Evidence map›Paper›PMID 28609401›Full record

Trial reportAIDS (London, England)2017

Randomized controlled trial of caregiver training for HIV-infected child neurodevelopment and caregiver well being.

Judith K Bass, Robert Opoka, Itziar Familiar, Noeline Nakasujja, Alla Sikorskii, Jorem Awadu, Deborah Givon, Cilly Shohet, Sarah M Murray, Jura Augustinavicius and 2 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in AIDS (London, England), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01640561 (Enhancing Ugandan HIV-Affected Child Development With Caregiver Training), which is not on this map. Cited by 20 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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.

NCT01640561 nacompletednot on this map

Enhancing Ugandan HIV-Affected Child Development With Caregiver Training

TypeinterventionalSponsorJohns Hopkins Bloomberg School of Public HealthRan2012 to 2016Enrolled341ConditionsHIVArmsMISC, UCOBAC
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. 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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  14. Neurodevelopmental assessment at one year of age predicts neuropsychological performance at six years in a cohort of West African Children.Child neuropsychology : a journal on normal and abnormal development in childhood and adolescence · 2021
    Article
  15. Neurocognitive Complications of Pediatric HIV Infections.Current topics in behavioral neurosciences · 2021
    Article
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  19. Propelling the Pediatric HIV Therapeutic Agenda With Science, Innovation, and Collaboration.Journal of acquired immune deficiency syndromes (1999) · 2018
    Article
  20. Article
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

12 authors.

Judith K BassaDepartment of Mental Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA bDepartment of Pediatrics and Child Health, Makerere University, Kampala, Uganda cDepartment of Psychiatry, Michigan State University, East Lansing, Michigan, USA dDepartment of Psychiatry, Bar Ilan University, Ramat-Gan, Israel eSchool of Education, Michigan State University, East Lansing, Michigan, USA fSchool of Education, Bar Ilan University, Ramat-Gan, Israel gDepartment of Neurology and Ophthalmology, Michigan State University, East Lansing, Michigan, USA.
Robert Opoka
Itziar Familiar
Noeline Nakasujja
Alla Sikorskii
Jorem Awadu
Deborah Givon
Cilly Shohet
Sarah M Murray
Jura Augustinavicius
Tamar Mendelson
Michael Boivin

Funding

Global Mental Health Training ProgramT32MH103210 · NIMH · JOHNS HOPKINS UNIVERSITY · PI Judith Karen Bass, Sarah Sutherlin-McIvor Murray · 2015 to 2026
$4.0M
Enhancing Ugandan HIV-Affected Child Development with Caregiver TrainingR01HD070723 · NICHD · MICHIGAN STATE UNIVERSITY · PI BASS, JUDITH KAREN, BOIVIN, MICHAEL JOSEPH · 2011 to 2015
$2.8M
Caregiver Mental Health and Child Physical Health in HIV-Affected FamiliesF31MH099959 · NIMH · JOHNS HOPKINS UNIVERSITY · PI MURRAY, SARAH SUTHERLIN-MCIVOR · 2012 to 2014
$127k
NICHD NIH HHS R01 HD070723NIMH NIH HHS F31 MH099959NIMH NIH HHS T32 MH103210
6 · The paper itself

Abstract

objectivesHIV infection places children at neurodevelopmental risk; for young children in poverty, risk is compounded by compromised caregiving quality. The mediational intervention for sensitizing caregivers (MISC) program trained caregivers on fostering daily interactions with young children. We hypothesized that MISC could enhance neurodevelopment of rural Ugandan HIV-infected children and improve mental health outcomes of their caregivers, which might mediate improved caregiving quality.

designA randomized trial of HIV-infected young children (ages 2-5 years) and their female caregivers; cluster randomization was to MISC or a nutrition curriculum.

settingA total of 18 geographic clusters in rural Uganda. STUDY

participantsChildren and caregivers were evaluated at baseline, 6 months, 1 year, and 1-year post-training.

main outcome measuresMullen Scales of Early Learning, the Color-Object Association Test for memory, the Early Childhood Vigilance Test of attention, and the Behavior Rating Inventory of Executive Function for the children. Caregivers completed measures of depression and anxiety symptoms and daily functioning.

resultsMISC had a significant impact on postintervention receptive language (adjusted mean difference = 3.13, 95% confidence interval 0.08, 6.18) that persisted at 1-year follow-up. MISC caregivers reported significantly less functional impairment postprogram (adjusted mean difference = -0.15, 95% confidence interval -0.28, -0.01). Other outcomes were NS.

conclusionBoth intervention conditions resulted in improvements in the study children over time. MISC showed additional impacts on child language and caregiver well-being. Future directions that include assessing the extent enhanced language development resulting from improved caregiving may better prepare impoverished children for school.

Indexed as

AdultAnxietyBehavior TherapyCaregiversChild, PreschoolDepressionFemaleHealth EducationHIV InfectionsHumansMaleMiddle AgedNeurodevelopmental DisordersRural PopulationUganda

Identifiers

PMID28609401
PMCPMC7906824

What OpenQuestion holds

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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.