Evidence map›Paper›PMID 24991909›Full record

ArticleAIDS (London, England)2014

Family-based prevention of mental health problems in children affected by HIV and AIDS: an open trial.

Theresa S Betancourt, Lauren C Ng, Catherine M Kirk, Morris Munyanah, Christina Mushashi, Charles Ingabire, Sharon Teta, William R Beardslee, Robert T Brennan, Ista Zahn and 3 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in AIDS (London, England), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02510313 (Effectiveness Trial of a Family Home Visiting Intervention to Promote Early Child Development Among Families Served by the Social Protection System in Rwanda), which is not on this map. Cited by 39 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 4 pooled it
16.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02510313 nacompletednot on this mapstarted 2018, after this paper: background citation

Effectiveness Trial of a Family Home Visiting Intervention to Promote Early Child Development Among Families Served by the Social Protection System in Rwanda

TypeinterventionalSponsorBoston CollegeRan2018 to 2019Enrolled2,911ConditionsChild Development, Social ProtectionArmsSugira Muryango
3 · Its place in the literature

Who cites it

39 citing papers in PubMed, 4 syntheses or guidelines pooled it, 77 citations in OpenAlex.

  1. Pooled it
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  3. A Systematic Review and Meta-Analysis of Interventions for Orphans and Vulnerable Children Affected by HIV/AIDS Worldwide.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2020
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  8. Family-based promotion of mental health in children affected by HIV: a pilot randomized controlled trial.Journal of child psychology and psychiatry, and allied disciplines · 2017
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 5 institutions in 2 countries.

Theresa S BetancourtaDepartment of Global Health and Population, Harvard School of Public Health bFrançois-Xavier Bagnoud Center for Health and Human Rights, Harvard University, Boston, Massachusetts, USA cPartners In Health/Inshuti Mu Buzima, Rwinkwavu, Rwanda dDepartment of Psychiatry, Boston Children's Hospital ePartners In Health, Boston, Massachusetts, USA fDepartment of Clinical Psychology, University of Rwanda, Butare, Rwanda.
Lauren C Ng
Catherine M Kirk
Morris Munyanah
Christina Mushashi
Charles Ingabire
Sharon Teta
William R Beardslee
Robert T Brennan
Ista Zahn
Sara Stulac
Felix R Cyamatare
Vincent Sezibera
Partners In Health · USHarvard University · USBoston Children's Hospital · USHarvard Global Health Institute · USUniversity of Rwanda · RW

Funding

Family-Based Prevention of Mental Health Problems in HIV/AIDS Affected ChildrenR34MH084679 · NIMH · HARVARD SCHOOL OF PUBLIC HEALTH · PI BETANCOURT, THERESA STICHICK · 2011 to 2013
$932k
NIMH NIH HHS R34 MH084679
6 · The paper itself

Abstract

objectiveThe objective of this study is to assess the feasibility and acceptability of an intervention to reduce mental health problems and bolster resilience among children living in households affected by caregiver HIV in Rwanda.

designPre-post design, including 6-month follow-up.

methodsThe Family Strengthening Intervention (FSI) aims to reduce mental health problems among HIV-affected children through improved child-caregiver relationships, family communication and parenting skills, HIV psychoeducation and connections to resources. Twenty families (N = 39 children) with at least one HIV-positive caregiver and one child 7-17 years old were enrolled in the FSI. Children and caregivers were administered locally adapted and validated measures of child mental health problems, as well as measures of protective processes and parenting. Assessments were administered at pre and postintervention, and 6-month follow-up. Multilevel models accounting for clustering by family tested changes in outcomes of interest. Qualitative interviews were completed to understand acceptability, feasibility and satisfaction with the FSI.

resultsFamilies reported high satisfaction with the FSI. Caregiver-reported improvements in family connectedness, good parenting, social support and children's pro-social behaviour (P < 0.05) were sustained and strengthened from postintervention to 6-month follow-up. Additional improvements in caregiver-reported child perseverance/self-esteem, depression, anxiety and irritability were seen at follow-up (P < .05). Significant decreases in child-reported harsh punishment were observed at postintervention and follow-up, and decreases in caregiver reported harsh punishment were also recorded on follow-up (P < 0.05).

conclusionThe FSI is a feasible and acceptable intervention that shows promise for improving mental health symptoms and strengthening protective factors among children and families affected by HIV in low-resource settings.

Indexed as

Mental HealthParent-Child RelationsResilience, PsychologicalAdolescentAdultAgedBehavior TherapyChildFamily HealthFemaleHIV InfectionsHumansMaleMental DisordersMiddle AgedRwanda

Identifiers

PMID24991909
PMCPMC4315615
OpenAlexW2156607947

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.