Evidence map›Paper›PMID 28504307›Full record

Trial reportJournal of child psychology and psychiatry, and allied disciplines2017

Family-based promotion of mental health in children affected by HIV: a pilot randomized controlled trial.

Theresa S Betancourt, Lauren C Ng, Catherine M Kirk, Robert T Brennan, William R Beardslee, Sara Stulac, Christine Mushashi, Estella Nduwimana, Sylvere Mukunzi, Beatha Nyirandagijimana and 3 more

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of child psychology and psychiatry, and allied disciplines, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01509573 (Family-Based Prevention of Mental Health Problems in HIV/AIDS-Affected Children), which is not on this map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
17.9field-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.

NCT01509573 nacompletednot on this map

Family-Based Prevention of Mental Health Problems in HIV/AIDS-Affected Children (R34MH084679-01A1)

TypeinterventionalSponsorHarvard School of Public Health (HSPH)Ran2011 to 2014Enrolled82ConditionsDepressive Symptoms, Anxiety, ParentingArmsFamily Strengthening Intervention in Rwanda (FSI-R)
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 64 citations in OpenAlex.

  1. Pooled it
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  7. Family-Based Mental Health Promotion for Somali Bantu and Bhutanese Refugees: Feasibility and Acceptability Trial.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2020
    Trial
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  10. Adolescents' Mental Well-Being and Social Support: Mixed Methods Study.International journal of mental health nursing · 2025
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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 BetancourtDepartment of Global Health and Population, Harvard T. H. Chan School of Public Health, Boston, MA, USA.
Lauren C NgDepartment of Psychiatry, Boston University School of Medicine, Boston, MA, USA.
Catherine M KirkDepartment of Global Health and Population, Harvard T. H. Chan School of Public Health, Boston, MA, USA.
Robert T BrennanDepartment of Global Health and Population, Harvard T. H. Chan School of Public Health, Boston, MA, USA.
William R BeardsleeDepartment of Psychiatry, Boston Children's Hospital, Boston, MA, USA.
Sara StulacBrigham and Women's Hospital, Boston, MA, USA.
Christine MushashiPartners In Health/Inshuti MuBuzima, Rwinkwavu, Rwanda.
Estella NduwimanaPartners In Health/Inshuti MuBuzima, Rwinkwavu, Rwanda.
Sylvere MukunziPartners In Health/Inshuti MuBuzima, Rwinkwavu, Rwanda.
Beatha NyirandagijimanaPartners In Health/Inshuti MuBuzima, Rwinkwavu, Rwanda.
Godfrey KalisaPartners In Health/Inshuti MuBuzima, Rwinkwavu, Rwanda.
Cyamatare F RwabukwisiPartners In Health/Inshuti MuBuzima, Rwinkwavu, Rwanda.
Vincent SeziberaCollege of Medicine and Health Sciences, University of Rwanda, Butare, Rwanda.
Harvard Global Health Institute · USBoston Children's Hospital · USBoston University · USPartners In Health · USUniversity of Rwanda · RW

Funding

The MGH Global Psychiatric Clinical Research Training ProgramT32MH093310 · NIMH · MASSACHUSETTS GENERAL HOSPITAL · PI FRICCHIONE, GREGORY L, HENDERSON, DAVID C · 2012 to 2016
$1.3M
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 MH084679NIMH NIH HHS T32 MH093310
6 · The paper itself

Abstract

backgroundChildren affected by HIV are at risk for poor mental health. We conducted a pilot randomized controlled trial (RCT) of the Family Strengthening Intervention (FSI-HIV), a family home-visiting intervention to promote mental health and improve parent-child relationships in families with caregivers living with HIV, hypothesizing that child and family outcomes would be superior to usual care social work services.

methodsEighty two families (N = 170 children, 48.24% female; N = 123 caregivers, 68.29% female) with at least one HIV-positive caregiver (n = 103, 83.74%) and school-aged child (ages 7-17) (HIV+ n = 21, 12.35%) were randomized to receive FSI-HIV or treatment-as-usual (TAU). Local research assistants blind to treatment conducted assessments of child mental health, parenting practices, and family functioning at baseline, post-intervention, and 3-month follow-up. Multilevel modeling assessed effects of FSI-HIV on outcomes across three time points.

trial registrationNCT01509573, 'Pilot Feasibility Trial of the Family Strengthening Intervention in Rwanda (FSI-HIV-R).' https://clinicaltrials.gov/ct2/show/;NCT01509573?term=Pilot+Feasibility+Trial+of+the+Family+Strengthening+Intervention+in+Rwanda+%28FSI-HIV-R%29&rank=1.

resultsAt 3-month follow-up, children in FSI-HIV showed fewer symptoms of depression compared to TAU by both self-report (β = -.246; p = .009) and parent report (β = -.174; p = .035) but there were no significant differences by group on conduct problems, functional impairment, family connectedness, or parenting.

conclusionsFamily-based prevention has promise for reducing depression symptoms in children affected by HIV. Future trials should examine the effects of FSI-HIV over time in trials powered to examine treatment mediators.

Indexed as

AdolescentAdultChildChild of Impaired ParentsDepressionFamily RelationsFamily TherapyFemaleFollow-Up StudiesHealth PromotionHIV InfectionsHumansMaleMiddle AgedParent-Child RelationsParentingadolescentsdepressionHIVRwanda

Identifiers

PMID28504307
PMCPMC5730278
OpenAlexW2616803114

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.