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- ItemMethodology and reporting quality of 544 studies related to ageing: a continued discussion in setting priorities for ageing research in Africa(Gen-info Ltd., 2022) Kalu, Michael E.; Okeke, Chukwuebuka; Nwachukwu, Ernest; Okoh, Augustine; Akinrolie, Olayinka; Ezulike, Chigozie D.; Adandom, Henrietha; Onyeso, Ogochukwu K.; Egbumike, Joesph; Olatunji, Funmibi D.; Ugwuodo, Ebere P.; Ojembe, Blessing U.; Adandom, Israel I.; Anagbaso, Akaolisa J.; Akinrolie, Omobolade M.; Anieto, Ebuka M.; Ekoh, Prince C.; Makanjuola, John O.; Ibekaku, Michael C.; Iwuagwu, Anthony O.; Onyekere, Chukwuebuka P.; Muomaife, Kelechi J.; Nkoroh, Chinonyerem; Odega, Adaobi; Ogbueche, Chukwudi M.; Omeje, Chidimma; Onyekwuluje, Chisom I.; Oyinlola, Oluwagbemiga; Rayner, Daniel; Ugwuja, Immaculata A.Background: The quality assessment provides information on the overall strength of evidence and methodological quality of a research design, highlighting the level of confidence the reader should place on the findings for decision making. This paper aimed to assess the quality (methodology and quality of reporting) of ageing studies in Sub-Saharan Africa (SSA). Method: This paper is the second of a Four-Part Series paper of a previous systematic mapping review of peer-reviewed literature on ageing studies conducted in SSA. We updated the literature search to include additional 32 articles, a total of 544 articles included in this paper. Downs & Black checklist, Case Report guidelines checklist, the 45-items Lundgren et al. checklist, and the Mixed Method Appraisal Tool were used to assess the methodological quality of quantitative, case reports, qualitative, and mixed-method studies. Quality assessment was piloted and conducted in pairs for each study type. Depending on the checklist, each study was classified as excellent, good, fair, or poor. Result: Of the 544 articles, we performed the quality assessment of a total of 451 quantitative studies [Randomized control trials (RCTs) and pre-post (n=15), longitudinal (n=122), case-control (n=15) and cross-sectional (n=300); 4 case reports, 74 qualitative and 15 mixed-method studies. Only 20.4% (n=111) articles were of high quality [one RCT, 27 longitudinal, 4 case-control, 48 cross-sectional studies, 19 qualitative, and 12 mixed-method studies]. The remaining 433 were rated as moderate quality (n=292, 53.7%), fair quality (n = 96, 17.7%) and poor quality (n = 45, 8.2%). Most (80%) quantitative articles’ sample size is small, resulting in insufficient power to detect a clinically or significant important effect. Three-quarter (75%) of the qualitative studies did not report their research team characteristics and a reflexivity component of the 45-items Lundgren et al. checklist. Mixed-method studies with low quality did not report the qualitative studies properly. Conclusion: We conclude that the methodological and quality reporting of published studies on ageing in SSA show variable quality, albeit primarily moderate quality, against high quality. Studies with a large sample size are recommended, and qualitative researchers should provide a section on research team members’ characteristics and reflexivity in their paper or as an appendix.
- ItemHealth and well-being of Hutterite farmers in Alberta: results from the Sustainable Farm Families Alberta program(Wolter Kluwer, 2023) Adandom, Henrietha ; Ofori-Dei, Samuel M.; Hallstrom, Lars K.Introduction: This article describes the health and lifestyle profile of Hutterite farmers in Alberta who participated in a health literacy education program. Methods: Longitudinal quantitative and qualitative data from the sustainable farm families (SFF) Alberta program (2014–2017) were used to describe the health and lifestyle profile of Hutterites. Data were analysed using descriptive statistics and conventional and summative content analysis. Results: Four hundred and twenty-seven Hutterite men and women aged 18–75 years participated in a health literacy education program. About 50%–80% of Hutterites reported good health status, no hearing or sleeping problems, little to no body pain, fewer breathing and bladder difficulties and no constipation/diarrhoea. On average, the risk of diabetes was low (mean = 3.4) with total glucose (mean = 5.2) and cholesterol (mean = 3.5) within normal levels. Mental health outcomes such as anxiety (mean = 4.1), stress (mean = 6.7) and depression (mean = 3.1) were also within normal to mild ranges. Qualitative data showed that Hutterite farmers are committed to maintaining physical health and adopting strategies to improve mental health and lifestyle behaviours. Conclusion: Hutterites have recognisable health challenges like other rural farming communities but are aware of their physical and mental health challenges and engage in healthy lifestyle behaviours. The Hutterite tenets of living present a perfect ecological setting for sustainable health promotion intervention.