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Title: Cultural beliefs about TBI in Botswana.
Epworth Authors: Ponsford, Jennie
Other Authors: Mbakile-Mahlanza, Lingani
Manderson, Lenore
Keywords: Monash-Epworth Rehabilitation Research Centre, Epworth Hospital, Melbourne, Victoria, Australia.
Brain Injuries
Trauma, Brain
Traumatic Brain Injury
Cultural Background
Issue Date: Jan-2017
Publisher: Taylor & Francis Online
Citation: Neuropsychological Rehabilitation 2017 Jan;27(1):38-59. Epub 2015 Sep 23.
Abstract: Cultural differences have been shown to have an influence on outcome following traumatic brain injury (TBI). This study examined illness representations and the nature of beliefs about TBI in Botswana, a small middle income country in southern Africa. Participants included 26 people who had sustained moderate to severe TBI, 18 caregivers (all significant others) and 27 healthcare workers. A mixed-methods approach was utilised. Illness representations were assessed using the revised Illness Perception Questionnaire (IPQ-R), and beliefs and perceptions about cause of injury were established through semi-structured qualitative interviews. Results indicated that participants considered TBI to be chronic in nature and accompanied by serious consequences. Participants held positive attitudes about the manageability of symptoms despite having little understanding about TBI and its consequences. People with TBI tended to report fewer symptoms than did their caregivers. In addition, although some participants held concrete beliefs about the causes of injury, many participants attributed the injury to supernatural causes. Religious interpretations were also commonly held. Although age appeared to be associated with beliefs, no significant relationships existed between demographic factors and beliefs about the injury. This study highlights the importance of understanding the cultural perspectives of patients and their families in order to provide effective care.
DOI: 10.1080/09602011.2015.1053946
PubMed URL:
ISSN: 0960-2011
Journal Title: Neuropsychological Rehabilitation
Type: Journal Article
Affiliated Organisations: School of Psychological Sciences, Monash University, Melbourne, Victoria, Australia.
School of Public Health, University of the Witwatersrand, Johannesburg, South Africa.
Type of Clinical Study or Trial: Survey
Appears in Collections:Neurosciences

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