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Cited by 29Community Health and DevelopmentHealth Promotion and Cardiovascular PreventionCardiovascular Health and Risk Factors

Building cardiovascular disease competence in an urban poor Ghanaian community: A social psychology of participation approach

de‐Graft Aikins, Ama, Kushitor, Mawuli, Kushitor, Sandra Boatemaa, Sanuade, Olutobi, Asante, Paapa Yaw, Sakyi, Lionel, Agyei, Francis, Koram, Kwadwo +1 more·2020·Journal of Community & Applied Social Psychology
DOI 10.1002/casp.2447
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Abstract

This paper describes conceptual, methodological, and practical insights from a longitudinal social psychological project that aims to build cardiovascular disease (CVD) competence in a poor community in Accra, Ghana's capital. Informed by a social psychology of participation approach, mixed method data included qualitative interviews and household surveys from over 500 community members, including people living with diabetes, hypertension, and stroke, their caregivers, health care providers, and GIS mapping of pluralistic health systems, food vending sites, bars, and physical activity spaces. Data analysis was informed by the diagnosis‐psychosocial intervention‐reflexivity framework proposed by Guareschi and Jovchelovitch. The community had a high prevalence of CVD and risk factors, and CVD knowledge was cognitive polyphasic. The environment was obesogenic, alcohol promoting, and medically pluralistic. These factors shaped CVD experiences and eclectic treatment seeking behaviours. Psychosocial interventions included establishing a self‐help group and community screening and education. Applying the “AIDS‐competent communities” model proposed by Campbell and colleagues, we outline the psychosocial features of CVD competence that are relatively easy to implement, albeit with funds and labour, and those that are difficult. We offer a reflexive analysis of four challenges that future activities will address: social protection, increasing men's participation, connecting national health policy to community needs, and sustaining the project.

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  • Relational ethics encourage an emphasis on inclusive practices, dialogue, mutual respect and care, collective decision-making, and collaborative action.

    “Relational ethics encourage an emphasis on inclusive practices, dialogue, mutual respect and care, collective decision-making, and collaborative action 60 .”

    From Participatory action research (2023) · cites this paper as [60]

  • Relational ethics are important to PAR projects and raise critical questions regarding the purpose and conduct of knowledge production and application.

    “Beyond procedural research ethics perspectives, relational ethics [G] are important to PAR projects and raise critical questions regarding the purpose and conduct of knowledge production and application.39,60,61”

    From Participatory action research (2023) · cites this paper as [60]

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Authors
de‐Graft Aikins, A., Kushitor, M., Kushitor, S. B., Sanuade, O., Asante, P. Y., Sakyi, L., Agyei, F., Koram, K., & Ogedegbe, G.
Affiliations
  • Institute of Advanced Studies University College London London UK
  • University of Ghana (GH)
  • New York University (US)
ORCID
Venue
Journal of Community & Applied Social Psychology
Publisher
Wiley
Published
2020-01-08
Volume
30
Issue
4
Pages
419-440
ISSN
  • 1052-9284 (ISSN-L)
  • 1099-1298
DOI
10.1002/casp.2447
OpenAlex
W3000097864
Cited by
29
References
26
Citations by year
2026: 4 · 2025: 1 · 2024: 12 · 2023: 4 · 2022: 1 · 2021: 7
FWCI
3.13
Type
journal article
Language
en
Open access
closed
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
Journal of Community & Applied Social Psychology (publishedVersion)
Funders
University of Ghana (LMG‐005‐FSS)
Topics
  • Health Sciences › Health Professions › General Health Professions › Community Health and Development
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
Keywords
cardiovascular disease, health competence, urban poverty, Accra, Ghana, diabetes mellitus, hypertension, stroke, self-help groups, obesogenic environment, alcohol promotion, treatment-seeking behavior, psychosocial interventions, social protection, male participation, health policy, project sustainability

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