Awosoga, Olu

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    An exploratory cohort study of serum estradiol, testosterone, osteoprotegerin, interleukin-6, calcium, and magnesium as potential biomarkers of cervical spondylosis
    (Springer, 2023) Igwe, Augustine A.; Onyeso, Ogochukwu K.; Adandom, Israel; Onyeso, Kelechi M.; Anyachukwu, Canice C.; Awosoga, Olu A.; Ezema, Charles I.; Okoye, Goddy C.
    Background: Exploration of biomarkers for debilitating diseases such as cervical spondylosis is important to revolutionize clinical diagnosis and management of such conditions. The study aimed to determine the correlation between neck pain and disability and serum levels of interleukin-6 (IL-6), osteoprotegerin (OPG), estradiol (E2), testosterone (TES), calcium (Ca), and magnesium (Mg) among individuals with symptomatic cervical spondylosis. Methods: This study was a cohort design. The participants were new referrals to two Nigerian physical therapy clinics. Participants’ neck pain intensity (PI), neck disability index (NDI), IL-6, OPG, E2, TES, Ca, and Mg were measured at baseline and after 13 weeks of follow-up. Data were analyzed using descriptive statistics, independent samples t test, Pearson’s correlation, and multiple linear regression. Results: Forty individuals aged 52.40 ± 8.60 years participated in the study. Women had significantly higher levels of IL-6 (t =  − 2.392, p = 0.026), OPG (t =  − 3.235, p = 0.005), E2 (t =  − 6.841, p = 0.001), but lower TES (t = 17.776, p = 0.001). There were no significant sex differences in PI and NDI. There were significant correlations between PI and OPG (r = 0.385, p < 0.001), NDI and OPG (r = 0.402, p < 0.001), and IL-6 (r = 0.235, p = 0.036). Significant predictors of PI were OPG (β = 0.442, p < 0.001) and E2 (β =  − 0.285, p = 0.011), and NDI were OPG (β = 0.453, p < 0.001), E2 (β =  − 0.292, p = 0.005), and IL-6 (β = 0.225, p = 0.024). Conclusion: High serum levels of IL-6 and OPG were associated with cervical spondylosis severity. However, high serum levels of E2 and TES correlated with lesser severity. Moreover, TES inversely correlated with the proinflammatory cytokines.
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    Association between life satisfaction and health behaviors among older adults: a systematic review and meta-analysis protocol
    (BMJ Publishing, 2024) Alumona, Chiedozie J.; Scott, David R.; Odole, Adesola C.; Nweke, Martins; Kalu, Michael; Awosoga, Olu A.
    Introduction Life satisfaction is a key indicator of successful ageing and reflects well-being. There is evidence of the association between life satisfaction and health behaviours among older adults. Therefore, this systematic review and meta-analysis protocol seeks to determine the strength and direction of the association between life satisfaction and health behaviours among older adults. Methods and analysis This protocol followed the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols guidelines. We will search the electronic databases (MEDLINE, APA PsycINFO, Web of Science, CINAHL and Global Health) from inception to date. Only observational studies that described the association between life satisfaction and health behaviours—smoking, alcohol drinking, physical activity, diet/nutrition and sleep—will be included. Two independent reviewers will conduct screening, data extraction and risk of bias assessment of the articles. The risk of bias will be assessed using the Joanna Briggs Institute critical appraisal tools for cohort and analytical cross-sectional studies. Studies will be included in the meta-analysis if they report zero-order associations between life satisfaction and health behaviours; otherwise, a narrative synthesis will be presented. Ethics and dissemination This study does not require ethics approval, as it involves analysing secondary data from published studies. The completed review will be published in a peer-reviewed journal and presented at conferences.
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    Association between sociodemographic factors and mobility limitation among older adults: a systematic review and meta-analysis protocol
    (BioMed Central, 2023) Onyeso, Ogochukwu K.; Odole, Adesola C.; Scott, David R.; Akinrolie, Olayinka; Kalu, Michael E.; Awosoga, Olu A.
    Background Mobility is an independent predictor of physical functionality, healthy ageing, and quality of life. Various literatures have associated mobility limitation in older adulthood with demographic and socioeconomic factors. Hence, we propose a systematic review and meta-analysis to synthesise the association between sociodemographic factors and mobility limitations in older adults. Methods and analyses This protocol was written according to the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) guidelines. We will perform a comprehensive search of all observational studies that assessed the relationship between age, gender, race, place, education, income, occupation, social status, and walking distance, time, or speed. Electronic databases (MEDLINE, Web of Science, EMBASE, CINAHL, AgeLine, and SPORTDiscus) will be searched from inception to 28 February 2023. We will supplement the database search by manually searching the reference lists of all identified and relevant full-text articles. Two independent reviewers will be responsible for screening articles, data extraction, and assessment of bias. We will appraise the study quality and risk of bias using the Prediction Model Risk of Bias Assessment Tool (PROBAST). A meta-analysis will be considered if data from the selected studies are homogeneous, otherwise, a narrative synthesis of the extracted data will be presented. Discussion Mobility limitation leads to frequent falls, dependency, morbidity, and death among older adults. This review is necessary, to identify and prioritise important sociodemographic factors during older adults’ clinical assessment and policy development. It is the first phase of a multi-methods study seeking to develop a prognostic mobility trajectory for community-dwelling older adults.
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    Cardiovascular disease risk perception among community-dwelling adults in southwest Nigeria: a mixed-method study
    (Public Library of Science, 2024) Awosoga, Olu A.; Oyewole, Olufemi O.; Adegoke, Opeyemi M; Odole, Adesola C.; Onyeso, Ogochukwu K.; Alumona, Chiedozie J.; Adeoye, Abiodun M.; Aweto, Happiness A.; Ige, Blessing S.; Adebayo, Adetola C.; Odunaiya, Titilope L.; Emmanuel, Grace M.; Sulaimon, Nurudeen B.; Odunaiya, Nse A.
    Objective The rising prevalence of cardiovascular diseases (CVD) remains a global concern. In Nige- ria, the current prevalence of CVD was 76.11% with its attendance burden. The CVD risk perception of individuals is a precursor to the desired lifestyle modification necessary for CVD prevention and management. This study assessed the CVD risk perception and socio- demographic determinants among rural and urban dwellers in southwest Nigeria. Methods The study employed a convergent parallel mixed-methods design involving concurrent data collection. The participants’ CVD risk perception was obtained using the Perception of Risk of Heart Disease Scale (quantitative data) and a validated focus group discussion (FGD) guide (qualitative data). Quantitative analysis was completed using descriptive statistics, Phi, Cramer’s V, and multivariate linear regression, while the FGD was thematically. Results The quantitative study involved 1,493 participants (62.4% women) with a mean age of 46.90 ±15.65 years, while the FGD involved 53 participants (52.8% women) with a mean age of 50.10±13.5 years. Over a quarter (28%) of the participants had a poor CVD risk perception; the mean score was 44.40±8.07. Rural residents had a significantly poorer CVD risk percep- tion than their urban counterparts (Mean difference = -3.16, p<0.001). Having tertiary educa- tion (β = 0.100, p < 0.001), living in urban areas (β = 0.174, p<0.001), and living in Lagos (β= 0.074, p = 0.013) and in Oyo, other than Ogun state (β = -0.156, p<0.001) significantly pre- dicted having a good perception of CVD risk. FGD produced three themes: knowledge about CVD, CVD risk factors, and CVD prevention. Conclusion Participants had a fair understanding of the causes and prevention of CVD. Yet, a substan- tial portion underestimated their own risk of developing CVD, particularly rural dwellers and people with lower education. More public health education is required to improve the CVD risk perception in southwestern Nigeria.
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    Caring for paid professional caregivers: investigating the health status of long-term care and assisted living facilities workers in Alberta
    (University of Lethbridge, 2020) Awosoga, Olu A.; Doan, Jon B.; Steinke, Claudia; Sajobi, Tolulope T.; Murphy, Sheli; Baerg, Scott; Bolarinwa, Remi; Nord, Christina; Varsanyi, Stephanie E.; Dosu, Benjamin; Lucchesi, Annita
    This is a report on the health status of paid professional caregivers in long-term care (LTC) and Assisted Living (AL) Facilities that was carried out in Alberta Province between June 2017 and October 2019.
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    A comparison of meta-analytic methods for synthesizing evidence from explanatory and pragmatic trials
    (BioMed Central, 2018) Sajobi, Tolulope T.; Li, Guowei; Awosoga, Olu A.; Wang, Meng; Menon, Bijoy K.; Hill, Michael D.; Thabane, Lehana
    Background: The pragmatic–explanatory continuum indicator summary version 2 (PRECIS-2) tool has recently been developed to classify randomized clinical trials (RCTs) as pragmatic or explanatory based on their design characteristics. Given that treatment effects in explanatory trials may be greater than those obtained in pragmatic trials, conventional meta-analytic approaches may not accurately account for the heterogeneity among the studies and may result in biased treatment effect estimates. This study investigates if the incorporation of PRECIS-2 classification of published trials can improve the estimation of overall intervention effects in meta-analysis. Methods: Using data from 31 published trials of intervention aimed at reducing obesity in children, we evaluated the utility of incorporating PRECIS-2 ratings of published trials into meta-analysis of intervention effects in clinical trials. Specifically, we compared random-effects meta-analysis, stratified meta-analysis, random-effects meta-regression, and mixture random-effects meta-regression methods for estimating overall pooled intervention effects. Results: Our analyses revealed that mixture meta-regression models that incorporate PRECIS-2 classification as covariate resulted in a larger pooled effect size (ES) estimate (ES=−1.01, 95%CI=[−1.52, −0.43]) than conventional random-effects meta-analysis (ES=−0.15, 95%CI=[−0.23, −0.08]). Conclusions: In addition to the original intent of PRECIS-2 tool of aiding researchers in their choice of trial design, PRECIS2 tool is useful for explaining between study variations in systematic review and meta-analysis of published trials. We recommend that researchers adopt mixture meta-regression methods when synthesizing evidence from explanatory and pragmatic trials.
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    Congruence Couple Therapy for alcohol use and gambling disorders with comorbidities (part I): outcomes from a randomized controlled trial
    (Wiley, 2022) Lee, Bonnie K.; Ofori Dei, Samuel M.; Brown, Matthew M. R.; Awosoga, Olu A.; Shi, Yanjun; Greenshaw, Andrew J.
    A nonblinded randomized trial was conducted at two Canadian provincial outpatient addiction clinics that tested the effectiveness of a systemic congruence couple therapy (CCT) versus individual-based treatment-as-usual (TAU) on nine clinical outcomes: (1) primary outcomes—alcohol use and gambling, psychiatric symptoms, and couple adjustment; (2) secondary outcomes—emotion regulation, substance use, depression, post-traumatic stress symptoms, and life stress. Data of primary clients and partners (N = 46) were analyzed longitudinally across baseline, posttreatment (5 months), and follow-up (8 months). Alcohol use disorder (95%) and gambling disorder (5%) were in the severe range at baseline, and co-addiction was 27%. Psychiatric comorbidity was 100%, and 18% of couples were jointly addicted. Between-group comparison favored CCT in primary outcomes with medium-to-large effect sizes (Cohen's h = 0.74–1.44). Secondary outcomes were also significantly stronger for CCT (Cohen's h = 0.27–1.53). Within-group, for all primary outcomes, a significant proportion of symptomatic CCT clients and partners improved, converging with ANOVA results of large effect sizes (0.14–0.29). All secondary outcomes improved significantly in CCT with large effect sizes (0.14–0.50). TAU showed significant within-group improvement in alcohol use, other substance use, and life stress with large effect sizes (0.16–0.40). Primary clients and partners made largely equivalent improvement within CCT and within TAU. Results were triangulated with clients' satisfaction ratings and counselors' reports. Overall, significant within-group effects were detected for CCT both clinically and statistically and between-group difference favored CCT. Future trials are required to validate these promising findings.
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    Couples seeking CCT treatment for alcohol and gambling problems in a randomized trial
    (University of Lethbridge, 2017) Lee, Bonnie K.; Shi, Yanjun; Gaelzer, Jessica; Awosoga, Olu A.; Christensen, Darren R.
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    Determinants of the managerial staff’s disposition towards e-payment platforms in public tertiary hospitals in Enugu, Nigeria: a cross-sectional study
    (Springer Nature, 2023) Abugu, James O.; Chukwu, Amaechi M.; Onyeso, Ogochukwu K.; Alumona, Chiedozie J.; Adandom, Israel I.; Chukwu, Ogo-Amaechi D.; Awosoga, Olu A.
    Background Many Nigerians pay out-of-pocket for their health care, and some hospitals have started utilising e-payment systems to increase transactional efficiency. The study investigated the type and usage of e-payment platforms in public hospitals and the factors that may influence the managerial staff’s disposition towards using the e-payment system. Methods We conducted a cross-sectional survey of 300 managerial staff within the four public tertiary hospitals in Enugu, Nigeria, through proportionate quota sampling. The survey obtained participants’ demographic characteristics, types of e-payment platforms, managerial staff’s technophobia, perception of credibility, and disposition towards e-payment. Data were analysed using descriptive statistics, Spearman correlation, and hierarchical linear regression. Results The majority of the respondents (n = 278, 92.7% completion rate) aged 43.4 ± 7.6 years were females (59.0%) with a bachelor’s degree (54.7%). Their disposition (80.0%±17.9%), perceptions of the usefulness (85.7 ± 13.9%), and user-friendliness (80.5 ± 18.1%) of e-payment in the hospital were positive, credibility (72.6 ± 20.1%) and technophobia (68.0 ± 20.7%) were moderate. There was a negative correlation between technophobia and disposition toward the use of e-payment (ρ = -0.50, P < 0.001). Significant multivariate predictors of managerial disposition towards e-payment were; being a woman (β = 0.12, P = 0.033), married (β = 0.18, P = 0.003), positive perception of usefulness (β = 0.14, P = 0.025), and credibility (β = 0.15, P = 0.032). Conclusion Most participants had a positive disposition towards e-payment in public hospitals. However, managers with technophobia, a negative perception of e-payment usefulness, and credibility had a lesser disposition to its use. To ensure the universal implementation of e-payment in Nigerian hospitals, the service providers should make the e-payment platforms more secure and user-friendly to health services consumers and providers.
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    Exploring the relationship between falls, fall-related psychological concerns, and personality traits in adults: a scoping review protocol
    (Wiley, 2024) Adandom, Henrietha ; Nwankwo, Henry C.; Adandom, Israel I.; Akinrolie, Olayinka; Odole, Adesola C.; Scott, David R.; Awosoga, Olu A.
    Background and Aims Personality traits, such as neuroticism and extraversion, are emerging as important predictors of falls. Despite their significance, existing fall prevention programs often overlook these traits, creating a notable research gap. This study aims to conduct a comprehensive scoping review to explore the existing literature on the relationships among personality traits, falls, and fall-related psychological concerns (FrPCs). Methods This scoping review will adhere to the framework established by Arksey and O'Malley, incorporating extensions recommended by the Joanna Briggs Institute and using the PRISMA-ScR checklist. A thorough search strategy will be employed, aligning with the population, concept, and context (PCC) selection criteria. Electronic databases, including MEDLINE, APA PsycINFO, Web of Science, CINAHL, and SPORTDiscus, will be searched from their inception to the present. Additionally, a manual search of the reference lists of identified and relevant full-text articles will be conducted. Two independent reviewers will screen titles and abstracts, perform full-text reviews, and extract data from pertinent articles. Discussion Personality traits are increasingly recognized as influential predictors of falls and related psychological concerns. This review aims to make a substantial contribution to the existing literature by being the first to comprehensively explore and provide a descriptive synthesis of the relationship between personality traits and falls, as well as FrPCs in adults. It is hoped that the outcomes of this review will enhance our comprehension of the role of personality traits in falls, potentially informing future research and strategies for this critical area of study.
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    Families and children : responses to wildfires--links to community resiliency
    (University of Lethbridge, 2012) Kulig, Judith Celene; Pujadas Botey, Anna; Townshend, Ivan; Awosoga, Olu A.; Shepard, Blythe; Edge, Dana; Reimer, William; Lightfoot, Nancy
    Understanding the impacts of wildfires on families and children is in its infancy. The mixed methods study reported here offers insights and perspectives that can be considered for future research on the topic. Simultaneously, continuing to examine resiliency within communities that are challenged by adversity will also enhance our understanding of topics vital to disaster planning and mitigation. In this way, we can identify services and policies that will be useful for health and human services, community development and disaster management.
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    Health and work-related quality of life, wellbeing, and quality of clinical care: a multicentre cross-sectional survey of health care workers in south-western Nigeria
    (University of Lethbridge, 2022) Awosoga, Olu A.; Odole, Adesola; Odunaiya, Nse; Mbada, Chidozie; Oyewole, Olufemi; Ogunlana, Michael; Onyeso, Ogochukwu K.; Orimojunje, Ayomikun; Adegoke, Mercy; Sanuade, Comfort; Odole, Moyosooreoluwa; Odole, Iyanuoluwa
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    Homelessness, urban Aboriginal people, and the need for a national enumeration
    (University of Alberta, 2013) Belanger, Yale D.; Awosoga, Olu A.; Weasel Head, Gabrielle
    The growing rate of urban Aboriginal homelessness is a concern in Canada, yet, to date, no national enumeration of the homeless community has been attempted. Consequently, policies implemented to guarantee vulnerable populations access to housing are being struck in the absence of reliable data. Obtaining good data on the prevalence of this homeless community is one step in improving our collective understanding and response to urban Aboriginal homelessness. According to our calculations, that homelessness is staggering: on any one night, 6.97 percent of the urban Aboriginal population in Canada is homeless, as compared to a national average of .78 percent. This paper highlights the academic and bureaucratic construction of homelessness while urging academics and front-line agencies to align their research agendas in order to help combat the issues that create homelessness in what is a uniquely challenging environment for urban Aboriginal individuals seeking services. The paper concludes with a series of recommendations that will assist in this matter.
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    Household survey results Slave lake, AB 2012 : technical report
    (University of Lethbridge, 2012) Kulig, Judith Celene; Townshend, Ivan; Awosoga, Olu A.; Shepard, Blythe; Reimer, William; Edge, Dana; Lightfoot, Nancy
    Results of a household survey that was conducted to assess the following variables within a larger population within the Slave Lake area postwildfire: 1. What were the evacuation experiences of the Slave Lake area residents? 2. What were the impacts of the wildfires on the families and children that experienced it? 3. What were the impacts of the wildfires on the community’s social relations?
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    Housing and aboriginal people in urban centres: a quantitative evaluation
    (University of Alberta, 2012) Belanger, Yale D.; Weasel Head, Gabrielle; Awosoga, Olu A.
    This paper explores the current state of urban Aboriginal housing in Canada, by providing an up-to-date mapping of national urban Aboriginal housing conditions. This paper demonstrates that home ownership helps to reduce the gap between mainstream and Aboriginal rates of core housing need, for Aboriginal renters are substantially worse off than their non-Aboriginal counterparts in terms of core housing need and overcrowding. Métis and Non-Status Indians are also more likely to become homeowners than Status Indians and Inuit. A cyclical process is identified that hinders urban Aboriginal homeownership, and home rental advancement is also discussed. Existing federal housing programs are inadequate to address the housing and homeless issues identified. We highlight the need to establish proactive policies, the goal being to facilitate individual transition into urban centres, thereby helping to ameliorate existing housing disparities.
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    How adults in selected urban and rural communities in southwest Nigeria perceive cardiovascular disease, risk factors, and their risk status: a critical factor in preventing and managing cardiovascular disease
    (University of Lethbridge, 2024) Awosoga, Olu A.; Odunaiya, Nse A.; Odole, Adesola C.; Adegoke, Opeyemi M.; Adeoye, Abiodun M.; Oyewole, Olufemi O.; Aweto, Happiness A.; Onyeso, Ogochukwu K.; Alumona, Chiedozie J.
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    Influence of well-being and quality of work-life on quality of care among healthcare professionals in southwest, Nigeria
    (Springer Nature, 2023) Odole, Adesola C.; Ogunlana, Michael O.; Odunaiya, Nse A.; Oyewole, Olufemi O.; Mbada, Chidozie E.; Onyeso, Ogochukwu K.; Ayodeji, Ayomikun F.; Adegoke, Opeyemi M.; Odole, Iyanuoluwa; Sanuade, Comfort T.; Odole, Moyosooreoluwa E.; Awosoga, Olu A.
    The Nigerian healthcare industry is bedevilled with infrastructural dilapidations and a dysfunctional healthcare system. This study investigated the influence of healthcare professionals’ well-being and quality of work-life (QoWL) on the quality of care (QoC) of patients in Nigeria. A multicentre cross-sectional study was conducted at four tertiary healthcare institutions in southwest, Nigeria. Participants’ demographic information, well-being, quality of life (QoL), QoWL, and QoC were obtained using four standardised questionnaires. Data were summarised using descriptive statistics. Inferential statistics included Chi-square, Pearson’s correlation, independent samples t-test, confirmatory factor analyses and structural equation model. Medical practitioners (n = 609) and nurses (n = 570) constituted 74.6% of all the healthcare professionals with physiotherapists, pharmacists, and medical laboratory scientists constituting 25.4%. The mean (SD) participants’ well-being = 71.65% (14.65), QoL = 61.8% (21.31), QoWL = 65.73% (10.52) and QoC = 70.14% (12.77). Participants’ QoL had a significant negative correlation with QoC while well-being and quality of work-life had a significant positive correlation with QoC. We concluded that healthcare professionals’ well-being and QoWL are important factors that influence the QoC rendered to patients. Healthcare policymakers in Nigeria should ensure improved work-related factors and the well-being of healthcare professionals to ensure good QoC for patients.
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    Institutional and personal determinants of nursing educators’ job satisfaction and turnover intention: a cross-sectional study
    (SpringerNature, 2024) Boamah, Sheila A.; Alumona, Chiedozie J.; Onyeso, Ogochukwu K.; Awosoga, Olu A.
    Background Nursing educators play a critical role in training future nurses, and high turnover can disrupt the training quality and process. This study identified the institutional and personal factors influencing Canadian nursing educators’ job satisfaction and turnover intention. Methods This cross-sectional study used an online survey to obtain the levels of job satisfaction, turnover intention, role description, and institutional and personal/demographic characteristics of nursing faculty across Canadian institutions. Data were analysed using descriptive statistics, chi-square, bivariate linear regression, and hierarchical linear regression. Results A total of 645 participants, with a mean ± SD age of 48.82 ± 10.11 years, returned a completed questionnaire. The average/maximum job satisfaction and turnover intention scores were 12.59/20 ± 3.96 and 6.50/15 ± 3.05, respectively. Higher job satisfaction was significantly associated with lower turnover intention (β=-0.559, p < 0.001). The multivariate analysis showed that having a partner or being married (β = 0.086, p = 0.031), working ≤ 40 h weekly (β=-0.235, p < 0.001), teaching ≤ 4 courses annually (β=-0.115, p = 0.007), and having higher than bachelor’s degree qualification (β=-0.091, p = 0.042) predicted high job satisfaction, while high turnover intention was associated with faculty in the Prairie region (β = 0.135, p = 0.006) and working ≥ 41 h weekly (β = 0.151, p = 0.001). Conclusion Having a partner, manageable workload, and advanced qualifications positively influenced job satisfaction, while high turnover intention was associated with high workloads. Institutions may benefit from ensuring proportionate faculty workloads, fostering career advancement, and providing robust support systems that can stabilise the workforce and preserve the quality of nursing education
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    Investigating academic dishonesty in post-secondary institutions in Canada: a case study of the University of Lethbridge before the COVID-19 pandemic
    (University of Lethbridge, 2021) Awosoga, Olu A.; Meadows, Jeff; Nord, Christina; Varsanyi, Stephanie E.; Barley, Randall
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    Nursing students achieving community health competencies through undergraduate clinical experiences: a gap analysis
    (De Gruyter, 2015) Pijl, Em; Barton, Sylvia; Awosoga, Olu A.; Konkin, Jill
    In Canada, it is widely believed that nursing practice and health care will move from acute care into the community. At the same time, increasing numbers of nursing students are engaged in non-traditional clinical experiences for their community health rotation. These clinical experiences occur at agencies not organizationally affiliated with the health care system and typically do not employ registered nurses (RNs). What has yet to be established is the degree to which nursing students are actually being prepared for community health nursing roles through their community health clinical rotations. In this paper we report the findings of a mixed method study that explored the gap between desired and observed levels of competence in community health of senior nursing students and new graduates. The gap was quantified and then the nature of the gap further explored through focus groups.