Evidence map›Paper›PMID 30259548›Full record

ArticleChild: care, health and development2019

A support programme for caregivers of children with disabilities in Ghana: Understanding the impact on the wellbeing of caregivers.

Maria Zuurmond, Gifty Nyante, Marjolein Baltussen, Janet Seeley, Jedidia Abanga, Tom Shakespeare, Martine Collumbien, Sarah Bernays

Open access · hybridAbstract read
In one paragraph

Article in Child: care, health and development, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 2 pooled it
10.4field-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.

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

57 citing papers in PubMed, 2 syntheses or guidelines pooled it, 116 citations in OpenAlex.

  1. Pooled it
  2. Congenital Zika Syndrome-Assessing the Need for a Family Support Programme in Brazil.International journal of environmental research and public health · 2020
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  9. Feeding and swallowing in cerebral palsy: Caregiver burden, quality of life and support needs.The South African journal of communication disorders = Die Suid-Afrikaanse tydskrif vir Kommunikasieafwykings · 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

8 authors at 6 institutions in 3 countries.

Maria ZuurmondInternational Centre for Evidence in Disability, London School of Hygiene and Tropical Medicine, London, UK.ORCID 0000-0002-0347-0126
Gifty NyanteUniversity of Ghana, Accra, Ghana.
Marjolein BaltussenCBM East Africa Advisor Community Based Inclusive Development, Kigali, Rwanda.
Janet SeeleyLondon School of Hygiene and Tropical Medicine, London, UK.
Jedidia AbangaPCG-Health Coordination Office, Accra, Ghana.
Tom ShakespeareNorwich Medical School, University of East Anglia, Norwich, UK.
Martine CollumbienFaculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK.
Sarah BernaysSydney School of Public Health, Sydney Medical School, London School of Hygiene and Tropical Medicine, London, UK.
London School of Hygiene & Tropical Medicine · GBFaculty of Public Health · GBGhana Health Service · GHRwanda Development Board · RWUniversity of East Anglia · GBUniversity of Ghana · GH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFour fifths of the estimated 150 million children with disability in the world live in resource poor settings where the role of the family is crucial in ensuring that these children survive and thrive. Despite their critical role, evidence is lacking on how to provide optimal support to these families. This study explores the impact of a participatory training programme for caregivers delivered through a local support group, with a focus on understanding caregiver wellbeing.

methodsA qualitative longitudinal study was conducted to investigate the impact of a training programme, "getting to know cerebral palsy," with caregivers on their wellbeing. Eighteen caregivers, from four districts, were interviewed up to three times over 14 months, to assess impact and the reasons for any changes.

resultsLow levels of knowledge, high levels of stigma, physical and emotional exhaustion, and often difficult family relationships with social exclusion of the child and caregiver were common themes at the outset. Caregivers struggled to combine their caring and economic activities. This was exacerbated by the common absence of the father. Two months after completion of the training, their reported wellbeing had improved. The reasons for this were an improved understanding about their child's condition, positive attitudinal change towards their child, feelings of hope, and through the group support, a profound realisation that they are "not on their own." While relationships within the family remained complex in many cases, the support group offered an important and alternative social support network.

conclusionsThis study illustrates the many benefits of a relatively simple caregiver intervention, which has the potential to offer a mechanism to provide sustainable social support for caregivers and children with cerebral palsy. Any future programme needs to also address more structural issues, including stigma and discrimination, and strengthen approaches to family engagement.

Indexed as

Social SupportAdaptation, PsychologicalAdultCaregiversCerebral PalsyChildChild, PreschoolChildren with DisabilitiesEducation, NonprofessionalFemaleGhanaHealth Knowledge, Attitudes, PracticeHumansInfantLongitudinal StudiesMalecaregivercerebral palsychild disabilityevaluationGhanawellbeing

Identifiers

PMID30259548
PMCPMC7379711
OpenAlexW2893048619

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.