Evidence map›Paper›PMID 29149905›Full record

Trial reportTrials2017

The Kusamala Program for primary caregivers of children 6-59 months of age hospitalized with severe acute malnutrition in Malawi: study protocol for a cluster-randomized controlled trial.

Allison I Daniel, Meta van den Heuvel, Wieger P Voskuijl, Melissa Gladstone, Mike Bwanali, Isabel Potani, Celine Bourdon, Jenala Njirammadzi, Robert H J Bandsma

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

Trial report in Trials, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03072433 (The Effect of an Intervention Program for Primary Caregivers on the Development of Children With Severe Malnutrition), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.3field-weighted citation impact, top 36% 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.

NCT03072433 nacompletednot on this map

The Effect of an Intervention Program for Primary Caregivers on the Development of Children With Severe Malnutrition: A Cluster Randomized Controlled Clinical Trial

TypeinterventionalSponsorThe Hospital for Sick ChildrenRan2016 to 2020Enrolled181ConditionsChild MalnutritionArmsCounseling Intervention Package, Standard of Care
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 10 citations in OpenAlex.

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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

9 authors at 6 institutions in 5 countries.

Allison I DanielCentre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada. allison.daniel@sickkids.ca.
Meta van den HeuvelCentre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada.
Wieger P VoskuijlGlobal Child Health Group, Emma Children's Hospital, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands.
Melissa GladstoneDepartment of Women's and Children's Health, Institute of Translational Medicine, University of Liverpool, Liverpool, UK.
Mike BwanaliMoyo Nutritional Rehabilitation and Research Unit, Queen Elizabeth Central Hospital, Blantyre, Malawi.
Isabel PotaniMoyo Nutritional Rehabilitation and Research Unit, Queen Elizabeth Central Hospital, Blantyre, Malawi.
Celine BourdonDivision of Gastroenterology, Hepatology and Nutrition, Hospital for Sick Children, Toronto, Ontario, Canada.
Jenala NjirammadziDepartment of Paediatrics and Child Health, College of Medicine, University of Malawi, Blantyre, Malawi.
Robert H J BandsmaCentre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada.
Hospital for Sick Children · CAQueen Elizabeth Central Hospital · MWThe Childhood Acute Illness and Nutrition Network · KESickKids Foundation · CAUniversity of Liverpool · GBUniversity of Malawi · MW

Funding

Grand Challenges Canada R-ST-POC-1707-07564Hospital for Sick Children Restracomp Award
6 · The paper itself

Abstract

backgroundSevere acute malnutrition (SAM) is associated with high mortality rates and impairments in growth and development in children that do survive. There are complex nutritional, health, and behavioural risk factors involving severely malnourished children and their primary caregivers, requiring integrated intervention approaches.

methodsA cluster-randomized controlled trial at the Queen Elizabeth Central Hospital in Blantyre, Malawi will be conducted to evaluate the effectiveness of a 4-day hospital-based intervention programme directed at primary caregivers. This programme, titled the Kusamala Program, aims to improve developmental and nutritional outcomes in children with SAM. Up to six primary caregivers and their children will be enrolled to groups each week, which will be randomly allocated to intervention or comparison arms. The intervention package consists of interactive counselling on three modules: 1) nutrition and feeding; 2) water, sanitation, and hygiene (WASH); and 3) psychosocial stimulation. Data collection will be performed at enrolment, at discharge from hospital, and at 6 months following discharge. The primary outcome is child development assessed with the Malawi Developmental Assessment Tool (MDAT), a validated measure of gross and fine motor, language, and social development. DISCUSSION: This intervention programme is unique because it utilizes primary caregivers' time spent in-hospital while children receive treatment for SAM. The programme has the potential to be effective in addressing multiple aspects of child, nutrition and development.

trial registrationClinicalTrials.gov, NCT03072433 . Registered on 7 March 2017.

Indexed as

CaregiversClinical ProtocolsChild DevelopmentChild Nutrition DisordersChild, PreschoolCounselingHospitalizationHumansInfantSevere Acute MalnutritionChild developmentNutritionPsychosocial stimulationRCTSevere acute malnutritionWASH

Identifiers

PMID29149905
PMCPMC5693531
OpenAlexW2770905105

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.