Is it or is it not? Covid-19 patients’ (mis)understanding of self-talk

Authors

  • Jeremiah M. Nganda Strathmore Business School, Kenya
  • Kinya Mwithia University of Technology Sydney, Australia
  • Wilson Ugangu Multimedia University of Kenya, Kenya

DOI:

https://doi.org/10.7146/qhc.153231

Keywords:

covid-19, interviews, patients, qualitative approach, self-talk

Abstract

Background: This study considered self-talk within the context of COVID-19 hospitalization, assuming that patients isolated from their usual social contacts would engage in self-talk to compensate for the change in social interactions. Aim: To explore how patients hospitalized with COVID-19 in select hospitals in Nairobi, Kenya, understood and experienced self-talk as a coping strategy during hospitalization. Methods: We employed a qualitative approach, gathering data through interviews with 15 recovered COVID-19 patients who had been hospitalized in prominent hospitals in Nairobi, Kenya. These were selected using both purposive and snowball sampling techniques. Results: Thematic analysis of the data shows that participants used self-talk, though some confused it with thinking and praying. Secondly, while descriptions of self-talk varied, there was a consensus among the participants that the concept refers to talking to oneself. Thirdly, the conversations with the self were either silent or loud. However, there were misconceptions regarding overt self-talk. Discussion: Although participants demonstrated an understanding of self-talk, persistent misconceptions about overt self-talk highlight the need for culturally sensitive health communication interventions. Conclusion: The above findings highlight the need to increase awareness regarding self-talk, especially in health communication and addressing misconceptions that link overt self-talk to mental illness.

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Published

2026-03-16

How to Cite

Nganda, J. M., Mwithia , K., & Ugangu, W. (2026). Is it or is it not? Covid-19 patients’ (mis)understanding of self-talk. Qualitative Health Communication, 5(1), 155–171. https://doi.org/10.7146/qhc.153231