Browsing by Author "Mate-Kole, C.C."
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Item Comparison of neurocognitive changes among newly diagnosed tuberculosis patients with and without dysglycaemia(BMC Psychiatry, 2020-04-03) Yorke, E.; Boima, V.; Dey, I.D.; Ganu, D.; Nkornu, N.; Acquaye, K.S.; Mate-Kole, C.C.Background: Diabetes often occurs together with tuberculosis (TB) and both may affect each other negatively. Diabetes may be associated with neurocognitive dysfunctioning in affected patients and may negatively impact treatment adherence and outcomes. This study compared the neurocognitive status between newly diagnosed smear positive tuberculosis patients with dysglycaemia and those with normoglycaemia. Methods: The current study was a cross-sectional study involving one hundred and forty-six (146) newly diagnosed smear positive TB patients. Oral glucose tolerance test (OGTT) was performed and the results were categorized as either normoglycaemia, impaired glucose tolerance (IGT), impaired fasting glucose (IFG) or diabetes. Neurocognitive functioning among study participants was assessed at the time of TB diagnosis using Cognitive Failure Questionnaire (CFQ), Montreal Cognitive Assessment tool (MoCA), California Verbal Learning Test (CVLT), Brief Symptom Inventory (BSI) and the Spitzer Quality of Life Index (QLI). Results: The mean age of the participants (n = 146) was 38.7 years with 78.8% being males and 21.2% females. Using the fasting blood glucose test, the prevalence of impaired fasting glucose and diabetes were 5.5 and 3.4% respectively, both representing a total of 13 out of the 146 participants; whilst the prevalence of impaired glucose tolerance and diabetes using 2-h post-glucose values were 28.8 and 11.6% respectively, both representing a total of 59 out of the 146 participants. There were no significant differences in the mean scores on the neurocognitive measures between the dysglaycaemia and normoglycamic groups using fasting plasma glucose (FPG). However, there were significant differences in the mean scores between the dysglycaemia and normal groups using 2-h postprandial (2HPP) glucose values on Phobic Anxiety (Normal, Mean = 0.38 ± 0.603; dysglycaemia, Mean = 0.23 ± 0.356; p = 0.045), and Montreal Cognitive Assessment (MoCA) scores (17.26 ± 5.981 vs. 15.04 ± 5.834, p = 0.037). Conclusion: Newly diagnosed smear positive patients with dysglycaemia were associated with significantly lower mean cognitive scores and scores on phobic anxiety than those with normoglyacaemia. The latter finding must be further explored.Item Coping strategies and resilience among patients with hypertension in Ghana(Frontiers in Psychology, 2023) Boima, V.; Yorke, E.; Ganu, V.; Gyaban-Mensah, A.; Ekem-Ferguson, G.; Kretchy, I.A.; Mate-Kole, C.C.Background: Hypertension is associated with high morbidity and mortality and this has been linked to poor treatment and control rates. To optimize drug treatment, patient-centered strategies such as coping, resilience, and adherence to medication may improve control rates and decrease the morbidity and mortality associated with hypertension. This study, therefore, assessed coping skills and resilience among patients with hypertension in Ghana. Methods: A cross-sectional study was conducted at Korle Bu Teaching Hospital. 224 consented patients with a diagnosis of hypertension were consecutively selected from the outpatient clinic. Questionnaires comprising socio-demographic characteristics, clinical parameters, Adult Resilience Measure, and the Africultural Coping Systems Inventory were administered. Data were analyzed using Stata version 16.1 and significance level was set at p-value of ≤ 0.05. Results: The mean age of participants was 62.03 ± 11.40 years and the majority were female (63%). The overall coping strategy mean score was 43.13 ± 13.57. For resilience, median relational and personal resilience (PR) scores were 32 (IQR-7) and 39 (IQR-9), respectively. Increased systolic BP significantly increases the overall coping strategy score. Collective coping strategy and systolic BP significantly increased coping scores (95%CI = 0.05–3.69 vs. 95%CI = 0.58–5.31). Overall coping strategy significantly increased personal and relational resilience (RR) domain scores by 0.004 (95%CI = 0.002–0.01) and 0.005 (95%CI = 0.003–0.006) units, respectively. This study demonstrated that Cognitive and emotional debriefing coping strategy was mostly used by patients with hypertension. Conclusion: Coping strategies had a positive and significant correlation with personal and RR, specifically collective and cognitive debriefing had a significant positive association with resilience among study participants. There is a need to actively put in measures that can improve the coping strategies and resilience among patients with hypertension to adjust to the long-term nature of the illness and treatment as this will promote better treatment outcomes.Item Depression and quality of life in patients on long term hemodialysis at a nationalhospital in Ghana: a cross-sectional study(Ghana medical journal, 2018-03) Ganu, V.J.; Boima, V.; Adjei, D.N.; Yendork, J.S.; Dey, I.D.; Yorke, E.; Mate-Kole, C.C.; Mate-Kole, M.O.The study examined quality of life and prevalence of depressive symptoms in patients on long term hemodialysis. Further, it explored the impact of socio-demographic characteristics on depression and quality of life. Design Study design was cross-sectional. Setting Study was conducted in the two renal dialysis units of the Korle-Bu Teaching hospital in Accra, Ghana. Participants and study tools One hundred and six participants on haemodialysis were recruited for the study. The Patient Health Questionnaire and the World Health Organization Quality of Life instrument were used to assess depression and quality of life. Results Forty five percent of participants screened positive for symptoms of depression. Approximately 19% obtained low scores on overall quality of life. There were significant negative correlations between the following: Depression and overall QoL, Depression and duration of dialysis treatment and Depression and income level. There was positive correlation between overall QoL and duration of dialysis, treatment and income. Conclusion Depressive symptoms were common amongst patients on long term hemodialysis. Haemodialysis patients who obtained low scores on quality of life measures were more likely to screen positive for depressive symptoms. Screening for depressive symptoms among these patients is critical as early treatment may improve their general wellbeing.Item Determinants of Willingness To Accept Kidney Transplantation Among Chronic Kidney Disease Patients in Ghana(BMC Nephrology, 2021) Boima, V.; Amissah-Arthur, M. B.; Yorke, E.; Dey, D.; Fiagbe, D.; Yawson, A.E.; Nonvignon, J.; Mate-Kole, C.C.;Background: The burden of chronic kidney disease in Africa is three to four times higher compared to high- income countries and the cost of treatment is beyond the reach of most affected persons. The best treatment for end stage renal disease is kidney transplantation which is not available in most African countries. As kidney transplantation surgery is emerging in Ghana, this study assessed factors which could influence the willingness of patients with chronic kidney disease to accept it as a mode of treatment. Methods: This cross-sectional survey was carried out among patients with chronic kidney disease in Korle-Bu Teaching Hospital. A consecutive sampling method was used to recruit consenting patients. A structured questionnaire and standardized research instruments were used to obtain information on demographic, socio- economic characteristics, knowledge about transplantation, perception of transplantation, religiosity and spirituality. Logistic regression model was used to assess the determinants of willingness to accept a kidney transplant. Results: 342 CKD patients participated in the study of which 56.7% (n = 194) were male. The mean age of the participants was 50.24 ± 17.08 years. The proportion of participants who were willing to accept a kidney transplant was 67.3% (95%CI: 62.0–72.2%). The factors which influenced participants’ willingness to accept this treatment included; willingness to attend a class on kidney transplantation (p < 0.016), willingness to donate a kidney if they had the chance (p < 0.005), perception that a living person could donate a kidney (p < 0.001) and perceived improvement in quality of life after transplantation (p < 0.005). The barriers for accepting kidney transplantation were anticipated complications of transplant surgery and financial constraints. Conclusion: More than two-thirds of CKD patients were willing to accept a kidney transplant and this is influenced by multiple factors. Government health agencies must consider full or partial coverage of kidney transplantation through the existing national health insurance scheme. Further, efficient educational programmes are required to improve both patients’ and physicians’ knowledge on the importance of kidney transplantation in the management of end stage renal disease in Ghana.Item Dipo Rites of Passage and Psychological Well-being Among Krobo Adolescent Females in Ghana: A Preliminary Study(Journal of Black Psychology, 2021) Abbey, E.A.; Mate-Kole, C.C.; Amponsah, B.; Belgrave, F.Z.Dipo is a historical rites of passage among the Krobo in the Eastern Region of Ghana. The goal of Dipo is to assist pubertal girls in transitioning into adulthood by shaping moral values and social responsibilities, learning home management skills, and preventing risky sexual behavior. Differences in psychological distress among girls who had and had not participated in Dipo were examined in the current study. The sample included 145 adolescent females, 80 Dipo initiates and, 65 nonDipo initiates. Participants, 12 to 20 years of age, were recruited from junior and senior high schools, and administered a questionnaire with measures of psychological distress, a sex role inventory, and a measure of favorability of Dipo. Findings revealed that Dipo initiates reported significantly less psychological distress than noninitiates. Dipo initiates also reported more favorable attitudesItem Effects of Multifaceted Cognitive Training for Healthy Older Adults(2011) Fellows, R.; Mate-Kole, C.C.; McDougal, J.; Catayong, K.In the present study, a pretest/posttest design was employed to test the efficacy of a 12-week cognitive training program used to simultaneously stimulate multiple cognitive abilities through guided mental exercises. A three-month no contact interval, following the posttest, was implemented to evaluate the durability of the cognitive intervention. Participants improved on measures of executive function, learning/memory, verbal fluency, motor speed and overall cognitive function. Cognitive gains remained significant after the three-month no contact interval. These findings support previous studies that have shown the benefit of cognitive training on mental abilities in older adults.Item Is the concept of learning disabilities applicable to Ghana?(Changing Trends in Mental Health Care and Research in Ghana, 2014) Attah, D.; Mate-Kole, C.C.Item Knowledge and Willingness to Donate Kidneys for Transplantation in Ghana: A Cross-Sectional Survey(Transplantation Proceedings, 2020-05-10) Boima, V.; Ganu, V.; Yorke, E.; Dey, D.; Amissah-Arthur, M.B.; Agyabeng, K.; Yawson, A.; Lartey, M.; Mate-Kole, C.C.Background. The main treatment modalities for chronic kidney disease (CKD) are dialysis and kidney transplantation. While kidney transplantation provides better survival and quality of life outcomes, it is a new treatment option in Ghana. Finding kidney donors for transplant may be a major challenge due to varied views of the public. Methods. This cross-sectional study was carried out in 5 purposively selected communities in the Greater Accra region in Ghana. Structured questionnaires and standardized instruments were used to assess sociodemographic characteristics, spirituality, and perception of kidney transplantation. Results. The mean age of the 480 participants was 29.60 10.65 years. The proportion of men was 51%. The average score for knowledge of participants on kidney donation was 4.8 2.6. The level of spirituality score was 25.4 3.89. Approximately 48%(231/480) of participants were willing to donate a kidney while still alive. Willingness to donate when dead was 72% (344/480). Willingness to donate a kidney when deadwas significantly lower among the participants in the older age groups.High level of knowledge about kidney transplantation, being employed, basic formal education, and never married were associated with willingness to donate kidney (P < .05). Conclusion. Our results suggest that participants have a low level of knowledge regarding kidney transplantation, while about two-thirds are willing to donate only after death. Continuous public education is key to raise public awareness of the need for kidney transplants. This will support the Ministry of Health in their efforts to institute a kidney transplant program in Ghana.Item Long-term Care for Older Adults in Africa: Whither Now?(Journal of the American Medical Directors Association, 2018-09) Essuman, A.; Agyemang, F.A.; Mate-Kole, C.C.Item Neuropsychological Functioning and Quality of Life Among Type 2 Diabetic Patients in Ghana(University of Ghana, 2013-07) Sarfo, J.O.; Mate-Kole, C.C.; Opoku, J.Y.Diabetes as a metabolic disorder predisposes patients to both biomedical and psychological dysfunctions. The aim of the study was to determine the pattern of neuropsychological deficits and quality of life among individuals living with Type 2 diabetes mellitus in Ghana. One hundred (100) participants comprising 50 patients with Type 2 diabetes and 50 healthy controls matched on age and education were recruited. Using a battery of neuropsychological tests and behavioural measures, data was collected at the Diabetic Clinic, Korle-Bu Teaching Hospital. The results showed that individuals with Type 2 diabetes obtained significantly lower scores than the healthy controls on executive functions, memory, visuospatial and visuoconstructional functioning tests. In addition, Type 2 diabetes also affected the quality of life of diabetic patients who were sampled for the study. Specifically, depression, complications, anxiety, age of respondents, health beliefs, cognitive failure, interpersonal sensitivity and hostility predicted quality of life. These results have implications for clinical management and research design in psychological studies involving Type 2 diabetes.Item Psychology in Ghana Revisited(Journal of Black Psychology, 2013-05) Mate-Kole, C.C.The African has remained at the periphery of the study of human behavior. Theories propounded by Western psychologists and anthropologists have been applied to us with little attempts to understand the value of the African, whether in the African diaspora or in the African mainland. Foreign ideologies imply that the African is at the beck and call of Western psychological practices. As Africans (by that I mean continentals as well as diasporans), we have been thwarted by efforts to move forward. Part of this failure lies with psychology academics in the continent of Africa. Psychology has been taught certainly in Ghana, for example (it may not be the only place), as if one is sitting in a psychology classroom in New York, London, or Ottawa. Serious attempts have not been made to shift the discourse in our direction. About 3 years ago, I arrived at the shores of my birthplace and upbringing, Ghana, after having lived almost four decades in Europe and North America. I was asked to teach a course on Psychology of Personality. I started with the usual personality theorists (i.e., Freud, Jung, Adler, etc). In my fourth lecture, I decided to cover the topic, African-Centered Psychology, emphasizing the Akan concept of “okra” and “sunsum” (Akbar, 1996; Azibo, 1996; Gyekye, 1996; Sarfo, 2010). The enthusiasm with which the students received the previous topics suddenly dissipated; I was confronted with the harsh reality that these students were neither ready nor prepared to hear a lecture on “anything African.” Yet none of them questioned me on Freud’s id, ego, and superego or Jungian archetypes.Item Racial Misidentification and Psychopathology Among People of African Descent: Is there a relationship?(2010) Nonterah, C.; Mate-Kole, C.C.; Conway, J.; Jones, S.This study examined racial identity and psychopathology in people of African ancestry. Two hundred and twenty-one (221) participants were recruited comprising Continental Africans, African Americans and African Caribbean people. The results demonstrated a significant correlation between psychopathology and stages of racial identity development. Lower levels of African Self-Consciousness were related to anxiety, hostility and phobic anxiety. African Americans obtained the highest levels of African Self-Consciousness. Further factor analyses of the African Self-Consciousness scale yielded two main factors; Value for Africentric beliefs and Value for Group identification. The findings suggest that racial identity plays an important role in the mental health of people of African ancestry.Item Relationship between Africentric Worldview and Psychological Distress among Ghanaian Mothers of Children with Intellectual Disability(International Journal for the Advancement of Counselling, 2018-12) Oti-Boadi, M.; Mate-Kole, C.C.This study examined the relationship between an Africentric worldview and psychological distress among 55 Ghanaian mothers of children with intellectual disability. The study hypothesized the protective effects of an Africentric worldview on psychological distress, and their association with parenting stress. Results showed that an Africentric worldview was negatively associated with psychological distress and parenting stress, and that parenting stress was positively related to psychological distress. Further hierarchical regression analysis showed that an Africentric worldview did not moderate the relationship between parenting stress and psychological distress. However, parenting stress mediated the relationship between an Africentric worldview and psychological distress. These findings reveal the positive influence of an Africentric worldview on psychological functioning of mothers of children with intellectual disability. Additionally, the findings underscore the need to develop culturally relevant interventions to help improve the well-being of mothers of children with intellectual disability. Implications for clinical and counselling practice are discussed. © 2018, Springer Science+Business Media, LLC, part of Springer Nature.Item The Relationships among Psychosocial Work Environment, Job Stress Recovery Experiences, Psychological Capital and Occupational Wellbeing: A Study among Nurses and Teachers in the Tamale Metropolis(University of Ghana, 2015-10) Abasimi, E.; Asumeng, M.; Mate-Kole, C.C.; Amponsah, B.; Akotia, C.S.; University of Ghana, College of Humanities, School of Social Sciences, Department of PsychologyThis thesis tested and extended the Job Demands-Resources-Recovery model of work among nurses and teachers in the Tamale Metropolis in Ghana. First, it examined the direct effects of psychosocial work environment factors, job stress recovery experiences and psychological capital on specific employee wellbeing indicators such as burnout - exhaustion, cynicism, professional inefficacy; work engagement and career commitment. Second, it tested effects of certain psychosocial work environment factors on psychological capital and recovery experiences such as personal spirituality, mastery, relaxation and control. Third, it tested effects of certain recovery experiences on psychological capital. Three hundred and twenty two (322) nurses and teachers were administered questionnaires assessing selected psychosocial work environment factors, recovery experiences, psychological capital and employee wellbeing indicators. The results showed that the psychosocial work environment factors of psychological job demands, emotional job demands, workplace spirituality and predictability at work were associated with the occupational wellbeing indicators of burnout, work engagement and career commitment such that emotional job demands generally affected employee wellbeing and they are associated with burnout. Further, job resources such as workplace spirituality improved wellbeing by due to its association to work engagement. Emotional job demands predicted some recovery experiences such as personal spirituality, while workplace spirituality positively predicted the recovery experiences of personal spirituality, mastery, control and relaxation. Psychosocial work environment factors such as emotional demands and workplace spirituality predicted psychological capital. Recovery experiences of personal spirituality, mastery and control each had a positive effect on work engagement. Recovery experience of mastery predicted professional inefficacy while control predicted career commitment, cynicism and professional inefficacy. Psychological capital predicted work engagement, career commitment, cynicism and professional inefficacy. Thus the Job Demands-Resources-Recovery model could be extended to include psychological capital. Overall, nurses reported higher levels of exhaustion, cynicism and professional inefficacy (burnout) than teachers. Females reported higher cynicism and professional inefficacy than males. Implications of the study for theory and practice as well as recommendations for future research are discussed.Item Transient Impact of Dysglycemia on Sputum Conversion among Smear-Positive Tuberculosis Patients in a Tertiary Care Facility in Ghana(SAGE, 2021) Yorke, E.; Boima, V.; Dey, I.D.; Amissah-Arthur, M.; Ganu, V.; Amaning-Kwarteng, E.; Tetteh, J.; Mate-Kole, C.C.BACKGROUND: Apart from increasing the risk of tuberculosis (TB), diabetes may be associated with more severe disease and lower rates of sputum conversion among TB patients. METHODS: We conducted a baseline cross-sectional study with a longitudinal follow-up of newly diagnosed smear-positive TB patients for 6 months. Sputum conversion rates between those with dysglycemia and those without were compared at 2 months (end of the intensive phase) and 6 months (end of the treatment). Descriptive statistics and logistic regression were computed to assess factors associated with dys glycemia as well as sputum conversion. RESULTS: A significantly higher proportion of normoglycemic patients had negative sputum compared with those with dysglycemia (83% vs 67%, P-value < .05) at 2 months but not at 6 months (87% vs 77%, P-value > .05). After controlling for age group and adjusting for other covariates, patients with dysglycemia were 66% less likely to convert sputum than those with normoglycemia. Females were at least 7 times more likely than males and those with high waist-to-hip ratio (WHR) of 88% were less likely compared with those with low WHR for sputum conversion at 2 months, respectively. At 6 months, females (compared with males) and those with high WHR (compared with those with normal WHR) were at over 9 times increased odds and 89% less likely for sputum conversion, respectively. CONCLUSION: A significantly lower proportion of smear-positive TB patients with dysglycemia converted to smear negative after 2 months of treatment but not at the end of the treatment, thus suggesting a transient impact of dysglycemia on sputum conversion.Item Use of Computer Assisted and Interactive Cognitive Training Programs with Moderate to Severely Demented Individuals: A Preliminary Study(2007) Mate-Kole, C.C.; Fellows, R.; Said, P.; McDougal, J.; Catayong, C.; Dang, V.The purpose of this study was to investigate the potential effects of interactive cognitive training and computer-assisted programs in reducing decline in older adults with dementia. The primary goal of this program was to maintain participants’ level of cognitive function. The participants were assessed with neuropsychological tests prior to, and immediately following, an intensive six-week cognitive training program. The results showed that the participants improved significantly on measures of overall cognitive function, including short-term memory and cognitive failures. The participants did not demonstrate significant decline on any of the measures from pretest to post-test levels. This preliminary study indicates that a combined interactive cognitive training and individual-based computer training program may effectively reduce decline and even improve some cognitive and behavioral functioning in demented older adults.Item Validation of the Revised Quick Cognitive Screening Test(2009) Mate-Kole, C.C.; Conway, J.; Catayong, K.; Sackey, N.; Bieu, R.; Fellows, R.; Wood, R.In an effort to examine the reliability and validity of the RQCST, participants were administered the revised QCST with a number of standardized measures. The results revealed that the RQCST discriminated between healthy controls and the neuropsychiatric participants. Additionally, the RQCST significantly correlated with other standardized measures confirming the RQCST’s reliability and validity as a screening instrument for individuals with cognitive deficits. The RQCST provides the clinician with a short, yet reliable screening instrument in detecting cognitive deficits in individuals with dementia and other neurological conditions