Building cardiovascular disease competence in an urban poor Ghanaian community: A social psychology of participation approach

This paper describes conceptual, methodological, and practical insights from a longitudinal social psychological project that aims to build cardiovascular disease (CVD) competence in a poor community in Accra, Ghana's capital. Informed by a social psychology of participation approach, mixed method data included qualitative interviews and household surveys from over 500 community members, including people living with diabetes, hypertension, and stroke, their caregivers, health care providers, and GIS mapping of pluralistic health systems, food vending sites, bars, and physical activity spaces. Data analysis was informed by the diagnosis‐psychosocial intervention‐reflexivity framework proposed by Guareschi and Jovchelovitch. The community had a high prevalence of CVD and risk factors, and CVD knowledge was cognitive polyphasic. The environment was obesogenic, alcohol promoting, and medically pluralistic. These factors shaped CVD experiences and eclectic treatment seeking behaviours. Psychosocial interventions included establishing a self‐help group and community screening and education. Applying the “AIDS‐competent communities” model proposed by Campbell and colleagues, we outline the psychosocial features of CVD competence that are relatively easy to implement, albeit with funds and labour, and those that are difficult. We offer a reflexive analysis of four challenges that future activities will address: social protection, increasing men's participation, connecting national health policy to community needs, and sustaining the project.     

Measuring resilience among homeless youth: psychometric assessment of the Connor-Davidson Resilience Scale in Ghana

This study validated the psychometric structure of the Connor-Davidson Resilience Scale (CD-RISC; Connor & Davidson, 2003 Connor, K. M., & Davidson, J. R. T. (2003). Development of a New Resilience Scale: The Connor–Davidson Resilience Scale (CD-RISC). Depression and Anxiety, 18, 76–82. doi: 10.1002/da.10113[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]) in a sample of 227 homeless youth in Ghana. Principal Component Analysis (PCA) with Varimax rotation was used to extract factor structures. About 62% of the total variance was accounted for by a three-factor structure: personal competence and tenacity, optimism and achievement motivation. Evidence of the external validity of scales was supported by the positive correlation between resilience and perceived social support scores. The CD-RISC appears to yield scores reliable for assessing resilience among homeless youth in a developing world context.     

Treatment Adherence in Children with Sickle Cell Disease: Disease-Related Risk and Psychosocial Resistance Factors

To identify disease-related risk factors and psychosocial resistance factors that impact adherence to prescribed treatment in the context of admission to a Hematology Acute Care Unit (HACU) designed to provide acute care for children with sickle cell disease (SCD) presenting with pain or fever. A total of 73 primary caregivers and 24 children (if age 8 or older) completed standardized forms during the HACU admission. Treatment adherence variables (medical staff rating, SCD-related care activities, percentage of agreement between treatment recommendations made and care activities, and attendance at hematology clinic) indicated moderate-to-high adherence. Based on regression analyses, the risk variable of disease-related stress and the resistance variables of family flexibility and less reliance on passive coping accounted for significant portions of the variance in treatment adherence. Empirical evaluation of interventions designed to improve communication regarding expectations for the care of children with SCD and to support active family problem solving during times of SCD-related stress must be ongoing.     

Predictors of superstitious beliefs

This study investigated whether relationships exist among personal control, coping mechanism, primary control, secondary control and superstitious beliefs. The participants were 375 Ghanaian student athletes (females = 44%). They completed measures of self-reported superstitious beliefs, personal control, coping mechanisms, primary and secondary control strategies. The data were analysed to evaluate the correlates of both positive and negative superstitious beliefs and how constructs of personal control, coping mechanisms and control strategies, predict positive and negative superstitious beliefs. The results indicated that personal control, coping mechanisms and control strategies were predictors of negative and positive superstitious beliefs. In the final model exaggerated internal control, God-mediated control, emotional support, and substance use were predictors of negative superstitions. Exaggerated internal control, substance use, emotional support and acceptance were predictors of positive superstitions. Athletes may activate different types of superstitious beliefs to cope and gain control in situations of uncertainty.     

The Role of Situational Interviews in Fostering Positive Reactions to Selection Decisions

We investigated the effect of interview format and employment equity program strength on perceptions of fairness. We used job seekers and vignettes to test the hypotheses. The participants reported lukewarm support for employment equity programs. The use of a situational interview in the selection process of an organisation that had adopted an employment equity program contributed to higher perceptions of fairness vis‐à‐vis the use of an unstructured interview. The results also showed that the inclusion of a situational interview in the selection process mitigated negative reactions to the selection decision when a strong employment equity program was in place as well as when a female visible minority was hired. Nous avons évalué l'impact sur la perception de justice du style d'entretien et de la rigueur d'une charte d'équité relative à l'emploi. On a fait appel à des demandeurs d'emploi et utilisé un test de jugement situationnel pour éprouver les hypothèses. Les répondants se sont montrés peu enthousiastes en ce qui concerne les chartes d'équité relatives à l'emploi. Le choix d'un entretien structuré dans le processus de sélection d'une organisation qui avait adopté une charte d'équité relative à l'emploi a amélioré la perception de justice portant sur un entretien ordinaire. Il apparaît aussi que la présence d'un entretien structuré dans le processus de sélection atténuait les réactions négatives consécutives au résultat de la sélection quand existait une sérieuse charte d'équité relative à l'emploi et quand était embauchée une minorité féminine non négligeable.     

Demographic factors,childhood maltreatment and psychological functioning among university students' in Ghana: A retrospective study

This study retrospectively investigates the influence of child (i.e., gender), care‐giver (e.g., who grew up with), household size (i.e., number of siblings grew up with) and community (i.e., rural versus urban) factors on childhood maltreatment, as well as the impacts of maltreatment on psychological functioning. A cross‐sectional survey and self‐report methodology is used to gather data from 300 students of the University of Ghana. The results show that being a male, growing up in rural areas, living with more than 3 siblings in the same household and being raised by both biological parents have significant main effects on childhood maltreatment. Analyses of the interaction effects show that living with more than 5 siblings in a rural household with “other” parents (i.e., non‐biological parents) has a significant effect on physical abuse. Furthermore, males from rural households consisting of more than 3 siblings and who did not grow up with both biological parents endorsed significantly more physical abuse and physical neglect, compared with the females. With respect to the psychological outcome, childhood maltreatment significantly predicts and account for significant variance in depression (34%), self‐efficacy (18%) and life satisfaction (22%). The findings and the implications of the study are briefly discussed.     

Online access by adolescents in Accra: Ghanaian teens' use of the internet for health information

In developed countries, adolescents go online to find information about health; however, little is known about the online practices of youth from developing countries. This study's purpose was to explore and provide current information, drawn from adolescents living in Ghana's capital city of Accra, on the use of the Internet as a health information source. Using a representative sample of in-school adolescents and a convenience sample of out-of-school adolescents, 778 15- to 18-year-olds completed a detailed media and health information survey. Two-thirds (66%) of the in-school youth and approximately half (54%) of the out-of-school youth had previously gone online. Of all these Internet users, 53% had sought online health information, and this percentage did not differ significantly by gender, age, ethnicity, or even school status. Youth reported great interest, high levels of efficacy, and positive perceptions of online health information. Although more research should be conducted, this study offers exciting data on the potential to deliver, via the Internet, health information to youth in developing countries.     

Ethics in Research in Mathematics Education

Most scientific domains have guidelines concerning ethics in research. These guidelines are designed to enable researchers to conduct good research while avoiding potential harm to research participants. This paper examines the bases for ethical codes in research and discusses how these codes are operationalized in research conducted in the field of mathematics education.