A5085057246- HIV/AIDS Research and Interventions
- Homelessness and Social Issues
- Maternal Mental Health During Pregnancy and Postpartum
- Adolescent Sexual and Reproductive Health
- Mental Health Treatment and Access
- Substance Abuse Treatment and Outcomes
- Child and Adolescent Psychosocial and Emotional Development
- HIV, Drug Use, Sexual Risk
- COVID-19 and Mental Health
- Migration, Health and Trauma
- Online and Blended Learning
- Intimate Partner and Family Violence
- Child Abuse and Trauma
- Innovative Teaching and Learning Methods
- Gambling Behavior and Treatments
- Online Learning and Analytics
- Attachment and Relationship Dynamics
- Mental Health and Psychiatry
- Schizophrenia research and treatment
- Epilepsy research and treatment
- Prenatal Substance Exposure Effects
- Psychosomatic Disorders and Their Treatments
- Digital Mental Health Interventions
- Knowledge Management and Sharing
- Poverty, Education, and Child Welfare
University of Zambia
2015-2024
University Teaching Hospital
2014-2023
Lusaka Apex Medical University
2022
University of Nottingham
2022
University of Lusaka
2022
East Carolina University
2004-2021
New Jersey Institute of Technology
2003
An international consensus clinical practice statement issued in 2011 ranked psychogenic nonepileptic seizures (PNES) among the top three neuropsychiatric problems. ILAE PNES Task Force was founded and initially charged with summarizing current state of art terms diagnosis treatment, resulting two publications. The first described different levels diagnostic certainty. second summarized knowledge management approaches. present paper summarizes an workshop that focused on understanding around...
Both intimate partner violence (IPV) and alcohol misuse are highly prevalent, is a significant contributor to women's risk for IPV. There few evidence-based interventions address these problems in low- middle-income countries (LMICs). We evaluated the effectiveness of an evidence-based, multi-problem, flexible, transdiagnostic intervention, Common Elements Treatment Approach (CETA) reducing (a) experience IPV (b) their male partner's among couples urban Zambia.This was single-blind,...
Studies from a small number of countries suggest that patients with psychogenic nonepileptic seizures (PNES) have limited access to diagnostic and treatment services. The PNES Task Force the International League Against Epilepsy (ILAE) carried out 2 surveys explore diagnosis around world.A short survey (8 questions) was sent all 114 chapters ILAE. A longer (36 completed by healthcare professionals who see seizures. Questions were separated into 5 sections: professional role, methods,...
Abstract Background Little is known of the epidemiology primary headache disorders in sub-Saharan Africa. We performed a population-based survey Zambia using methods previously tested multiple other countries. Methods This cross-sectional was conducted by visiting households unannounced, cluster-randomized sampling, mostly urban Lusaka Province and rural Southern Province. Within clusters, were selected randomly, as one adult member (18-65 years old) each household. A structured...
Transactional distance has been defined as barriers to students' engagement with learning in the online environment. This research updates Zhang's (2003) scale of transactional distance, which quantified extent barriers, light massive changes today's web-based The resulting revised (RSTD) is a parsimonious version 12 elements (compared 31 original) that measure between student and teacher, student, content. RSTD excellent factorial validity reliability, yields better fit statistics, easier...
An international association advancing the multidisciplinary study of informing systems. Founded in 1998, Informing Science Institute (ISI) is a global community academics shaping future science.
Abstract Background Three headache disorders – migraine, tension-type (TTH) and medication-overuse (MOH) are major contributors to population ill-health. Policy-makers need local knowledge of these guide priority-setting. Earlier we reported the prevalence in Zambia; here describe burdens attributable them. Methods This was a cross-sectional population-based survey adults aged 18-65 years, selected by cluster-randomized sampling mostly urban Lusaka Province rural Southern Province....
Case-based learning is an interactive group approach that embodies the principles of Socratic inquiry. It a common pedagogy used in many disciplines including business, law, and health. With online being fastest growing segment higher education, case-based also finding its way into courses. This research was conducted on population 698 students enrolled The use Structural Equation Modelling provided understanding factors influence student satisfaction. Through Logistics Regression, extent to...
The COVID-19 pandemic has increased social and emotional stressors globally, increasing mental health concerns the risk of psychiatric illness worldwide. To date, relatively little is known about impact on vulnerable groups such as women children in low-resourced settings who generally have limited access to care. We explore two rounds data collected part an ongoing trial early childhood development assess distress among mothers under 5-years-old living rural areas Zambia during pandemic....
Based on the Theory of Transactional Distance and Needs Assessment, this article reports a procedure for quantitatively measuring how close actual delivery course was to ideal, as perceived by students. It extends Zhang's instrument prescribes computational steps calculate relative proximity at element construct level. Radar graphs are shown provide useful visualization proximity. Stepwise multiple regression is used determine impact changes in student satisfaction. This allows...
Mental health disorders are one of the most common causes that limit ability mothers to care for themselves and their children. Recent data suggest high rates distress among women in charge young children Zambia. Nevertheless, Zambia's public healthcare offers very limited treatment mental distress. To address this gap, study aims test feasibility, acceptability, potential efficacy a context-adapted psychosocial intervention. A total 265 with needs (defined as SRQ-20 scores above 7) were...
Inequitable gender norms, including the acceptance of violence in intimate relationships, have been found to be associated with occurrence partner (IPV) perpetration and victimization. Despite these findings, few studies considered whether inequitable norms are related IPV severity. This study uses baseline data from a psychotherapeutic intervention targeting heterosexual couples ( n = 247) Lusaka, Zambia, who reported moderate severe male-perpetrated male hazardous alcohol use consider: (a)...
Abstract Background Intimate partner violence (IPV) and unhealthy alcohol use are common yet often unaddressed public health problems in low- middle-income countries. In a randomized trial, we found that the elements treatment approach (CETA), multi-problem, flexible, transdiagnostic intervention, was effective reducing IPV among couples Zambia at 12-month post-baseline assessment. this follow-up study, investigated whether effects were sustained CETA participants 24-months post-baseline....
Health protective behaviours are crucial in the prevention of spread COVID-19, particularly university students who typically live and study large groups. Depression anxiety common can impact young people's motivations to follow health advice. The aims assess relationship between mental COVID-19 health-protective Zambian with symptoms low mood.The was a cross-sectional, online survey students. Participants were also invited take part semi-structured interview explore views about vaccination....
This paper describes a program of research designed to understand how knowledge-sharing and learning can be supported in virtual communities. To conduct this research, we propose the development series knowledge sharing tools procedures followed by rigorous evaluation use these real community environments. The starts with brief examination relevant theory management learning. leads comprehensive set questions. investigate questions, next for supporting collaboration, distributed Evaluation...
ABSTRACT This article applies Deming's Plan‐Do‐Study‐Act (PDSA) cycle of continual improvement to a course taught with both blended and online sections. It uses Relative Proximity Theory, an extension the Theory Transactional Distance, measure quality online/blended learning as function obstacles student's full engagement course. These can arise because transactions fellow students, instructor, content, or from instructional technology used in Using stepwise multiple regression, most...
Through a nationally-representative household survey, we measured the prevalence and correlates of unhealthy alcohol use (UAU) in Zambia its association with HIV care continuum. Adolescent adult (ages 15–59 years) data, including Alcohol Use Disorders Identification Test-Consumption (AUDIT-C), from 2016 Population-based Impact Assessment, were analyzed. UAU was defined as AUDIT-C 3 + points for women 4 men. Among 20,923 participants, 15.3% had UAU; this 21.6% among people living (PLWH). Male...
Abstract Background Alcohol abuse is common in Zambia and a growing threat to achieving the 90 treatment target ending HIV epidemic. Brief counselling offered but has limited effectiveness possibly because it does not address mental health issues that underpin drinking behavior. We assessed frequency nature of comorbid HIV-positive drinkers Zambia. Methods As part an ongoing randomized control trial (NCT03966885), we recruited positive adults on ART who reported at least 1 alcoholic drink...
Prevalence of unhealthy alcohol use and co-occurring mental health problems is high among persons living with HIV (PLWH) in sub-Saharan Africa (SSA). Yet, there a dearth evidence-based treatment options that can address both comorbidities SSA care settings. Recent studies testing single-session brief interventions (BIs) PLWH have suggested more robust treatments are needed. This paper describes the protocol pilot randomized controlled superiority trial will test effectiveness an...