishing, 2024-03) Mchidi, Nebert Kiguhe; Oyore, John P.; Ogweno, Gordon
    Introduction: Cancer is a chronic debilitating disease that unnerves patients, communities, and nations. At some point in cancer patient’s disease experience, chemotherapy is used, and the patient is expected to adhere to treatment to improve survival and quality of life. Methods: This multisite Cluster Randomized Trial (CRT) evaluated the effectiveness of mobile phone Short Message Service (SMS) support on the adherence to treatment schedules among adult cancer patients in Kenya. Data was collected using questionnaires. Ethical approvals were obtained from relevant Ethical Review Boards (ERBs). Results: The mean adherence was 83%. There was a significant difference between treatment arms in relation to the adherence. The intervention arm had a higher mean adherence difference, M = 3.913, 95% CI 2.632 - 5.193, t (402) = 6.006, p ≤ 0.001), with Cohen’s d = 0.60. Although not significant, (χ 2 dd = 0.151, df = 1, p = 2.064), more women were perfect adheres than males. Perfect adherers were satisfied with SMS support (χ 2 dd = 7.620, df = 1, p = 0.06), were in the intervention arm (χ 2 dd = 22.942, df = 1, p ≤ 0.001), and had trust in the care provider (χ 2 dd = 10.591 p ≤ 0.001). SMS support was not significant in the multivariate analysis but had an estimated effect size of 0.958 (z = 1.424, p = 0.154, CI = 0.242 - 3.781), indicating that mean adherence was slightly better in the presence of the intervention. Conclusions: SMS-support intervention has demonstrated superiority in influencing adherence. Further, health system-related factors have a significant influence on the adherence to chemotherapy treatment. Interventions to re-design health systems that are responsive to unmet care needs of cancer patients must be explored.
  • Thumbnail Image
    Item
    Patient-Related Factors that Influence Adherence to Post-Kidney Transplant Treatment Among Kidney Allograft Recipients at a National Referral Hospital, Kenya
    (Numid Publishers, 2021) Nyambura, Anne Mumbi
    Introduction: The purpose of this study was to describe patient-related factors that influence adherence to post kidney transplant treatment among kidney allograft recipients at a national referral hospital in Kenya. Adherence to long term immunosuppressive medications determine the success of kidney transplantation. However, non-adherence is a global health concern among this special population. Methods: Descriptive cross-sectional hospital-based study, census sampling method was used with a sample size of 106 kidney allograft recipients. Findings: Almost half 49(46%) of the respondents were non adherent to medication. Majority 43(88%) pointed out that cost of the medicines was the main reason for non- adherence. Among those who adhered, 102(96%) indicated that they had adhered because the quality of their life had improved after kidney transplantation. Age was found to be a statistically significant factor in influencing outcome of adherence as indicated by body mass index (BMI) (x 2(15) = 30.09, p =.012, p<.005). Conclusion: There exists a gap in adherence to medication among the kidney allograft recipients. Cost of medication is an important factor in non-adherence. Recommendations: The health care providers should develop sustainable strategies to curb medication non-adherence. Government should consider National Hospital Insurance Fund cover to all post kidney transplant medicines. Non-governmental organizations should offer financial support to this special population by donating drugs.
  • Thumbnail Image
    Item
    Use of Mobile Phone Short Text Message Service to Enhance Cervical Cancer Screening at Thika Level 5 Hospital, Kiambu County, Kenya: A Randomised Controlled Trial
    (Wiley Online Library, 2017) Wanyoro, A.K.; Kabiru, E.W.
    Cervical cancer is a major public health problem among adult women especially in developing countries hence its control is of paramount importance. Organized screening programs have led to a large decline in cervical cancer incidence and mortality in developed countries. In Kenya, very few women at risk of the disease have regular repeat screening and there exists no effective recall mechanism to enhance scheduled screening. The Short Message Service (SMS) Text may be used as a recall tool to enhance cervical cancer screening in developing countries such as Kenya, where other communication means may not be easily available. A blinded randomized controlled trial was conducted where participants were recruited from among screening naïve patients at Thika Level 5 hospital. The participants were randomly allocated to an intervention (Short Message Service (SMS) text reminders) and a control (no SMS) arm. The study aimed to determine the influence of using SMS text reminders in enhancing adherence to scheduled repeat screening for cervical cancer. The mean age of the participants was 38.8 ± 10.8, most were married and of low socio- economic status. It was found that 67.1% of participants in the intervention arm and 20.3% in the control arm re-attended to rescreening making those who received SMS reminders 8 times more likely to adhere to scheduled rescreening than those who did not receive reminders (OR 8.02; CI 95% 4.69-13.73; p-<0.001). The study recommended that the Short Text Message Service (SMS) reminders should be integrated into the cervical cancer screening programs in resource constrained countries like Kenya.