Using Formative Research to Develop a Counselor Training Program for Newborn Screening in Ghana.

Sickle cell disease (SCD), sickle cell trait (SCT) and related conditions are highly prevalent in sub-Saharan Africa. Despite the public health implications, there is limited understanding of the unique needs regarding establishing and implementing extensive screening for newborns and appropriate fa...

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Published in:Journal of Genetic Counseling Vol. 24; no. 2; pp. 267 - 278
Main Authors: Treadwell, Marsha, Anie, Kofi, Grant, Althea, Ofori-Acquah, Solomon, Ohene-Frempong, Kwaku
Format: Journal Article
Published: Wiley-Blackwell Apr2015
Online Access:View this record in EBSCOhost
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      dt: Apr2015
      vid: 24
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Using Formative Research to Develop a Counselor Training Program for Newborn Screening in Ghana.
      aug:
        au:
          Treadwell, Marsha
          Anie, Kofi
          Grant, Althea
          Ofori-Acquah, Solomon
          Ohene-Frempong, Kwaku
        affil: Hematology/Oncology Department, UCSF Benioff Children′s Hospital Oakland, 747 52nd Street Oakland 94609 USA
      sug:
        subj:
          Counseling Education
          Neonatal Assessment Education
          Attitude of Health Personnel
          Information Needs
          Needs Assessment
          Anemia, Sickle Cell Familial and Genetic
          Sickle Cell Trait Familial and Genetic
          Ghana
          Cross Sectional Studies
          Phenomenological Research
          Purposive Sample
          Focus Groups
          Thematic Analysis
          Interrater Reliability
          Human
          Male
          Female
          Adult
          Descriptive Statistics
          Funding Source
          Adult: 19-44 years
          Male
          Female
      ab: Sickle cell disease (SCD), sickle cell trait (SCT) and related conditions are highly prevalent in sub-Saharan Africa. Despite the public health implications, there is limited understanding of the unique needs regarding establishing and implementing extensive screening for newborns and appropriate family counseling. We sought to gain understanding of community attitudes and beliefs about SCD/SCT from counselors and potential counselors in Ghana; obtain their input about goals for counseling following newborn screening; and obtain guidance about developing effective counselor education. Five focus groups with 32 health care providers and health educators from 9 of 10 regions in Ghana were conducted by trained facilitators according to a structured protocol. Qualitative data were coded and categorized to reflect common themes. Saturation was achieved in themes related to genetics/inheritance; common complications of SCD; potential for stigmatization; marital strain; and emotional stress. Misconceptions about SCT as a form of SCD were prevalent as were cultural and spiritual beliefs about the causes of SCD/SCT. Potential positive aspects included affected children′s academic achievement as compensation for physical limitations, and family cohesion. This data informed recommendations for content and structure of a counselor training program that was provided to the Ministry of Health in Ghana.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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