Browsing by Author "Campbell, O. B."
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Item Needs assessment of onco-radiotherapy Patients for psycho-therapeutic counselling care at the University College Hospital, Ibadan(Association of Applied Psychology and Human Performance, 2010) Asuzu, C. C.; Campbell, O. B.; Asuzu, M. C.This is a descriptive study aimed at assessing a new programme in order to improve on the psychological care of the patients. The study consists of an interviewer-administered survey instrument of 171 consecutive patients seen at the centre from the onset of the exercise. The study instrument was a questionnaire constructed by the researchers and validated in this hospital. The coefficient of reliability was ascertained to be 0.74. The subjects consisted of 33 males and 138 females, 22 or 13% of whom were unemployed at the time of the study. Stigmatization because of their disease as well as other negative reports which would benefit from counselling services was reported by 29 (18.8%) of 154 clients. Many patients and their family members need additional information and counseling about their cancer and the treatment. Research findings also reflect limited access to cancer treatment in Nigeria, which needs to be addressed via capital investment in its oncology infrastructure. The findings from this study serve to advocate for improved access to care and for the further development of psychotherapeutic interventions for cancer patients receiving treatment at University College Hospital.Item A pilot study of cancer patients’ use of traditional healers in the radiotherapy department, University College Hospital, Ibadan, Nigeria.(Wiley Online Library, 2015) Asuzu, C. C.; Elumelu-Kupoluyi, T.; Asuzu, M. C.; Campbell, O. B.; Akin-Odanye, E. O.; Lounsbury, D.Objective: This descriptive cross-sectional study assessed cancer patients’ use of traditional healers, the association between delay in coming to this clinic and patients’ use of traditional healers, reasons cancer patients use western medicine after trying traditional treatment and the cost of obtaining traditional treatment. Methods: Participants were made of 400 consecutive and consenting new patients in the Department of Radiotherapy, University College Hospital (UCH), Ibadan. A validated interviewer-administered semi-structured questionnaire was used for data collection. Data was analyzed using descriptive and inferential statistics. Focus group discussions were held with some of the clients as well as the traditional healers. Results: It showed that 34.5% of the patients patronized traditional healers, while 65.5% used only hospitals. The most common reason given among patients who patronized traditional healers for doing so was their desire to be healed and to be rid of pains (45.9%), while the most common reason they opt for western medicine afterwards was lack of improvement in their health condition (70.1%). The cost of traditional treatment for cancer ranged between no cost to N5,000 (that is approximately $31.25 @ $1 = N160) to be treated. The cost of orthodox care would range from a minimum of N40,000 to several millions of naira. Conclusions: Patients patronize traditional healers to be rid of pains; hence physicians should endeavor to control cancer-related symptoms, especially pains as the patients await diagnosis. Also, the low cost of obtaining traditional treatment, regular assurance of cure and other assistances given to them, could be an enticing factor in its use.Item Psychotherapy in Africa: experience of the group psycho-educational support programme at Ibadan - a preliminary report(1995-11) Onibokun, A. C.; Ohaeri, J. U.; Campbell, O. B.; Adenipekun, A. AAfrica stem from the lack of an appropriate psychodynamic theory ori which to base the technique used. He suggested and experimented with the use of cosmologies (world view) native to the culture (e.g. - the Yoruba Ayanmo myth) in psychodynamic elaborations in therapy. Ohaeri (1989) believed that work along the lines suggested by Morakinyo (1982) be encouraged, but opined that the current socio-economic and cultural changes in Nigeria make it imperative to examine the need for formalized psychotherapy in the contemporary Nigeria. In view of the above coupled with the felt needs of the teaming number of oncology patients at the Cancer Registry of the University College Hospital (U.C.H.), Ibadan, the Lola Marinho Psycho-oncology Counselling Clinic (LMPOC2) was established in July 1992. The clinic now runs a formal psychotherapy programme. With the increased availability of modern methods for diagnosis and the treatment of cancer, our experience has shown that many more cases of cancer now report in hospitals in Nigeria, in particular, at the Radio-therapy Centre of the University College Hospital (U.C.H.), Ibadan, which is the only functioning radio-therapy centre in West Africa sub-region for now. This has offered us the opportunity to enquire into aspects of psycho-oncology. Our goals in this clinic are: 1. to assist the patients and heir family members in becoming more knowledgeable about the disease by providing them with all necessary information. 2. to give support by providing continuity of care. 3. to teach the patients and their family members the necessary skills to cope with the stress of living with cancer. It is an eight session progressive course, which we have developed and used for hundreds of patients at the Lola Marinho Psycho-oncology Counselling Clinic (LMPOC2). The programme is intended for people living with cancer who want to help themselves cope with and combat their disease. It is also meant for those who wish to conduct group teaching skills for people living with cancer and their family members. The paper deals with the efficacy of psychotherapy in improving the quality of life of oncology patients in Nigeria, judging from our experience with our clients at the Lola Marinho Psycho-oncology Counselling Clinic (LMPOC2) of the University College Hospital, Ibadan, Nigeria. The findings pose great challenges to all categories of health care providers, especially Nigerian psychologists