Evidence map›Paper›PMID 30314439›Full record

ArticleMalaria journal2018

"I feel so bad but have nothing to do." Exploring Ugandan caregivers' experiences of parenting a child with severe malaria and subsequent repeated uncomplicated malaria.

Ann J Nakitende, Paul Bangirana, Noeline Nakasujja, Margaret Semrud-Clikeman, Andrew S Ssemata, Chandy C John, Richard Idro

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Malaria journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 21% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. 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

7 authors at 4 institutions in 3 countries.

Ann J NakitendeDepartment of Psychiatry, College of Health Sciences, Makerere University, P.O. Box 7072, Kampala, Uganda. janakitex@yahoo.com.
Paul BangiranaDepartment of Psychiatry, College of Health Sciences, Makerere University, P.O. Box 7072, Kampala, Uganda.
Noeline NakasujjaDepartment of Psychiatry, College of Health Sciences, Makerere University, P.O. Box 7072, Kampala, Uganda.
Margaret Semrud-ClikemanDepartment of Pediatrics, University of Minnesota, Minneapolis, MN, USA.
Andrew S SsemataDepartment of Psychiatry, College of Health Sciences, Makerere University, P.O. Box 7072, Kampala, Uganda.
Chandy C JohnDepartment of Pediatrics, University of Minnesota, Minneapolis, MN, USA.
Richard IdroDepartment of Pediatrics and Child Health, Makerere University, Kampala, Uganda.
Makerere University · UGIndiana University – Purdue University Indianapolis · USUniversity of Minnesota · USUniversity of Oxford · GB

Funding

Severe Malaria And Risk to The Brain (SMART Brain)R01NS055349 · NINDS · UNIVERSITY OF MINNESOTA · PI Chandy C. John, Ruth Namazzi · 2008 to 2026
$11.2M
Research Training in Infection and Neurodevelopment in UgandaD43NS078280 · NINDS · UNIVERSITY OF MINNESOTA · PI JOHN, CHANDY C. · 2011 to 2015
$1.1M
National Institute of Neurological Disorders and Stroke and the Fogarty International Center D43NS078280National Institute of Neurological Disorders and Stroke and the Fogarty International Center R01NS055349NINDS NIH HHS D43 NS078280NINDS NIH HHS R01 NS055349
6 · The paper itself

Abstract

backgroundSevere malaria in children is often associated with long-term behavioural and cognitive problems. A sizeable minority of children go on to experience repeated malaria due to the high transmission and infection rates in the region. The purpose of this study was to explore caregivers' experiences of parenting a child with a history of severe malaria followed by repeated episodes of uncomplicated malaria in comparison to healthy community children.

methodsThirty-one caregivers were enrolled in the study. These included caregivers of children previously exposed to severe malaria and who had experienced repeated uncomplicated malaria attacks (SM with RMA, n = 15), caregivers of children exposed to severe malaria who did not experience repeated episodes (SM, n = 10), and caregivers of healthy community children (CC, n = 6) were purposively selected.

resultsThematic-content analysis generated eight areas of concern, six of which were noted only by caregivers of children with SM or SM with RMA: (1) a sense of helplessness; (2) challenges with changes in behaviour; (3) responses to a child's behaviour; (4) family life disruptions, including breakdown of relationships and inadequate male-spouse involvement in child care; (5) disagreements in seeking healthcare; (6) societal burden; and two by caregivers of children with SM, SM with RMA and also CC; (7) concern about academic achievement; and, (8) balancing work and family life.

conclusionsThe study findings suggest that severe malaria, especially when followed by repeated malaria episodes, affects not only children who have the illness but also their caregivers. The effects on caregivers can decrease their social functioning and isolate them from other parents and may disrupt families. Interventions to support caregivers by counselling the ongoing problems that might be expected in children who have had severe malaria and repeated episodes of malaria, and how to manage these problems, may provide a way to improve behavioural and mental health outcomes for those children and their caregivers.

Indexed as

AgedCaregiversFemaleHumansMalariaMaleMiddle AgedParentsUgandaYoung AdultCaregiversChildrenParentingRepeated malaria attacksSevere malariaUncomplicated malaria

Identifiers

PMID30314439
PMCPMC6186059
OpenAlexW2897272432

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.