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

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dc.contributor.authorAikins, A.D-G.
dc.contributor.authorKushitor, M.
dc.contributor.authorKushitor, S.B.
dc.contributor.authorSanuade, O.
dc.contributor.authorAsante, P.Y.
dc.contributor.authorSakyi, L.
dc.date.accessioned2020-01-31T15:32:32Z
dc.date.available2020-01-31T15:32:32Z
dc.date.issued2020-01-08
dc.descriptionResearch Articleen_US
dc.description.abstractThis 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.en_US
dc.description.sponsorshipUniversity of Ghana, Grant/Award Number: LMG-005-FSSen_US
dc.identifier.citationde-Graft Aikins A, Kushitor M, Kushitor SB, et al. Building cardiovascular disease competence in an urban poor Ghanaian community: A social psychology of participation approach. J Community Appl Soc Psychol. 2020;1–22. https://doi.org/10.1002/casp.2447en_US
dc.identifier.otherhttps://doi.org/10.1002/casp.2447
dc.identifier.urihttp://ugspace.ug.edu.gh/handle/123456789/34727
dc.language.isoenen_US
dc.publisherJournal of Community & Applied Social Psychologyen_US
dc.relation.ispartofseries2020;
dc.subjectcardiovascular diseaseen_US
dc.subjectcommunity health competenceen_US
dc.subjectGhanaen_US
dc.subjectparticipationen_US
dc.subjecttask shiftingen_US
dc.subjecturban povertyen_US
dc.titleBuilding cardiovascular disease competence in an urban poor Ghanaian community: A social psychology of participation approachen_US
dc.typeArticleen_US

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