Trial reportJournal of consulting and clinical psychology2016
A church-based intervention for families to promote mental health and prevent HIV among adolescents in rural Kenya: Results of a randomized trial.
Trial report in Journal of consulting and clinical psychology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 7 of them syntheses that pooled 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.
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.
Who cites it
37 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- Effect of Parent-Based Sexual Health Education on Parent-Adolescent Communication and Adolescent Sexual Behavior: A Systematic Review and Meta-Analysis.Perspectives on sexual and reproductive health · 2025Pooled it
- Scoping review of social norms interventions to reduce violence and improve SRHR outcomes among adolescents and young people in sub-Saharan Africa.Frontiers in reproductive health · 2025Pooled it
- Primary-level and community worker interventions for the prevention of mental disorders and the promotion of well-being in low- and middle-income countries.The Cochrane database of systematic reviews · 2023Pooled it
- Effect of multi-level interventions on mental health outcomes among adolescents in sub-Saharan Africa: a systematic review.BMJ open · 2023Pooled it
- A systematic review of sexual and reproductive health interventions for young people in humanitarian and lower-and-middle-income country settings.BMC public health · 2020Pooled it
- Children and Adolescents Mental Health: A Systematic Review of Interaction-Based Interventions in Schools and Communities.Frontiers in psychology · 2019Pooled it
- Family-based youth mental health interventions delivered by nonspecialist providers in low- and middle-income countries: A systematic review.Families, systems & health : the journal of collaborative family healthcare · 2018Pooled it
- 'Sawa Aqwa' (Stronger Together): A multi-site randomized controlled trial of a brief family systemic intervention for adolescent mental health in Lebanon.Journal of child psychology and psychiatry, and allied disciplines · 2026Trial
- Trial
- Depression and Incident HIV in Adolescent Girls and Young Women in HIV Prevention Trials Network 068: Targets for Prevention and Mediating Factors.American journal of epidemiology · 2020Trial
- Improving Mental Health Outcomes of Burmese Migrant and Displaced Children in Thailand: a Community-Based Randomized Controlled Trial of a Parenting and Family Skills Intervention.Prevention science : the official journal of the Society for Prevention Research · 2017Trial
- Participatory research in mental health care services in low-income and middle-income countries: a scoping review.BMJ open · 2026Article
- Applications and implementation considerations for stepped-wedge designs in sub-Saharan Africa: a systematic review.Frontiers in epidemiology · 2026Review
- Feasibility, acceptability and implementation of a whole-family mental health intervention for displaced adolescent girls in Colombia: A mixed-methods pilot randomized controlled trial.Global mental health (Cambridge, England) · 2026Article
- Feasibility, acceptability and initial efficacy of a community-based mental health literacy program delivered by civil society organizations among adults in Kenya: A quasi-experimental study.Global mental health (Cambridge, England) · 2026Article
- "Peer with a P versus a p": A mixed-methods study of peer support training, service delivery, and supervision across global contexts.PLOS mental health · 2026Article
- Aging With HIV in Nigeria: A Narrative Review of Multimorbidity and Healthcare Access Challenges.Health science reports · 2025Article
- Types and effectiveness of mental health promotion programmes for young people in sub-Saharan Africa: A systematic review.Global mental health (Cambridge, England) · 2025Review
- Family Strengthening in the Context of COVID-19: Adapting a Community-Based Intervention from Kenya to the United States.Prevention science : the official journal of the Society for Prevention Research · 2024Article
- Congregation leader and member discussions in a church-based family strengthening, mental health promotion and HIV prevention trial: Intervention.Global mental health (Cambridge, England) · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
objectiveTo evaluate a family- and church-based intervention for adolescents and caregivers in rural Kenya to improve family relationships, reduce HIV risk, and promote mental health.
methodThe intervention was developed using community-based participatory methods and focused on strengthening family communication. Modules addressed economic, relationship, and HIV-related topics using evidence-based behavioral strategies alongside culturally grounded content. A stepped wedge cluster randomized trial was conducted with 124 families (237 adolescents ages 10 to 16; 203 caregivers) from 4 churches. Participants completed interviewer-administered surveys over 5 rounds. Primary outcomes included family communication, HIV risk knowledge, self-efficacy, and beliefs. Secondary outcomes included parenting, social support, mental health, and adolescent sexual behavior. We estimated intent-to-treat effects via ordinary least squares regression with clustered standard errors.
resultsRelative to controls, the intervention group reported better family communication across domains at 1- and 3-months postintervention and higher self-efficacy for risk reduction skills and HIV-related knowledge at 1-month postintervention. Sexually active youth in the intervention reported fewer high-risk behaviors at 1-month postintervention, including unprotected sex or multiple partners. Male caregivers in the intervention reported higher parental involvement at both time points, and youth reported more social support from male caregivers at 3-months postintervention. No effects on secondary outcomes of parenting, social support, and mental health were detected.
conclusionsThis intervention holds promise for strengthening positive family processes to protect against negative future outcomes for adolescents. Implementation with religious congregations may be a promising strategy for improving sustainability and scalability of interventions in low-resource settings. (PsycINFO Database Record
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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.