Evidence map›Paper›PMID 26228480›Full record

Trial reportPrevention science : the official journal of the Society for Prevention Research2016

Applying a Family-Level Economic Strengthening Intervention to Improve Education and Health-Related Outcomes of School-Going AIDS-Orphaned Children: Lessons from a Randomized Experiment in Southern Uganda.

Fred M Ssewamala, Leyla Karimli, Neilands Torsten, Julia Shu-Huah Wang, Chang-Keun Han, Vilma Ilic, Proscovia Nabunya

Open access · greenAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Prevention science : the official journal of the Society for Prevention Research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 4 pooled it
9.0field-weighted citation impact, top 3% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

62 citing papers in PubMed, 4 syntheses or guidelines pooled it, 110 citations in OpenAlex.

  1. Pooled it
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  4. 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
    Pooled it
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  8. Combining Asset Accumulation and Multifamily Group Intervention to Improve Mental Health for Adolescent Girls: A Cluster-Randomized Trial in Uganda.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2024
    Trial
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  18. Effects of Financial Incentives on Saving Outcomes and Material Well-Being: Evidence From a Randomized Controlled Trial in Uganda.Journal of policy analysis and management : [the journal of the Association for Public Policy Analysis and Management] · 2018
    Trial
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  20. Trial

2 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 5 institutions in 2 countries.

Fred M SsewamalaSchool of Social Work, Columbia University, New York, NY, USA. fs2114@columbia.edu.
Leyla KarimliInternational Center for Child Health and Asset Development, Columbia University, New York, NY, USA.
Neilands TorstenCenter for AIDS Prevention Studies (CAPS), University of California, San Francisco, CA, USA.
Julia Shu-Huah WangSchool of Social Work, Columbia University, New York, NY, USA.
Chang-Keun HanDepartment of Social Welfare, Sungkyunkwan University, Seoul, South Korea.
Vilma IlicSchool of Social Work, Columbia University, New York, NY, USA.
Proscovia NabunyaUniversity of Chicago School of Social Service Administration, Chicago, IL, USA.
Columbia University · USFoundation for Child Development · USSan Francisco AIDS Foundation · USSungkyunkwan University · KRUniversity of Chicago · US

Funding

Minority Populations Prevention Researcher TrainingR25HD045810 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI NEILANDS, TORSTEN BRIAN · 2003 to 2018
$4.3M
Scaling up a family strengthening EBP to reduce child disruptive behavior problems in SSAU19MH110001 · NIMH · WASHINGTON UNIVERSITY · PI HOAGWOOD, KIMBERLY E., MCKAY, MARY MCKERNAN · 2016 to 2020
$3.9M
A Family-Based Economic Empowerment Model for Orphaned Children in UgandaR34MH081763 · NIMH · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI SSEWAMALA, FRED M · 2008 to 2010
$836k
NICHD NIH HHS R25 HD045810NIMH NIH HHS R34 MH081763NIMH NIH HHS R34MH081763-02NIMH NIH HHS U19 MH110001
6 · The paper itself

Abstract

Children comprise the largest proportion of the population in sub-Saharan Africa. Of these, millions are orphaned. Orphanhood increases the likelihood of growing up in poverty, dropping out of school, and becoming infected with HIV. Therefore, programs aimed at securing a healthy developmental trajectory for these orphaned children are desperately needed. We conducted a two-arm cluster-randomized controlled trial to evaluate the effectiveness of a family-level economic strengthening intervention with regard to school attendance, school grades, and self-esteem in AIDS-orphaned adolescents aged 12-16 years from 10 public rural primary schools in southern Uganda. Children were randomly assigned to receive usual care (counseling, school uniforms, school lunch, notebooks, and textbooks), "bolstered" with mentorship from a near-peer (control condition, n = 167), or to receive bolstered usual care plus a family-level economic strengthening intervention in the form of a matched Child Savings Account (Suubi-Maka treatment arm, n = 179). The two groups did not differ at baseline, but 24 months later, children in the Suubi-Maka treatment arm reported significantly better educational outcomes, lower levels of hopelessness, and higher levels of self-concept compared to participants in the control condition. Our study contributes to the ongoing debate on how to address the developmental impacts of the increasing numbers of orphaned and vulnerable children and adolescents in sub-Saharan Africa, especially those affected by HIV/AIDS. Our findings indicate that innovative family-level economic strengthening programs, over and above bolstered usual care that includes psychosocial interventions for young people, may have positive developmental impacts related to education, health, and psychosocial functioning.

Indexed as

Acquired Immunodeficiency SyndromeFamilySchoolsAdolescentChildFemaleHumansMaleUgandaChild Savings Accounts (CSA)Family-level Economic StrengtheningHIV/AIDSOrphaned and Vulnerable Children (OVC)Sub-Saharan AfricaSuubi-Maka

Identifiers

PMID26228480
PMCPMC4697878
OpenAlexW1066664311

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.