Evidence map›Paper›PMID 34705843›Full record

ArticlePloS one2021

The multifaceted care-seeking practices among caregivers of children with cerebral palsy: Perspectives from mothers and providers in Ghana.

Victoria Fonzi, Blessed Sheriff, Sarah Dalglish, Adote Anum, Emmanuella Dwomo Agyei, Devin Diggs, Loretta Eboigbe, Prince Gyebi Owusu, Kwame S Sakyi

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.7field-weighted citation impact, top 16% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 18 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 2 countries.

Victoria FonziCenter for Learning and Childhood Development, Accra, Ghana.
Blessed SheriffCenter for Learning and Childhood Development, Accra, Ghana.
Sarah DalglishCenter for Learning and Childhood Development, Accra, Ghana.
Adote AnumCenter for Learning and Childhood Development, Accra, Ghana.
Emmanuella Dwomo AgyeiCenter for Learning and Childhood Development, Accra, Ghana.
Devin DiggsCenter for Learning and Childhood Development, Accra, Ghana.
Loretta EboigbeCenter for Learning and Childhood Development, Accra, Ghana.
Prince Gyebi OwusuCenter for Learning and Childhood Development, Accra, Ghana.
Kwame S SakyiCenter for Learning and Childhood Development, Accra, Ghana.ORCID 0000-0001-5648-8744
Ghana Center for Democratic Development · GHBrown University · USJohns Hopkins University · USOakland University · USUniversity of Georgia · USUniversity of Ghana · GH

Funding

Brown NIMHD Minority Health & Health Disparities International Research TrainingT37MD008655 · NIMHD · BROWN UNIVERSITY · PI FLANIGAN, TIMOTHY P · 2014 to 2018
$1.2M
NIMHD NIH HHS T37 MD008655
6 · The paper itself

Abstract

backgroundResearch on cerebral palsy (CP) has lacked emphasis on knowledge and treatment practices among caregivers, particularly in low- and middle-income countries where socio-cultural contexts encourage a variety of treatment alternatives. In this study, we explored the beliefs and experiences that motivate care-seeking practices among caregivers of children with CP in Ghana.

methodsSemi-structured interviews were conducted with 25 caregivers, 10 medical providers, and 5 alternative providers in the Greater Accra Region. Participant interviews were analyzed using principles adapted from grounded theory. A conceptual model was constructed to illustrate salient patterns and motivational factors influencing care-seeking practices.

resultsParticipants' experiences showed that caregivers initially sought physiotherapy and prescription medications from medical providers. Many of them then transitioned to alternative methods to search for a cure or address specific CP symptoms. Over time, most caregivers discontinued both medical and alternative care in favor of at-home treatment. A few withdrew completely from all forms of care. Cost of treatment, caregiver burden, and stigma strongly inhibited care-seeking outside the home.

conclusionAlthough caregivers were open to exploring a variety of treatment options, at-home treatment was preferred by long-time caregivers for its convenience, low cost, and adaptability to patient and caregiver needs.

Indexed as

AdultCaregiversCerebral PalsyEvaluation Studies as TopicFemaleGhanaGrounded TheoryHealth Knowledge, Attitudes, PracticeHelp-Seeking BehaviorHumansMaleMaternal AgeMiddle AgedMothersPatient Acceptance of Health CareSocial Stigma

Identifiers

PMID34705843
PMCPMC8550440
OpenAlexW3208415630

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.