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Self-help and help-seeking for communication disability in Ghana: implications for the development of communication disability rehabilitation services
BACKGROUND: In low and middle-income countries, such as Ghana, communication disability is poorly recognised and rehabilitation services for people with communication disability are limited. As rehabilitation services for communication disability develop, and the profession of speech-language pathol...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5747098/ https://www.ncbi.nlm.nih.gov/pubmed/29284504 http://dx.doi.org/10.1186/s12992-017-0317-6 |
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author | Wylie, Karen McAllister, Lindy Davidson, Bronwyn Marshall, Julie Amponsah, Clement Bampoe, Josephine Ohenewa |
author_facet | Wylie, Karen McAllister, Lindy Davidson, Bronwyn Marshall, Julie Amponsah, Clement Bampoe, Josephine Ohenewa |
author_sort | Wylie, Karen |
collection | PubMed |
description | BACKGROUND: In low and middle-income countries, such as Ghana, communication disability is poorly recognised and rehabilitation services for people with communication disability are limited. As rehabilitation services for communication disability develop, and the profession of speech-language pathology grows, it is important to consider how services can most appropriately respond to the needs and preferences of the community. Understanding the ways in which people currently self-help and seek help for communication disability is central to developing services that build on existing local practices and are relevant to the community. METHODS: A qualitative descriptive survey was used to explore likely self-help and help-seeking behaviours for communication disability, in Accra, Ghana. The survey required participants to describe responses to hypothetical scenarios related to communication disability. A mix of theoretical sampling and convenience sampling was used. Qualitative content analysis was used to analyse data and develop categories and subcategories of reported self-help behaviours and sources of help and advice for communication disability. RESULTS: One hundred and thirty-six participants completed the survey. Results indicated that community members would be likely to engage in a variety self-help strategies in response to communication disability. These included working directly with a person with a communication disability to attempt to remediate a communication impairment, altering physical and communication environments, changing attitudes or care practices, educating themselves about the communication disability, providing resources, and responding in spiritual ways. Participants indicated that they would seek help for communication disability across a range of sectors – including the Western healthcare, religious, and traditional sectors. CONCLUSIONS: Understanding existing community actions to self-help and help-seek may allow emerging communication rehabilitation services, including the profession of speech-language pathology, to build on existing community practices in resource-limited contexts such as Ghana. |
format | Online Article Text |
id | pubmed-5747098 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-57470982018-01-03 Self-help and help-seeking for communication disability in Ghana: implications for the development of communication disability rehabilitation services Wylie, Karen McAllister, Lindy Davidson, Bronwyn Marshall, Julie Amponsah, Clement Bampoe, Josephine Ohenewa Global Health Research BACKGROUND: In low and middle-income countries, such as Ghana, communication disability is poorly recognised and rehabilitation services for people with communication disability are limited. As rehabilitation services for communication disability develop, and the profession of speech-language pathology grows, it is important to consider how services can most appropriately respond to the needs and preferences of the community. Understanding the ways in which people currently self-help and seek help for communication disability is central to developing services that build on existing local practices and are relevant to the community. METHODS: A qualitative descriptive survey was used to explore likely self-help and help-seeking behaviours for communication disability, in Accra, Ghana. The survey required participants to describe responses to hypothetical scenarios related to communication disability. A mix of theoretical sampling and convenience sampling was used. Qualitative content analysis was used to analyse data and develop categories and subcategories of reported self-help behaviours and sources of help and advice for communication disability. RESULTS: One hundred and thirty-six participants completed the survey. Results indicated that community members would be likely to engage in a variety self-help strategies in response to communication disability. These included working directly with a person with a communication disability to attempt to remediate a communication impairment, altering physical and communication environments, changing attitudes or care practices, educating themselves about the communication disability, providing resources, and responding in spiritual ways. Participants indicated that they would seek help for communication disability across a range of sectors – including the Western healthcare, religious, and traditional sectors. CONCLUSIONS: Understanding existing community actions to self-help and help-seek may allow emerging communication rehabilitation services, including the profession of speech-language pathology, to build on existing community practices in resource-limited contexts such as Ghana. BioMed Central 2017-12-29 /pmc/articles/PMC5747098/ /pubmed/29284504 http://dx.doi.org/10.1186/s12992-017-0317-6 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Wylie, Karen McAllister, Lindy Davidson, Bronwyn Marshall, Julie Amponsah, Clement Bampoe, Josephine Ohenewa Self-help and help-seeking for communication disability in Ghana: implications for the development of communication disability rehabilitation services |
title | Self-help and help-seeking for communication disability in Ghana: implications for the development of communication disability rehabilitation services |
title_full | Self-help and help-seeking for communication disability in Ghana: implications for the development of communication disability rehabilitation services |
title_fullStr | Self-help and help-seeking for communication disability in Ghana: implications for the development of communication disability rehabilitation services |
title_full_unstemmed | Self-help and help-seeking for communication disability in Ghana: implications for the development of communication disability rehabilitation services |
title_short | Self-help and help-seeking for communication disability in Ghana: implications for the development of communication disability rehabilitation services |
title_sort | self-help and help-seeking for communication disability in ghana: implications for the development of communication disability rehabilitation services |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5747098/ https://www.ncbi.nlm.nih.gov/pubmed/29284504 http://dx.doi.org/10.1186/s12992-017-0317-6 |
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