Readiness Assessment of Healthcare Professionals to Integrate Mental Health Services into Primary Healthcare of Persons with Skin-Neglected Tropical Diseases in Ghana: A Structural Equation Modeling.

Samuel Adjorlolo, Stephanopoulos Kofi Junior Osei, Emma Efua Adimado, Mawuko Setordzi, Vincent Valentine Akorli, Lawrencia Obenewaa Aprekua, Paul Kwame Adjorlolo

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Article in International journal of environmental research and public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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7 authors.

Samuel AdjorloloDepartment of Mental Health, School of Nursing and Midwifery, University of Ghana, Legon, Accra P.O. Box LG 43, Ghana.ORCID 0000-0001-9308-6031

Stephanopoulos Kofi Junior OseiDepartment of Epidemiology, School of Public Health, University of Ghana, Accra P.O. Box LG 13, Ghana.ORCID 0000-0001-9542-4559

Emma Efua AdimadoDepartment of Research, Education and Administration, School of Nursing and Midwifery, University of Ghana, Legon, Accra P.O. Box LG 43, Ghana.

Mawuko SetordziResearch and Grant Institute of Ghana, Legon, Accra P.O. Box LG 1004, Ghana.ORCID 0000-0003-1946-3948

Vincent Valentine AkorliSchool of Nursing and Midwifery, University of Health and Allied Sciences, Ho-Volta Region, Ho PMB 31, Ghana.

Lawrencia Obenewaa AprekuaDepartment of Psychology, School of Social Sciences, University of Ghana, Accra P.O. Box LG 44, Ghana.

Paul Kwame AdjorloloDepartment of Biostatistics, School of Public Health, University of Ghana, Accra P.O. Box LG 13, Ghana.ORCID 0000-0001-8688-2195

Funding

ANESVAD Foundation Grant no# 014

6 · The paper itself

Abstract

The burden of mental health among individuals affected by skin-neglected tropical diseases (skin-NTDs) has increased significantly, prompting systemic measures to improve their mental health and well-being. Healthcare professionals have instrumental roles to play in this area in terms of integrating mental health into the existing primary and community healthcare services for skin-NTDs. The current study investigates the readiness of healthcare professionals for integrated healthcare, barriers to mental health service delivery and the professional development needs for mental health service delivery. A total of 252 healthcare professionals recruited from Nkwanta North and South Districts in the Oti Region of Ghana participated in the study by completing a set of questionnaires measuring the above variables, in addition to demographic factors. Descriptive statistics were used to summarize the study variables while Pearson Moment Product Correlation was used to investigate the relationship between continuous study variables. Confirmatory factor analysis (CFA) was conducted to elucidate the factorial validity of the study measures. Structural Equation Modeling (SEM) was used to examine the association between the variables and the mediating effects of professional development needs. The results showed that over 50% of the participants encountered several barriers in their attempt to provide mental health services to patients, and over 80% of them requested training and capacity building in mental health. CFA supports a two-factor structure of the readiness scale and one-factor structure of mental health barrier and professional development needs scales. SEM revealed a significant relationship between readiness for integrated healthcare, mental health barriers and professional development needs (

Indexed as

Delivery of Health Care, IntegratedHealth PersonnelMental Health ServicesPrimary Health CareSkin DiseasesAdultFemaleGhanaHumansLatent Class AnalysisMaleMiddle AgedSurveys and QuestionnairesYoung AdultGhanahealthcare professionalsintegrated caremental healthskin-NTD

Identifiers

PMID40724058

DOI10.3390/ijerph22070991

PMCPMC12294623

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