Evidence map›Paper›PMID 25457927›Full record

Trial reportJournal of the American Academy of Child and Adolescent Psychiatry2014

A behavioral intervention for war-affected youth in Sierra Leone: a randomized controlled trial.

Theresa S Betancourt, Ryan McBain, Elizabeth A Newnham, Adeyinka M Akinsulure-Smith, Robert T Brennan, John R Weisz, Nathan B Hansen

2 registry-linked trialsAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of the American Academy of Child and Adolescent Psychiatry, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 67 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
67citing papers in PubMed, 12 pooled it
9.0field-weighted citation impact, top 2% 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.

NCT01684488 nacompletednot on this map

A Feasibility Trial of the Youth Readiness Intervention: A Group Psychosocial Intervention for War-affected Youth in Sierra Leone

TypeinterventionalSponsorBoston CollegeRan2012 to 2014Enrolled443ConditionsAnxiety Disorder/Anxiety State, Depressive Disorder/Psychology, Social Problems/Psychology, Stress, PsychologicalArmsYRI, EducAid educational programming
NCT05737667 naactive not recruitingnot on this mapstarted 2023, after this paper: background citation

Advancing mHealth-supported Adoption and Sustainment of an Evidence-based Mental Health Intervention for Youth in a School-based Delivery Setting in Sierra Leone

TypeinterventionalSponsorBrown UniversityRan2023 to 2027Enrolled1,454ConditionsMental HealthArmsYouth Readiness Intervention (YRI)
3 · Its place in the literature

Who cites it

67 citing papers in PubMed, 12 syntheses or guidelines pooled it, 163 citations in OpenAlex.

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  5. Resilience Interventions Conducted in Western and Eastern Countries-A Systematic Review.International journal of environmental research and public health · 2022
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  12. Psychological therapies for children and adolescents exposed to trauma.The Cochrane database of systematic reviews · 2016
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7 more citing papers are in PubMed but not listed here.

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

7 authors at 4 institutions in 2 countries.

Theresa S BetancourtHarvard School of Public Health, Cambridge, MA. Electronic address: Theresa_Betancourt@harvard.edu.
Ryan McBainFrançois-Xavier Bagnoud (FXB) Center for Health and Human Rights at Harvard University and the Harvard School of Public Health.
Elizabeth A NewnhamThe University of Western Australia, Crawley, Western Australia, and the FXB Center for Health and Human Rights at Harvard University.
Adeyinka M Akinsulure-SmithCity College of the City University of New York.
Robert T BrennanFXB Center for Health and Human Rights at Harvard University.
John R WeiszHarvard University Faculty of Arts and Sciences and Harvard Medical School.
Nathan B HansenCollege of Public Health at the University of Georgia, Athens, GA.
Harvard University · USCity College of New York · USUniversity of Georgia · USUniversity of Western Australia · AU

Funding

The Center for the Global Demography of AgingP30AG024409 · NIA · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI BLOOM, DAVID E · 2004 to 2019
$7.9M
Modifiable Protective Processes in the Mental Health of Refugee ChildrenK01MH077246 · NIMH · HARVARD SCHOOL OF PUBLIC HEALTH · PI BETANCOURT, THERESA STICHICK · 2008 to 2012
$850k
Evaluation of a Community-Based Psychosocial Intervention for War-Affected YouthF31MH097333 · NIMH · HARVARD SCHOOL OF PUBLIC HEALTH · PI MCBAIN, RYAN K · 2012 to 2013
$53k
NIA NIH HHS 5P30AG024409-08NIA NIH HHS P30 AG024409NIMH NIH HHS 1F31MH097333-01A1NIMH NIH HHS 5K01MH077246-05NIMH NIH HHS F31 MH097333NIMH NIH HHS K01 MH077246
6 · The paper itself

Abstract

objectiveYouth in war-affected regions are at risk for poor psychological, social, and educational outcomes. Effective interventions are needed to improve mental health, social behavior, and school functioning. This randomized controlled trial tested the effectiveness of a 10-session cognitive-behavioral therapy (CBT)-based group mental health intervention for multisymptomatic war-affected youth (aged 15-24 years) in Sierra Leone.

methodWar-affected youth identified by elevated distress and impairment via community screening were randomized (stratified by sex and age) to the Youth Readiness Intervention (YRI) (n = 222) or to a control condition (n = 214). After treatment, youth were again randomized and offered an education subsidy immediately (n = 220) or waitlisted (n = 216). Emotion regulation, psychological distress, prosocial attitudes/behaviors, social support, functional impairment, and posttraumatic stress disorder (PTSD) symptoms were assessed at pre- and postintervention and at 6-month follow-up. For youth in school, enrollment, attendance, and classroom performance were assessed after 8 months. Linear mixed-effects regressions evaluated outcomes.

resultsThe YRI showed significant postintervention effects on emotion regulation, prosocial attitudes/behaviors, social support, and reduced functional impairment, and significant follow-up effects on school enrollment, school attendance, and classroom behavior. In contrast, education subsidy was associated with better attendance but had no effect on mental health or functioning, school retention, or classroom behavior. Interactions between education subsidy and YRI were not significant.

conclusionYRI produced acute improvements in mental health and functioning as well as longer-term effects on school engagement and behavior, suggesting potential to prepare war-affected youth for educational and other opportunities. Clinical trial registration information-Trial of the Youth Readiness Intervention (YRI); http://clinicaltrials.gov; NCT01684488.

Indexed as

WarfareAdolescentAdultCognitive Behavioral TherapyFemaleHumansMaleMental DisordersSierra LeoneTreatment OutcomeYoung Adultinterventionmental healthrandomized controlled trialwar-affectedyouth

Identifiers

PMID25457927
PMCPMC5022359
OpenAlexW2111067924

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.