Evidence map›Paper›PMID 29564157›Full record

ArticleBMJ global health2018

Parenting for Lifelong Health: a pragmatic cluster randomised controlled trial of a non-commercialised parenting programme for adolescents and their families in South Africa.

Lucie D Cluver, Franziska Meinck, Janina I Steinert, Yulia Shenderovich, Jenny Doubt, Rocio Herrero Romero, Carl J Lombard, Alice Redfern, Catherine L Ward, Sibongile Tsoanyane and 10 more

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Article in BMJ global health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 97 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
97citing papers in PubMed, 3 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.

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

97 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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37 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

20 authors.

Lucie D CluverCentre for Evidence-Based Interventions, Department of Social Policy and Intervention, University of Oxford, Oxford, UK.
Franziska MeinckCentre for Evidence-Based Interventions, Department of Social Policy and Intervention, University of Oxford, Oxford, UK.
Janina I SteinertCentre for Evidence-Based Interventions, Department of Social Policy and Intervention, University of Oxford, Oxford, UK.
Yulia ShenderovichCentre for Evidence-Based Interventions, Department of Social Policy and Intervention, University of Oxford, Oxford, UK.
Jenny DoubtCentre for Evidence-Based Interventions, Department of Social Policy and Intervention, University of Oxford, Oxford, UK.
Rocio Herrero RomeroCentre for Evidence-Based Interventions, Department of Social Policy and Intervention, University of Oxford, Oxford, UK.
Carl J LombardBiostatistics Unit, South African Medical Research Council, Cape Town, South Africa.
Alice RedfernCentre for Evidence-Based Interventions, Department of Social Policy and Intervention, University of Oxford, Oxford, UK.
Catherine L WardDepartment of Psychology and Safety and Violence Initiative, University of Cape Town, Cape Town, South Africa.
Sibongile TsoanyaneClowns Without Borders South Africa, Durban, South Africa.
Divane NzimaDepartment of Sociology & Anthropology, University of Fort Hare, Alice, South Africa.
Nkosiyapha SibandaDepartment of International Development, London School of Economics and Political Science, London, UK.
Camille WittesaeleCentre for Evidence-Based Interventions, Department of Social Policy and Intervention, University of Oxford, Oxford, UK.
Sachin De StoneWarwick Medical School, Warwick, UK.
Mark E BoyesFaculty of Health Sciences, School of Psychology and Speech Pathology, Curtin University, Perth, Western Australia, Australia.
Ricardo CatanhoCentre for Evidence-Based Interventions, Department of Social Policy and Intervention, University of Oxford, Oxford, UK.
Jamie McLaren LachmanCentre for Evidence-Based Interventions, Department of Social Policy and Intervention, University of Oxford, Oxford, UK.
Nasteha SalahLondon School of Hygiene and Tropical Medicine, London, UK.
Mzuvukile NocuzaCentre for Evidence-Based Interventions, Department of Social Policy and Intervention, University of Oxford, Oxford, UK.
Frances GardnerCentre for Evidence-Based Interventions, Department of Social Policy and Intervention, University of Oxford, Oxford, UK.

Funding

European Research Council 313421
6 · The paper itself

Abstract

objectiveTo assess the impact of 'Parenting for Lifelong Health: Sinovuyo Teen', a parenting programme for adolescents in low-income and middle-income countries, on abuse and parenting practices.

designPragmatic cluster randomised controlled trial.

setting40 villages/urban sites (clusters) in the Eastern Cape province, South Africa.

participants552 families reporting conflict with their adolescents (aged 10-18).

interventionIntervention clusters (n=20) received a 14-session parent and adolescent programme delivered by trained community members. Control clusters (n=20) received a hygiene and hand-washing promotion programme.

main outcome measuresPrimary outcomes: abuse and parenting practices at 1 and 5-9 months postintervention. Secondary outcomes: caregiver and adolescent mental health and substance use, adolescent behavioural problems, social support, exposure to community violence and family financial well-being at 5-9 months postintervention. Blinding was not possible.

resultsAt 5-9 months postintervention, the intervention was associated with lower abuse (caregiver report incidence rate ratio (IRR) 0.55 (95% CI 0.40 to 0.75, P<0.001); corporal punishment (caregiver report IRR=0.55 (95% CI 0.37 to 0.83, P=0.004)); improved positive parenting (caregiver report d=0.25 (95% CI 0.03 to 0.47, P=0.024)), involved parenting (caregiver report d=0.86 (95% CI 0.64 to 1.08, P<0.001); adolescent report d=0.28 (95% CI 0.08 to 0.48, P=0.006)) and less poor supervision (caregiver report d=-0.50 (95% CI -0.70 to -0.29, P<0.001); adolescent report d=-0.34 (95% CI -0.55 to -0.12, P=0.002)), but not decreased neglect (caregiver report IRR 0.31 (95% CI 0.09 to 1.08, P=0.066); adolescent report IRR 1.46 (95% CI 0.75 to 2.85, P=0.264)), inconsistent discipline (caregiver report d=-0.14 (95% CI -0.36 to 0.09, P=0.229); adolescent report d=0.03 (95% CI -0.20 to 0.26, P=0.804)), or adolescent report of abuse IRR=0.90 (95% CI 0.66 to 1.24, P=0.508) and corporal punishment IRR=1.05 (95% CI 0.70 to 1.57, P=0.819). Secondary outcomes showed reductions in caregiver corporal punishment endorsement, mental health problems, parenting stress, substance use and increased social support (all caregiver report). Intervention adolescents reported no differences in mental health, behaviour or community violence, but had lower substance use (all adolescent report). Intervention families had improved economic welfare, financial management and more violence avoidance planning (in caregiver and adolescent report). No adverse effects were detected.

conclusionsThis parenting programme shows promise for reducing violence, improving parenting and family functioning in low-resource settings. TRIAL REGISTRATION NUMBER: Pan-African Clinical Trials Registry PACTR201507001119966.

Indexed as

adolescentschild abuselow-income and middle-income countriesparentingRCT

Identifiers

PMID29564157
PMCPMC5859808

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.