184 research outputs found
Translation, Cross-Cultural Adaptation and Psychometric Evaluation of Multidimensional Fatigue Symptom Inventory – Short Form into Yoruba Language
No full textObjective: Validated multidimensional fatigue assessment instruments are few. Availability of the Multidimensional Fatigue Symptom
Inventory-Short Form (MFSI-SF) in different linguistic and cultural contexts will promote its applicability. This study was aimed to translate,
cross culturally adapt, and psychometrically evaluate the Yoruba version of MFSI-SF.
Methods: The translation of the MFSF-SF to Yoruba language followed standard guidelines of forward and back-translation, synthesis, expert
review and pilot testing. Thereafter, 32 consenting stroke survivors participated in the psychometric evaluation of the Yoruba version of MFSFSF for validation, while 15 of them participated in the test-retest. Descriptive statistics of mean and standard deviation, percentages and plots
were used to summarize data. Inferential statistics of Pearson product-moment correlation, Spearman's rank correlation coefficient, One-way
analysis of variance, T-test, Confidence Interval, Cronbach's alpha, Intraclass correlation coefficient, Confirmatory factor analysis were used.
Alpha level was set at p<0.05.
Results:The mean age of the respondents was 56.5 years. The mean score for the subscales of MFSI-SF Yoruba version ranged from 5.81-13.0.
The total MFSI-SF score was 15.6, while the skewness scores range from -0.133 to 1.157, only one subscale yielded negative skew. The
divergent validity (-0.015-0.526), convergent validity (-0.341-0.446), known-group validity (no age/gender difference) were satisfactory.
Confirmatory factor analysis indicates that all model fit for all subscales was good. The cronbach's alpha and Intraclass correlation coefficient
ranged from 0.829 to 0.974 and from 0.708 to 0.949 respectively.
Conclusion:The Yoruba version of the MFSI-SF is satisfactory and psychometric sound to assess fatigue, especially among stroke survivors
Self-reported physical activity versus physical function capacity: alternatives for energy expenditure estimation
No full textThe extent to which self-report activity measured by the International Physical Activity Questionnaire (IPAQ) can substitute performance-based functional capacity measured by the Six-Minute Walk Test (6MWT) remains inconclusive. This study assessed Physical Activity (PA) and Functional Exercise Capacity (FEC); and also determined the relationship between PA and FEC in apparently healthy young adults.
A total of 342 (145 males and 197 females) undergraduates of Obafemi Awolowo University, Ile-Ile, Nigeria participated in the study. The IPAQ was used to assess PA, while FEC was assessed using the 6MWT, and expressed in terms of the Six-Minute Walk Distance (6MWD), Six-Minute Walk Work (6MWW), Maximum Oxygen Uptake (VO2max) and Metabolic Equivalent (METS). Anthropometric and cardiovascular parameters were measured following standardized procedures. Data was analyzed using descriptive and inferential statistics. The alpha level was set at 0.05.
The mean age of the participants was 22.0±2.87 years. The mean IPAQ score of all participants was 1471.4±1086.93. The percentage for low, moderate and high PA was 19% (65), 41.2% (141) and 39.8% (136), respectively. The mean 6MWD, 6MWW, VO2max and METS were 639.47 ±66.6 m, 41805.0 ±8520.6 kg·m, 28.9 ±1.92 mlO2k-1min-1, 4.05 ±0.32 mL/kg, respectively. There were signifi cant positive correlations between PA and each of the 6MWD (r=0.268; p=0.001), 6MWW (r=0.219; p=0.001), VO2max (r=0.268; p=0.001), METS (r=0.268; p=0.001). Measures of exercise capacity were not signifi cantly correlated with the anthropometric variables (p>0.05).
Self-report of physical activity in healthy young adults does not adequately substitute the results of the Six-Minute Walk Test.
Mbada Ch.E., Osifeso T.A., Johnson O.E., Okonji A.M., Odeyemi E.A. Self-reported physical activity versus physical function capacity: alternatives for energy expenditure estimation. Med Rehabil 2016; 20(4): 4-12. DOI: 10.5604/01.3001.0009.5479
null
</jats:p
Real World Prevalence, Pattern and Cost of Physiotherapy Treatment for Osteoarthritis in Nigeria
No full textFatoye F,1 Gebrye T,2 Fatoye C,3 Mbada C,4 Olaniyi H,5 Oyeleye O51Manchester Metropolitan University, Manchester, LIN, UK,2ManchesterMetropolitan University, Manchester, UK,3Manchester Metropolitan University, Manchester, LAN, UK,4Obafemi Awolowo University, Ile-Ife, Nigeria,5Faculty of Allied Health Sciences, Ondo, NigeriaObjectives:Osteoarthritis (OA) is a chronic degenerative joint disease affecting 60-70% of elderly population globally. It is associated with significant economic burden to individuals and health systems. This study examined the real world prevalence, pattern and cost of physiotherapy for OA in Nigeria. Methods: A retrospective study of all cases of OA seen over a 10 year (2009 and 2018) period at the Obafemi Awo-lowo University Teaching Hospitals Complex, Île Ife, Osun State, Nigeria was con-ducted. A 10 year (2009 and 2018) record of all cases of OA were assessed. Data were gleaned on socio-demographics, treatments administered and the costs of physio-therapy. Both direct and indirect costs were estimated using the cost of illness approach. Data were summarised using descriptive statistics of mean, standard deviation (SD) and frequency. Inferential statistics of t-test and ANOVA were also used to analyse the data Results: The prevalence of OA was 3.6% of all cases over a 10 year period. The mean (SD) age of patients was 62.1 (9.3) years, and 80.9% of them werewomen. OA of the knee was the commonest and often presented with pain (100%),swelling (44.1%), crepitus (77.9%), reduced range of motion (77.2%), and deformity(34.6%). The most common physiotherapy interventions used were strengtheningexercises (58.8%) and soft tissue massage (98.5%). 24.3% and 13.2% of the patients also received infrared radiation therapy, and other modalities such as ultrasound and transcutaneous electric nerve stimulation, respectively. Physiotherapy interventions had significant effect on pain (p = 0.001). The annual mean (SD) direct and indirect costs of OA were 36.1367.87 and 144.52631.49 USA dollars (USD), respectively. Conclusions: Real-world prevalence of OA was relatively low in Nigeria with the knee joint most frequently affected. Physiotherapy interventions were effective for reducing pain in patients with OA
Economic evaluations of digital health interventions for the management of musculoskeletal disorders: a systematic review and meta-analysis
No full textBackground: Musculoskeletal disorders (MSDs) are widespread in many countries and its huge burden has necessitated innovative approaches such as digital health interventions. However, no study has evaluated the findings of cost-effectiveness of these interventions. Objective: This study was aimed to synthesise the cost-effectiveness of digital health interventions for people with MSDs. Methods: Electronic databases including Medline, AMED, CIHAHL, PsycINFO, Scopus, Web of Science, and Centre for Review and Dissemination were searched for cost-effectiveness of digital health published between inception to June 2022 following the Systematic Reviews and Meta-Analysis guideline (PRISMA). References of all retrieved articles were checked for relevant studies. Quality appraisal of the included studies was done using the Quality of Health Economic Studies (QHES) instrument. Results were presented using a narrative synthesis and random effects meta-analysis. Results: Ten studies from six countries met the inclusion criteria. Using QHES, we found that the mean score of the overall quality of the included studies was 82.5. Included studies were on non-specific chronic low back pain (n = 4), chronic pain (n = 2), knee and hip osteoarthritis (n = 3) and Fibromyalgia (n = 1). The economic perspectives adopted in the included studies were societal (n = 4), societal and healthcare (n = 3) and healthcare (n = 3). Of the ten included studies 5 (50%) of them used quality-adjusted life years as the outcome measures. Except one study, all the included studies reported that digital health interventions were cost effective compared to the control group. In a random effects meta-analysis (n = 2), the pooled disability and Quality-Adjusted Life-Year (QALY) were (-0.176 95% CI -0.317 to -0.035, p = 0.014) and (3.855 95% CI 2.023 to 5.687, p < 0. 001), respectively. The meta-analysis (n = 2) for the costs were in favour of the digital health intervention compared to control (-USD417.52 95% CI -522.01 to – 313.03). Conclusion: Studies indicate that digital health interventions are cost-effective for people with MSDs. The findings suggest that digital health intervention could help improve access to treatment for patients with MSDs and as a result improving their health outcomes. Clinicians and policy makers should consider the use of these interventions for patients with MSDs
Clinical and economic burden of obesity in low- and middle-income countries - a systematic review
No full textBackground: Obesity has become a public health challenge worldwide with significant health and economic impacts. This study aimed to assess the current published literature on clinical and economic burden associated with obesity in low- and middle-income countries (LMICs).
Methods
A systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines was performed. CINAHL, MEDLINE, PubMed, Web of Science and Scopus databases were systematically searched for studies published from inception to October 17, 2023. Costs of illness for all included studies were converted to 2023 United States (US) dollars, using country-specific gross domestic product inflators. Conversion to US dollars was based on purchasing power parities (PPP). Quality assessment of all included studies was performed using Newcastle-Ottawa quality assessment scale.
Results
Of the total 676 studies identified, five studies reported prevalence-based estimate, four studies based on survey and the remaining three studies presented model based. These studies published data from Brazil, Ghana, China, South Africa, Mexico, and Thailand. Out of the 12 studies, three studies reported the indirect costs. Methodological quality was deemed moderate. The annual direct and indirect costs associated with obesity for a population in LMICs ranged from USD 0.2 billion to USD 12.56 billion and USD 223 million to USD 227.5 million, respectively. Hospitalisation was the main cost driver in five of the included studies. Average length of stay (days) for obesity-related diseases in Brazil for men and women 7.9 and 6.8.
Conclusion: There was a considerable clinical and economic burden of obesity on individuals and the healthcare systems and may require appropriate prevention and management strategies. However, the included studies employ varied approaches and many of them have methodological shortcomings. Thus, future studies should consider adopting standardised cost of illness methodology
Evaluation of Missed Physiotherapy Appointment and Its Influence on Cost, Efficiency and Patient Outcomes
No full textEvaluation of Missed Physiotherapy Appointment and Its Influence on Cost, Efficiency and Patient Outcomes Fatoye F1, Gebrye T2, Fatoye C3, Mbada C4, Afolabi O5, Fasuyi F5 1Manchester Metropolitan University, Manchester, LIN, UK, 2Manchester Metropolitan University, Manchester, UK, 3Manchester Metropolitan University, Manchester, LAN, UK, 4Obafemi Awolowo University, Ile-Ife,, Nigeria, 5University of Medical Sciences, Ondo, Nigeria OBJECTIVES: Missed appointments (MAs) contribute to the rising costs of physiotherapy and are a significant challenge to healthcare administration, organisational workflow and health outcomes for patients. This study assessed prevalence and pattern of missed physiotherapy appointments, wait time, and its impact on cost, efficiency and patient outcome in Nigeria. METHODS: A retrospective study was conducted at the Outpatient Physiotherapy Clinic of Obafemi Awolowo University, Ile-Ife, Nigeria. A total of 3243 physiotherapy appointments booked between 2009 and 2018 were assessed. Data were collected on socio-demographic and patient outcomes related to Mas. MAs was defined as any appointment where a patient did not show up at all, or attend to follow up appointment or notify staff of a cancellation. The total revenue loss due to MAs was calculated as a product of the total of MAs and per treatment cost. Descriptive of mean, standard deviation and frequency and inferential statistics of t-test were used to analyse the data. RESULTS: MAs constituted 1701 (52.5%) of all appointments and the average wait time for first appointment was 9.6 ± 23.2 days. The proportion of MAs was higher among females (50.2%), middle-aged adults (34-55 years) (31.7%), patients who were not resident close to the clinic (45.3%), patients with orthopaedic conditions (56.2%) and patients referred from orthopaedic surgeons (32.8%). There were significant associations (p < 0.05) between MAs and age, sex, location of patient’s residence and the source of referral. Considering the per treatment schedule cost of 1000 naira, a 52.5% MAs rate resulted in a lower efficiency of 76.6% with an efficiency ratio of 0.23. CONCLUSIONS: MAs for physiotherapy treatment poses a significant challenge on costs, efficiency and patients’ outcome. Thus, an innovative reminder system may help reduce patients’ non-attendance of physiotherapy and its consequences
Trunk static and dynamic sagittal endurance in healthy young Nigerian adults
No full textBACKGROUND: Flexion/extension trunk muscle endurance imbalance is more clinically significant than isolated trunk endurance deficits. OBJECTIVE: This study provides reference values and correlates of trunk flexion/extension endurance ratio among healthy young Nigerian adults. METHODS: A total of 208 volunteers participated in this study. Static Back Extensors Endurance (SBEE), Dynamic Back Extensors Endurance (DBEE), Static Abdominal Muscles' Endurance (SAME) and Dynamic Abdominal Muscles' Endurance (DAME) were assessed following standard protocols. Data was analyzed using descriptive and inferential statistics. RESULTS: The mean age, SBEE, DBEE, SAME and DAME were 22.2 ± 1.76 years, 78.3 ± 41.5 secs, 21.1 ± 9.69 reps, 39.1 ± 24.5 secs and 16.5 ± 15.8 reps respectively. Static and dynamic trunk flexion/extension endurance ratio was 0.63 ± 0.50 and 0.86 ± 0.74 respectively. There were significant differences in trunk static (0.81 ± 0.57 secs vs. 0.53 ± 0.42 secs; p 0.001) and dynamic (1.04 ± 0.48 reps vs. 0.74 ± 0.83 reps reps; p 0.001) flexion/extension endurance ratio in men and women, respectively. CONCLUSION: This study established a set of reference values for static and dynamic trunk flexion/extension endurance ratios among healthy young Nigerians. Men had significant higher trunk flexion/extension endurance than women
A scoping review on quality assessment tools used in systematic reviews and meta-analysis of real world studies
No full textBackground: Risk of bias tools are important in identifying inherent methodical flaws and for generating evidence in studies involving systematic reviews (SRs) and meta-analyses (MAs), hence the need for sensitive and study-specific tools. This study aimed to review quality assessment (QA) tools used in SRs and MAs involving real world data. Methods: Electronic databases involving PubMed, Allied and Complementary Medicine Database, Cumulated Index to Nursing and Allied Health Literature, and MEDLINE were searched for SRs and MAs involving real world data. Search was delimited to articles published in English, and between inception to 20th of November 2022 following the SRs and MAs extension for scoping checklist. Result: Sixteen articles on real world data published between 2016 and 2021 that reported their methodological quality met the inclusion criteria. Seven of these articles were observational studies, while the others were of interventional type. Overall, 16 QA tools were identified. Except one, all the QA tools employed in SRs and MAs involving real world data are generic, and only three of these were validated. Conclusions: Generic QA tools are mostly used for real-world data SRs and MAs, while no validated and reliable specific tool currently exist. Thus, there is need for a standardized and specific QA tool of SRs and MAs for real world data
Global and regional prevalence and incidence of systemic lupus erythematosus in low and-middle income countries: a systematic review and meta-analysis
No full textSystemic lupus erythematosus (SLE) may be more prevalent among most ethnic groups in the low-and-middle income countries (LMICs), still these countries are under-represented in epidemiological data on SLE. The aim of this study was to review the prevalence and incidence of SLE in LMICs and use meta-analytic techniques. The MEDLINE, CINHAL, Web of Science, Scopus and Global Index Medicus databases were searched for relevant studies published up to July of 2022. Papers selected for full-text review were included in the systematic review if they provided the prevalence or incidence of SLE in LMICs and published in English language. The reference lists of included articles were also searched for additional studies. Two individuals independently performed abstract and full-text review, data extraction, and quality assessment of the papers. The prevalence and incidence of SLE were pooled through random effects model. Pooled estimates were expressed with 95% confidence. Out of 2340 papers, 23 studies were included in the review. The mean age at diagnosis ranged from 25.5 to 45.8 years. Three studies were conducted in Argentina and Brazil, two studies in China and one study in Cuba, Colombia, Democratic Republic Congo, Ecuador, Egypt, India, Kenya, Malaysia, Mexico, Nigeria, Pakistan, Turkey, Ukraine, Venezuela, and Zimbabwe. The SLE prevalence and incidence varied from 3.2 to 159 per 100,000 and 0.3–8.7 per 100,000 persons, respectively. In a random effects meta-analysis (n = 10), the pooled prevalence of SLE was 103 (95% confidence interval [CI] – 17 to 224) per 100,000. Meta‐analysis of data from 6 incidence studies revealed an incidence of 5 cases per year (95% CI 2–8) per 100,000. According to WHO regions, the pooled prevalence of American and Western Pacific regions was 300 (95% CI – 200 to 900) and 36 (95% CI 35–37) per 100,000, respectively. The pooled incidence of the American region was 10 (95%, 0–14) per 100,000 inhabitants. Systemic lupus erythematosus is a common disease with considerable variation in prevalence and incidence among the general population in LMICs. Accurate estimates of prevalence and incidence of SLE are required to put in place appropriate programmes to reduce its burden in LMICs. PROSPERO registration number: CRD: 42020197495, https://www.crd.york.ac.uk/prospero/
PIH6 Pattern and Determinants of Willingness to Pay for Antenatal and Postnatal Physiotherapy in Nigeria
No full textPattern and Determinants of Willingness to Pay for Antenatal and Postnatal Physiotherapy in Nigeria Fatoye F1, Mbada C2, Gebrye T3, Tejumola OO2, Fatoye C4, Odele AC5, Oyewole OO6, Ogundele AO7, Akinwande OA8 1Manchester Metropolitan University, Manchester, LIN, UK, 2Obafemi Awolowo University, Ile-Ife,, Nigeria, 3Manchester Metropolitan University, Manchester, UK, 4Manchester Metropolitan University, Manchester, LAN, UK, 5University of Ibadan, Ibadan, Nigeria, 6Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria, 7Olabisi Onabanjo University Teaching Hospital, Iwo, Nigeria, 8University College Hospital, Ibadan, Nigeria OBJECTIVES: The aim of this study was to examined the willingness to pay (WTP) for antenatal and postnatal physiotherapy among pregnant women and nursing mothers in Nigeria. METHODS: A total of 120 pregnant women were purposively recruited for this cross-sectional study. Ethical approval was sought from the Health Research and Ethical Review Committee of the Obafemi Awolowo University Teaching Hospitals Complex. A five-section WTP and short form 12 (SF-12) health survey were used to assess the determinants of willingness to pay for antenatal and postnatal physiotherapy, as well as mental health domains of the respondents. Data were analysed using descriptive and inferential statistics. RESULTS: The mean age of the participants was 28.9 ± 5.02 years. A high ‘no WTP’ rate of 64.2% was found in the study. Significant associations were found between WTP for antenatal and postnatal physiotherapy and income (χ2 = 26.526, p = 0.001), education (χ2 = 30.404, p = 0.001), ethnicity (χ2 = 13.865, p = 0.001) and mental health domain of SF-12 (χ2 = 11.150, p = 0.004). Those in middle socio-economic status were not willing to pay for physiotherapy with a percentage of 87.0%, whereas, those in high economic status were WTP with a percentage of 20.93%. It was also observed that the participants with three number of visits to the clinic had the highest frequency for ‘no WTP’ at 9.09%. CONCLUSIONS: The findings of this study suggest that there was a high prevalence of no WTP for physiotherapy among pregnant women and nursing mothers in Nigeria. Ethnicity, income, socio-economic class, and education influenced WTP for physiotherapy. This study may be of interest to decision makers when setting up and evaluating different interventions for pregnant women and nursing mothers
- …
