SUPERVISION OF UNDERGRADUATE AND POSTGRADUATE STUDENT RESEARCH

SUPERVISION OF UNDERGRADUATE AND POSTGRADUATE STUDENT RESEARCHA. Completed Thesis supervision

Postgraduate

Kiptoo, R. Beliefs about auditory hallucinations and coping strategies among patients with schizophrenia. Alexandria University Master of Psychiatric Nursing and Mental Health Thesis. Status: completed November 2018

Cherop, F. Exploring research fatigue in Mosoriot, Western Kenya. Moi University Master of Science in International Health Research Ethics Thesis. Status: Completed October 2018

Okutoyi, P. Psychological sequelae in School-aged children following post-election violence. Moi University Master of Public Health Thesis. Status: Completed September 2017

Kamau, E.W. Factors Influencing Access to Mental Health Services; A case study of Thigio, a Village in Kiambu County. Moi University Master of Public Health Research Thesis. Status: Completed November 2016

Papa, E. Substance use among secondary school students in Kitale. Moi University Master of Medicine in Psychiatry Thesis. Status: Completed September 2016

Kisaka, S. The relationship between depression and WHO clinical stage of HIV among patients attending Comprehensive Care Clinic at Webuye Hospital. Moi University Master of Medicine in Family Medicine Thesis. Status: Completed September 2016

Otara, P. Challenges facing health workers in psychiatric units at Level Five hospitals in Western Kenya. Moi University Master of Public Health Thesis Status: Completed 2014

Abiad, S. Socio-demographic characteristics and physical Symptomatology of Women exposed to gender-based Violence in Western Kenya. University of Maastricht Master of Clinical Psychology Thesis. Status: Completed 2014

Kyerematen, A. Guide to Healing: Psychosocial barriers to HIV care for women in Kenya and North Carolina. Duke University MSc Global Health Thesis. Status: Completed April 2013

Wesseldijk, L. Effect of an intervention on outcome after traumatic brain injury at the Moi Teaching and Referral Hospital, Eldoret, Kenya. Maastricht University Masters in Clinical Psychology Thesis. Status: Completed March 2013

Aelmans, M. Predictors of intimate-partner violence experienced by female staff and outpatients at MTRH in Eldoret, Kenya. Maastricht University Masters in Clinical Psychology Thesis. Status: Completed November 2011

Wierich, J. PTSD, Depression and Alcohol Abuse among Survivors of Internal Displacement in Uasin Gishu County, Kenya – A comparative questionnaire-based study. Maastricht University Masters in Clinical Psychology Thesis. Status: Completed October 2011

Mutabazi, M. Job satisfaction amongst health workers at CARAES Ndera neuropsychiatric hospital. Moi University MPH research thesis. Status: Completed July 2011.

Kamau, J. W. Psychiatric Morbidity among HIV infected Children and Adolescents aged between 6-18 years attending a comprehensive care clinic for HIV/AIDS in a resource-poor urban Kenyan setting. University of Nairobi Master of Medicine in Psychiatry Dissertation. Status: Completed July 2010; Scientific paper published (AIDS Care 2012; 1-7, iFirst DOI:10.1080/09540121.2011.644234)

Undergraduate

Okembo, A., Obeya, E., Akonde, A., and Nyongesa, K. Relationship between maternal depression and nutritional status of children under five years attending the child welfare clinic at Huruma Health Centre, Eldoret. Status: Completed October 2012

Lihenzero, E., Kimutai, G., Rotich, R. Alcohol use amongst HIV/AIDS patients at Mosoriot Rural Health Training Centre. Moi University COBES IV Research. Status: Completed August 2011

Sang, C.K., Kimani, N.N., Charo, K.S. Prevalence of Common Mental Disorders Among University students at Moi University Town Campus. Moi University COBES IV Research. Status: Completed August 2011

Mungla, P. Implementation of Health Sector Reforms at the Kisumu District Hospital. Moi University COBES V student research. Status: Completed October 2010

Kinoti, K., Ogot, E., Mungla, P., Ndung’u, M. Prevalence and factors associated with substance use among college students in Eldoret, Kenya. Moi University COBES IV research. Status: Completed October 2009; Scientific paper published (BMC Psychiatry 2011; 11:34)

B. Ongoing supervision

Postgraduate

Kenei, C. Mental Health barriers to HIV care for women in Kenya and North Carolina. Moi University MPH Thesis. Status: Data analysis ongoing

Njuguna, M. Psychiatric Morbidity and care of HIV-Infected children in Moi Teaching and Referral Hospital, Eldoret, Kenya. Moi University Master of Medicine in Psychiatry Thesis. Status: Data Collection underway

Chirchir, C. Health related quality of life after lower limb amputation at the Moi Teaching and Referral Hospital. Moi University Master of Medicine in Orthopaedic Surgery Thesis. Status: Data Collection underway

Kwobah, E. Cardiovascular disease risk among patients with severe mental illness. Department of Psychiatry and Mental Health PhD Thesis at the University of Cape Town, South Africa. Status: Data Collection underway

Biomndo, B. Impact of Intimate Partner Violence on adherence to Antiretroviral Therapy among HIV-Positive women in AMPATH, a health project in Western Kenya. Doctoral Thesis at the Medizinische Fakultät Charité-Universitätsmedizin Berlin, Germany. Status: Data Collection underway

Bargoria, V. Cognitive Behaviour Therapy for prevention of athletic injury among Kenyan and Swedish athletes. PhD Thesis at Linköping University, Sweden. Status: Data Collection underway

Momanyi, H. Prevalence and predictors of the long QT syndrome in a cohort of psychiatric patients at Moi Teaching and Referral Hospital. Moi University Master of Medicine in Internal Medicine Thesis. Status: Proposal under development

Standa, S. B. Alternative medicine and its effects on medication adherence among mentally ill persons on follow up at MTRH, Eldoret, Kenya. Moi University Master of Medicine in Psychiatry Thesis. Status: Data Collection Underway

Momanyi, R. Psychiatric morbidity among patients on treatment for tuberculosis at Moi Teaching and Referral Hospital, Eldoret, Kenya. Moi University Master of Medicine in Psychiatry Thesis. Status: Proposal under development

Offered:

2018

Recent Publications

Takahashi R, Wilunda C, Magutah K, Mwaura-Tenambergen W, Atwoli L, Perngparn U. {Evaluation of alcohol screening and community-based brief interventions in rural western Kenya: A quasi-experimental study}. Alcohol and Alcoholism. 2018;53.Abstract

© The Author 2017. Medical Council on Alcohol and Oxford University Press. All rights reserved. Aims: To assess the effectiveness of community-based alcohol brief interventions (ABI) implemented by community-health workers with and without motivational talks (MT) by former drinkers, in reducing harmful and hazardous alcohol consumption.Methods: We conducted a three-arm quasi-experimental study (one control and two intervention groups) between May and December 2015 in Kakamega County, Kenya. Participants were hazardous or harmful alcohol drinkers with an Alcohol Use Disorders Identification Test (AUDIT) score of 8-19 at baseline. One intervention group received only ABI while the other received ABI + MT. The interventions' effects on AUDIT scores were analysed using linear mixed models. Logistic regression was used to analyse the interventions' effects on low-risk drinking (AUDIT score {\textless} 8) after 6 months.Results: The study included 161 participants: 52 in the control group, 52 in the only ABI group and 57 in the ABI + MT group. The mean AUDIT scores were lower in the intervention groups at 1, 3 and 6 months post-intervention; the ABI + MT group showed a greater reduction. The mean AUDIT scores over a 6-month period were lower in both intervention groups compared with the control group. The odds of low-risk drinking were almost two times higher in both intervention groups than in the control group, although the effect of only ABI on low-risk drinking was not significant.Conclusions: ABI + MT and only ABI were associated with a reduced mean AUDIT score among hazardous and high-risk drinkers in this resource-limited setting. ABI + MT was also associated with low-risk drinking in this population.Short summary: Community-based alcohol brief interventions implemented by community-health workers accompanied by motivational talks by former drinkers were associated with reduced hazardous and harmful alcohol consumption in a rural setting in western Kenya.

Embleton L, Nyandat J, Ayuku D, Sang E, Kamanda A, Ayaya S, Nyandiko W, Gisore P, Vreeman R, Atwoli L. {Sexual Behavior Among Orphaned Adolescents in Western Kenya: A Comparison of Institutional- and Family-Based Care Settings}. Journal of Adolescent Health. 2017;60.Abstract

© 2016 Society for Adolescent Health and Medicine Purpose This study sought to assess whether risky sexual behaviors and sexual exploitation of orphaned adolescents differed between family-based and institutional care environments in Uasin Gishu County, Kenya. Methods We analyzed baseline data from a cohort of orphaned adolescents aged 10–18 years living in 300 randomly selected households and 19 charitable children's institutions. The primary outcomes were having ever had consensual sex, number of sex partners, transactional sex, and forced sex. Multivariate logistic regression compared these between participants in institutional care and family-based care while adjusting for age, sex, orphan status, importanc e of religion, caregiver support and supervision, school attendance, and alcohol and drug use. Results This analysis included 1,365 participants aged ≥10 years: 712 (52{%}) living in institutional environments and 653 (48{%}) in family-based care. Participants in institutional care were significantly less likely to report engaging in transactional sex (adjusted odds ratio,.46; 95{%} confidence interval,.3–.72) or to have experienced forced sex (adjusted odds ratio,.57; 95{%} confidence interval,.38–.88) when controlling for age, sex, and orphan status. These associations remained when adjusting for additional variables. Conclusions Orphaned adolescents living in family-based care in Uasin Gishu, Kenya, may be at increased risk of transactional sex and sexual violence compared to those in institutional care. Institutional care may reduce vulnerabilities through the provision of basic material needs and adequate standards of living that influence adolescents' sexual risk-taking behaviors. The use of single items to assess outcomes and nonexplicit definition of sex suggest the findings should be interpreted with caution.

Shangani S, Operario D, Genberg B, Kirwa K, Midoun M, Atwoli L, Ayuku D, Galárraga O, Braitstein P. {Unconditional government cash transfers in support of orphaned and vulnerable adolescents in western Kenya: Is there an association with psychological wellbeing?}. PLoS ONE. 2017;12.Abstract

© 2017 Shangani et al.This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Background Orphaned and vulnerable adolescents (OVA) in sub-Saharan Africa are at greater risk for adverse psychological outcomes compared with their non-OVA counterparts. Social interventions that provide cash transfers (CTs) have been shown to improve health outcomes among young people, but little is known about their impact on the psychological wellbeing of OVA. Objective Among OVA in western Kenya, we assessed the association between living in a household that received monthly unconditional government CTs and psychological wellbeing. Methods We examined the likelihood of depression, anxiety, post-traumatic stress symptoms (PTSS) and positive future outlook among 655 OVA aged between 10 and 18 years who lived in 300 randomly selected households in western Kenya that either received or did not receive unconditional monthly CTs. Results The mean age was 14.0 (SD 2.4) years and 329 (50.2{%}) of the participants were female while 190 (29.0{%}) were double orphans whose biological parents were both deceased. After adjusting for socio-demographic, caregiver, and household characteristics and accounting for potential effects of participant clustering by sub-location of residence, OVA living in CT households were more likely to have a positive future outlook (odds ratio [OR] 1.47, 95{%} confidence interval [CI] 1.08, 1.99), less likely to be anxious (OR 0.57, 95{%} CI 0.42, 0.78), and less likely to have symptoms of post-traumatic stress (OR 0.50, 95{%} CI 0.29, 0.89). We did not find statistically significant differences in odds of depression by CT group. Conclusion OVA in CT households reported better psychological wellbeing compared to those in households not receiving CTs. CT interventions may be effective for improving psychological wellbeing among vulnerable adolescents in socioeconomically deprived households.

Lukoye Atwoli

Associate Professor of Psychiatry

SUPERVISION OF UNDERGRADUATE AND POSTGRADUATE STUDENT RESEARCH

Offered:

Recent Publications

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