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...

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Main Authors: Wylie, Karen, McAllister, Lindy, Davidson, Bronwyn, Marshall, Julie, Amponsah, Clement, Bampoe, Josephine Ohenewa
Format: Journal Article
Language:English
Published: 2017
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/75940
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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
building Curtin Institutional Repository
collection Online Access
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.
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spelling curtin-20.500.11937-759402019-07-09T01:49:07Z 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 Communication disability Community Ghana Help-seeking Self-help Speech-language pathology Sub-Saharan Africa Adolescent Adult Aged Communication Disorders Female Ghana Help-Seeking Behavior Humans Male Middle Aged Qualitative Research Self-Management Young Adult 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. 2017 Journal Article http://hdl.handle.net/20.500.11937/75940 10.1186/s12992-017-0317-6 eng http://creativecommons.org/licenses/by/4.0/ fulltext
spellingShingle Communication disability
Community
Ghana
Help-seeking
Self-help
Speech-language pathology
Sub-Saharan Africa
Adolescent
Adult
Aged
Communication Disorders
Female
Ghana
Help-Seeking Behavior
Humans
Male
Middle Aged
Qualitative Research
Self-Management
Young Adult
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 Communication disability
Community
Ghana
Help-seeking
Self-help
Speech-language pathology
Sub-Saharan Africa
Adolescent
Adult
Aged
Communication Disorders
Female
Ghana
Help-Seeking Behavior
Humans
Male
Middle Aged
Qualitative Research
Self-Management
Young Adult
url http://hdl.handle.net/20.500.11937/75940