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Communicating the ethical, legal, and social issues in neurobiobanking and stroke genomic research in Africa: Project intervention tools development and evaluation procedures

Lookup NU author(s): Professor Raj KalariaORCiD

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND).


Abstract

© 2025. Background and Aim: Issues concerning appropriate Community Engagement (CE) and communication of research outcomes with stakeholders have received the attention of scholars in different sub-fields of clinical research. However, given its novel nature, especially in Sub-Saharan Africa, CE addressing the ethical, legal, and social implications (ELSI) of neurobiobanking and stroke genomic research has not received much scholarly attention. Therefore, this study was designed as a pioneering effort to report the procedures for developing and evaluating intervention tools for the CE component of the African Neurobiobank for Precision Stroke Medicine ELSI Project. Methods: A community-based participatory research design was adopted. The intervention tools we developed include general advocacy, educative, and training videos focusing on neurobiobanking, stroke genomics and precision stroke medicine in Africa; infographics; and a policy brief. An adapted Doak and Doak's Suitability Assessment Measure (SAM), the Agency for Healthcare Research and Quality (AHRQ) Patient Education Materials Assessment Tool (PEMAT), and semi-structured interview questions based on Willis’ Cognitive Interviewing Techniques were used to evaluate the suitability, actionability, understandability and cultural appropriateness of the tools. Results: PEMAT mean percentage scores of 71.4 % for actionability and 82.4 % for understandability, and a SAM suitability score of 67.9 % were reported for the videos. Identified weaknesses captured in seven thematic areas after assessment analysis by experts and community members guided the final refinement of the tools. Conclusion: The overall reviewers’ reports and evaluation scores indicate that the intervention tools are generally suitable for community deployment in sub-Saharan Africa. Clinical researchers must partner with key stakeholders, define policy objectives and desired behaviour change, and develop appropriate persuasive communication strategies and tools for community engagement.


Publication metadata

Author(s): Ojebuyi BR, Afolami I, Adigun M, Singh A, Jenkins C, Nichols M, Wahab K, Bello A, Sarfo FS, Owolabi LF, Musbahu R, Obiako R, Akpalu A, Ogunronbi M, Olorunsogbon O, Calys-Tagoe B, Adesina D, Coleman N, Sule AG, Mande A, Uthman M, Titiloye M, Uvere E, Bukola O, Laryea R, Fakunle A, Adeleye O, Mensah N, Yusuf J, Adeniyi S, Asibey S, Omotoso L, Melikam L, Olujobi D, Oguike W, Akinyemi J, Jegede A, Kalaria R, Ovbiagele B, Owolabi M, Arulogun O, Akinyemi R

Publication type: Article

Publication status: Published

Journal: Journal of Stroke and Cerebrovascular Diseases

Year: 2025

Volume: 34

Issue: 8

Print publication date: 01/08/2025

Online publication date: 14/06/2025

Acceptance date: 13/06/2025

Date deposited: 10/07/2025

ISSN (print): 1052-3057

ISSN (electronic): 1532-8511

Publisher: W.B. Saunders

URL: https://doi.org/10.1016/j.jstrokecerebrovasdis.2025.108378

DOI: 10.1016/j.jstrokecerebrovasdis.2025.108378

Data Access Statement: The datasets used and analyzed are available from the corresponding author.


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Funding

Funder referenceFunder name
African Neurobiobank for Precision Stroke Medicine ELSI Project
Alzheimer Association and Global Brain Health Institute (GBHI ALZ UK-21- 24204)
African Academy of Sciences
National Institutes of Health as part of the H3Africa Consortium
SIREN Study
Systematic Investigation of Blacks with Stroke using Genomics (SIBS Genomics) Study
UK Royal Society

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