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dc.contributor.authorSmith, Brandon George
dc.contributor.authorWhiffin, Charlotte Jane
dc.contributor.authorEsene, Ignatius N
dc.contributor.authorKarekezi, Claire
dc.contributor.authorBashford, Tom
dc.contributor.authorMukhtar Khan, Muhammad
dc.contributor.authorFontoura Solla, Davi Jorge
dc.contributor.authorIndira Devi, Bhagavatula
dc.contributor.authorHutchinson, Peter John
dc.contributor.authorKolias, Angelos G
dc.contributor.authorFigaji, Anthony
dc.contributor.authorRubiano, Andres M
dc.identifier.citationSmith, B.G., Whiffin, C.J., Esene, I.N., Karekezi, C., Bashford, T., Khan, M.M., Solla, D.J.F., Devi, B.I., Hutchinson, P.J., Kolias, A.G. and Figaji, A., (2021). 'Neurotrauma clinicians’ perspectives on the contextual challenges associated with long-term follow-up following traumatic brain injury in low-income and middle-income countries: a qualitative study protocol'. BMJ open, 11(3), pp. 1-7.en_US
dc.description.abstractTraumatic brain injury (TBI) is a global public health concern; however, low/middle-income countries (LMICs) face the greatest burden. The WHO recognises the significant differences between patient outcomes following injuries in high-income countries versus those in LMICs. Outcome data are not reliably recorded in LMICs and despite improved injury surveillance data, data on disability and long-term functional outcomes remain poorly recorded. Therefore, the full picture of outcome post-TBI in LMICs is largely unknown. This is a cross-sectional pragmatic qualitative study using individual semistructured interviews with clinicians who have experience of neurotrauma in LMICs. The aim of this study is to understand the contextual challenges associated with long-term follow-up of patients following TBI in LMICs. For the purpose of the study, we define ‘long-term’ as any data collected following discharge from hospital. We aim to conduct individual semistructured interviews with 24–48 neurosurgeons, beginning February 2020. Interviews will be recorded and transcribed verbatim. A reflexive thematic analysis will be conducted supported by NVivo software. The University of Cambridge Psychology Research Ethics Committee approved this study in February 2020. Ethical issues within this study include consent, confidentiality and anonymity, and data protection. Participants will provide informed consent and their contributions will be kept confidential. Participants will be free to withdraw at any time without penalty; however, their interview data can only be withdrawn up to 1 week after data collection. Findings generated from the study will be shared with relevant stakeholders such as the World Federation of Neurosurgical Societies and disseminated in conference presentations and journal publications.en_US
dc.description.sponsorshipThis research was supported by the National Institute for Health Research (NIHR) Global Health Research Group on Neurotrauma (grant number 16/137/105) using UK aid from the UK government.en_US
dc.subjectGlobal neurosurgeryen_US
dc.subjectLow- and Middle-Income Countriesen_US
dc.titleNeurotrauma clinicians’ perspectives on the contextual challenges associated with long-term follow-up following traumatic brain injury in low-income and middle-income countries: a qualitative study protocolen_US
dc.contributor.departmentUniversity of Cambridgeen_US
dc.contributor.departmentAddenbrooke’s Hospital, Cambridge, UKen_US
dc.contributor.departmentUniversity of Derbyen_US
dc.contributor.departmentUniversity of Bamenda, Bambili, Northwest Region, Cameroonen_US
dc.contributor.departmentRwanda Military Hospital, Kigali, Rwandaen_US
dc.contributor.departmentNorthwest General Hospital and Research Center, Peshawar, Pakistanen_US
dc.contributor.departmentUniversity of São Paulo, Ribeirao Preto, Brazilen_US
dc.contributor.departmentNational Institute of Mental Health and Neuro Sciences, Bangalore, Indiaen_US
dc.contributor.departmentUniversity of Cape Town, Rondebosch, South Africaen_US
dc.contributor.departmentEl Bosque University, Bogota, Colombiaen_US
dc.identifier.journalBMJ Openen_US
dc.source.journaltitleBMJ Open

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