The Manuscript Reviewed

Literature Reviewed Key findings

Methodology

Total papers on Google search

Source

Year of

Publication

The Impact of Onset Controllability on Stigmatization and Supportive Communication Goals Toward Persons With HIV Versus Lung Cancer: A Comparison Between Kenyan and U.S. Participants.

The study analyzed the influence of transmission methods and disease type on stigmatizing attitudes and supportive communication goals among Kenyan and U.S. participants. The study found that means of transmission significantly impacted the blame component of stigma, but not cognitive attitudes or social interaction. It also showed no effect on supportive interaction goals. Kenyan participants, both students and nonstudents, were slower to adopt blame communication goals compared to American participants.

A study involved 464 Kenyan and 526 American students, 441 Kenyan and 591 American nonstudents, and 441 Kenyan and 591 American nonstudents, randomly assigned to 12 hypothetical scenario conditions, and asked to respond to three stigmatizing attitudes and six supportive communication goals.

394,000

Taylor and Francis Group

2007

The Effect of a Health Communication Campaign on Compliance with Mass Drug Administration for Schistosomiasis Control in Western Kenya—The SCORE Project

Communication campaigns effectively influence health behaviors in various public health contexts, but there is limited documentation on their use in schistosomiasis control programs. Mass media exposure improves awareness of the MDA, leading to better treatment compliance. The findings suggest that communication campaigns can improve health behaviors and awareness of schistosomiasis control interventions.

A qualitative study involving community health workers (CHWs) investigated the impact of a health communication campaign on their experiences during praziquantel MDA for schistosomiasis, with discussions recorded, translated, and analyzed using ATLAS.ti software.

46,100

The American Society of Tropical Medicine and Hygiene

2014

Physician communication behaviors from the perspective of adult HIV patients

in Kenya

A study in Kenya investigated physician communication behaviors among HIV patients on combined antiretroviral therapy (cART). The study involved 400 patients, with a median age of 38 and 56.5% being female. Results showed that patients perceived physicians engaging in a high number of communication behaviors. Factors such as general health status, distance to the health facility, and time spent at the facility were associated with higher perceived physician communication behaviors. Physician-patient relationship factors were not associated with these behaviors. A higher number of perceived physician communication behaviors was associated with a higher likelihood of patients attending the next HIV clinic, a lower likelihood of missing an appointment, and missing cART medication. In conclusion, patients’ perception of physician communication behaviors was found to be associated with their adherence to HIV care.

A cross-sectional study conducted in Kenya between July and August 2011 aimed to describe the perceptions of physicians’ communication behaviors among HIV patients and explore the association between these behaviors and adherence to care. The study involved 400 HIV-positive adult patients on cART, part of the Academic Model Providing Access to Healthcare (AMPATH) program, and was conducted in three adult HIV clinics.

16,600,000

International Journal for Quality in Health Care

2014

Health Care Providers’ Communication: The Cancer Patients’ Perspective-A Study among Cervical Cancer Patients in Uasin Gishu County, Kenya

The study explores the communication processes between cervical cancer patients and healthcare providers, revealing mixed experiences. Some patients had positive experiences with counseling and preparation, while others had negative experiences due to poor delivery methods. Information was packaged differently, with some receiving detailed and comprehensive information while others received sketchy information. The environment also elicited mixed reactions. Communication processes vary across settings and providers, emphasizing

the need for effective communication between cervical cancer patients and healthcare providers.

A qualitative study was conducted in Uasin Gishu County, targeting cervical cancer patients receiving specialized treatment or palliative care at home or

hospice. Eight cases were recruited, and content analysis was conducted, with data reported in narrative form.

47,200

International

Journal of Recent

Innovations in Medicine and Clinical

Research

2020

Providers’ perceptions of communication and women’s autonomy during childbirth:

a mixed methods study in Kenya

The study highlights the importance of effective communication and respect for women’s autonomy in person-centered care. However, there is limited evidence in low-resource settings about providers’ perceptions of these aspects during childbirth. Few studies have assessed potential barriers to communication and women’s autonomy maintenance. Despite acknowledging the importance of these aspects, providers often fail to provide them due to various reasons. To improve communication and autonomy, the study suggests addressing factors that negatively affect providers’ interactions with women. This will help ensure women’s autonomy and better care during childbirth.

A mixed-methods study in Migori County, Kenya, involved 49 maternity providers, 32 clinical and 17 non-clinical, who were asked structured and open-ended questions about communication and autonomy, with descriptive and thematic analysis conducted.

563,000

Reproductive Health

2020

Socio-cultural contexts of end-of-life conversations and decisions: bereaved family cancer caregivers’ retrospective co-constructions

The study reveals that end-of-life communication becomes more challenging in terminal cancer, particularly in resource-limited areas where women play crucial roles as informal caregivers. It examined the content and contexts of family end-of-life conversations and decisions, focusing on advance directives and initiating death talk. The findings are relevant for palliative psychosocial interventions, particularly for cancer patients and their families. The study highlights the need for further engagement in equipping family caregivers in resource-limited contexts for end-of-life care.

The study used an interpretative phenomenological analysis method to investigate end-of-life communication themes through four mini focus group interviews with 13 participants.

85,800

BMC Palliative Care

2017

The potential of schoolchildren as health change agents

in rural western Kenya

The study suggests that a multi-faceted approach involving biomedical interventions, behavioral change, and improving living conditions can significantly reduce the spread of major diseases in developing countries. School-going children can be effective health change communication agents in both school and home environments, demonstrating their potential to assist peers and parents in acquiring health-related knowledge and practices. Children collaborate with other students to introduce and maintain changes in the school environment, while in home settings, they communicate health messages and introduce relevant practices, enabling parents to improve their knowledge and behavior. This study challenges the common belief that children cannot teach and influence adults.

A pre-tested questionnaire survey was used to assess individual knowledge on intervention topics before and after exposure. The survey was administered three times, covering three individual topics. School-based observations were used to gather information on school routines, sanitation, and hygiene before and after the intervention.

92

Elsevier

2005

mHealth text and voice communication for monitoring people with chronic diseases in low-resource settings: a realist review

The study highlights the importance of routine monitoring for managing chronic diseases in low-resourced health systems. It proposes mobile health (mHealth) as a solution, as cellphones can enhance health communications and allow people to “talk back” to broadcast media. mHealth can involve one-way or two-way communication between health workers and patients using any digital channel that allows them to be mobile. The study suggests that mHealth interventions for monitoring chronic diseases in low-resource settings, based on existing frameworks and theory, can be effective. The effectiveness of these interventions depends on the match between the intervention’s content and the needs or social factors relevant to the specific patient group.

The study aimed to evaluate the effectiveness of mHealth interventions for chronic diseases. A systematic search of mHealth reviews revealed mixed effectiveness, suggesting a lack of understanding of these interventions. Articles were screened and analyzed using realist synthesis to understand the reasons behind these interventions. Four articles were identified based on monitoring hypertension and HIV/AIDS in Kenya, Pakistan, Honduras, Mexico, and South Africa. The interventions included reminders, patient observation of health state, motivational education, support communication, targeted actions, and praise and encouragement. The study found that variations in existing theory and frameworks moderated outcomes.

10,300

BMJ

2017

Successes and challenges of speech language therapy service provision in Western Kenya-Three case studies

The manuscript observed that Communication access is a recognized human right, and speech language therapists have a responsibility to engage in conversations to improve service disparities in communities and around the world. It also noted that addressing communication disorders is crucial as people with communication disabilities are more likely to experience poverty, social exclusion, and poor health outcomes. The paper emphasized on the need for culturally responsive practices in speech, language, and hearing sciences to address communication disorders in low-income countries. It noted that the development of communication-related services in sub-Saharan Africa is well-documented and involves responsive global engagement. The review suggests that the development of communication services should focus on local knowledge, including language and culture. The paper also suggests that communication disability can be improved by focusing on the community context and need, such as a direct one-on-one model of communication care.

A qualitative case study was conducted to examine three collaborative work cases between a non-governmental organization (NGO) in Western Kenya and three government-funded health and education institutions between 2007 and 2020. Case 1 involved one-on-one therapy, community outreach, education, parent and teacher training, classroom observations, and a clinical model. Case 2 involved one-on-one therapy, participation in hospital rounds, patient support groups, inter-professional training, and interdisciplinary co-treatment. Case 3 was a none, bespoke service model, based on community outreach, education, parent training, and case management. The case studies contributed to literature on language therapy services practices and provided opportunities for reflection, discussion, and improvement. The collaborative writing process allowed for bi-directional, culturally responsive learning and guided speech language therapists to consider social structure factors and diverse worldviews in clinical practice.

4,670,000

National Institutes of Health (NIH)

2021, September 27

Experience of communication among cervical cancer patients in Kenya by Jerop Caren, George Mose and Kibiwott Kurga

The study analyzed communication experiences among cervical cancer patients and their caregivers in Uashin Gishu County, Kenya. It found that effective communication helps patients express their fears and improves their survival strategies. However, patients often face communication dilemmas, where caregivers and medical professionals are reluctant to engage with them. Insufficient communication leads to limited information, hindering improved care and quality of life for cancer patients. Therefore, dialogues about long-term illness are crucial for patients’ well-being.

The study utilized in-depth interviews with patients and caregivers, employing non-probability sampling through snowballing, and applying the Hermeneutic theory. The data was presented in the form of thematic presentations of narratives, demonstrating the understanding and reflection between the two groups.

2

International Journal of Palliative Nursing 2020, Vol 26, No 7

2023 (April)

Higher Clinician-Patient communication is associated with Greater Satisfaction with HIV Care

The study explored the correlation between care provider-patient communication skills and patient satisfaction in HIV patients in Busia County Kenya. It found that patient expectations significantly influence satisfaction with services, and communication skills are crucial for fostering better relationships and promoting patient-provider partnership. High satisfaction levels were observed at 85%, with patients indicating that their care providers had strong communication skills. The study supports the notion that effective communication skills are essential for patient-centered care and clinical practice, highlighting the importance of these skills in the patient-centered care system.

The study was a cross-sectional, randomized trial, descriptive, and quantitative pilot with a large AMPATH study.

14,400,000

National Institutes of Health.

2021

All her children are born that way’: gendered experiences of stigma in families affected by sickle cell disorder in rural Kenya,

The study explores early experiences of sickle cell disorder (SCD) in families with young affected children in sub Saharan Africa. It highlighted low initial recognition and lay practices of surveillance, contributing to stigmatization. Mothers are often blamed, with misaligned paternity risk. This stigma is particularly affecting mothers, who lose independent livelihoods and face limited coping options. Counteracting this stigma in health and research programs is crucial.

A qualitative study in coastal Kenya involved in-depth interviews with 13 families affected by SCD and 12 staff of a biomedical research program. The study aimed to maximize diversity in socioeconomic status, religion, illness burden severity, and staff experience, using constant comparative method for family interviews and thematic framework approach for staff data.

288

TAYLOR & FRANCIS

2011

Communication skills of general practitioners in Nairobi, Kenya: a descriptive observational study

The study evaluates the quality of communication in consultations by General Practitioners (GPs). The median age was 30.0 years and consultation time was 7.0 minutes. GPs demonstrated skills in gathering information, making diagnoses, and suggesting management. However, they did not make appropriate introductions, explore patients’ perspectives, allow shared decision making, or provide adequate safety netting. The scores were higher in consultations of moderate complexity.

A study in Nairobi, Kenya, analyzed 23 GP consultations and evaluated 16 communication skills using the Stellenbosch University Observation Tool. The study compared consultations’ demographics, complexity, and duration using SPSS, version 25, and calculated a percentage score per consultation.

640,000

The National Institutes of Health.

2022

Multidimensional needs of patients living and dying with heart failure in Kenya: a serial interview study

The study analyzed the experiences of heart failure patients in Kenya, revealing physical, psychosocial, spiritual, and financial distress, unmet needs for information, and influenced healthcare seeking. Patients with acute symptoms sought care earlier than those with gradual symptoms, expecting cure. Accumulating costs hindered care continuity and caused social tensions. Patients valued information on their illness, prognosis, self-care, lifestyle changes, and prevention strategies, but this was rarely available.

A study recruited 18 patients with advanced heart failure from a Kenyan rural district hospital, conducted in-depth interviews at various intervals and conducted bereavement interviews with carers, analyzed using a thematic approach and Nvivo software.

2,030,000

BMC PALLIATIVE CARE

2018

Health Literacy and Doctor-Patient Communication among HIV/Aids Patients in Homa Bay County, Kenya

The study examined the impact of health literacy on doctor patient communication among HIV/AIDS patients in Homa Bay County, Kenya. It found that gender, education level, marital status, and illness duration significantly influenced communication. However, functional and communicative health literacy levels were inadequate. Most respondents found communication effective. Critical health literacy had the most significant influence, followed by communicative and functional health literacy. The study highlights the need for improved health literacy in healthcare settings.

A cross-sectional survey was conducted among 362 HIV/AIDS patients at eight sub-county hospitals in Homa Bay County, using a self-administered structured questionnaire.

4650,000

JKUAT DIGITAL REPOSITORY

2022

“You have a swelling”: The language of cancer diagnosis and implications for cancer management in Kenya

The study explores the impact of language on communication in Kenya’s healthcare system, revealing that language barriers can hinder understanding of cancer diagnoses and the type of interventions sought by family members as informal caregivers.

The review explores literature on language access and health care in Kenya, using electronic databases like Scopus, Web of Science, Ebscohost, ProQuest, and Google Scholar, and provides two case studies from a Nairobi-based qualitative research project.

63,600

PUBMED

2017