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Experience of using an interdisciplinary task force to develop a culturally sensitive multipronged tool to improve stroke outcomes in Nigeria

机译:使用跨学科工作队开发文化敏感的多管齐下工具以改善尼日利亚中风结果的经验

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摘要

The burden of stroke is on the rise in Nigeria. A multi-faceted strategy is essential for reducing this growing burden and includes promoting medication adherence, optimizing traditional biomarker risk targets (blood pressure, cholesterol) and encouraging beneficial lifestyle practices. Successful implementation of this strategy is challenged by inadequate patient health literacy, limited patient/medical system resources, and lack of a coordinated interdisciplinary treatment approach. Moreover, the few interventions developed to improve medical care in Nigeria have generally been aimed at physicians (primarily) and nurses (secondarily) with minimal input from other key health care providers, and limited contributions from patients, caregivers, and the community itself. The Tailored Hospital-based Risk Reduction to Impede Vascular Events after Stroke (THRIVES) study is assessing the efficacy of a culturally sensitive multidimensional intervention for controlling blood pressure in recent stroke survivors. A key component of the intervention development process was the constitution of a project task force comprising various healthcare providers and administrators. This paper describes the unique experience in Sub-Saharan Africa of utilizing of an interdisciplinary Task force to facilitate the development of the multipronged behavioral intervention aimed at enhancing stroke outcomes in a low-middle income country.
机译:在尼日利亚,中风的负担正在增加。多方面的策略对于减轻这种日益增加的负担至关重要,包括提高药物依从性,优化传统生物标志物的风险指标(血压,胆固醇)以及鼓励有益的生活方式。病人健康素养不足,病人/医疗系统资源有限以及缺乏协调的跨学科治疗方法,对这一策略的成功实施提出了挑战。此外,在尼日利亚,为改善医疗保健而开发的少数​​干预措施通常针对医生(主要是)和护士(次要),而其他主要医疗保健提供者的投入却很少,而患者,护理人员和社区本身的贡献也很有限。基于医院的量身定制的降低卒中后血管事件的风险(THRIVES)研究正在评估一种文化敏感的多维干预措施在控制近期卒中幸存者中的血压的功效。干预措施开发过程的一个关键组成部分是组成由各种医疗保健提供者和管理人员组成的项目任务组。本文介绍了撒哈拉以南非洲地区利用跨学科工作队促进多管齐下的行为干预措施发展的独特经验,该干预措施旨在增强中低收入国家的卒中结果。

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