Evidence map›Paper›PMID 32374404›Full record

ArticleJournal of pediatric psychology2020

Psychosocial Burden of Childhood Sickle Cell Disease on Caregivers in Kenya.

Bethany G Kuerten, Samuel Brotkin, Melanie J Bonner, David O Ayuku, Festus Njuguna, Steve M Taylor, Eve S Puffer

Open access · greenAbstract read
In one paragraph

Article in Journal of pediatric psychology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Humanistic and economic burden among caregivers of adults and children with sickle cell disease and recurrent vaso-occlusive crises.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
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  6. Observational
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  13. Caregiver Perception of Sickle Cell Disease Stigma in Ghana: An Ecological Approach.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
    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 2 institutions in 2 countries.

Bethany G KuertenDuke Global Health Institute, Duke University.
Samuel BrotkinDepartment of Psychology & Neuroscience, Duke University.
Melanie J BonnerDepartment of Psychology & Neuroscience, Duke University.
David O AyukuDepartment of Behavioral Science, School of Medicine, College of Health Sciences, Moi University.
Festus NjugunaDepartment of Child Health and Paediatrics, School of Medicine, College of Health Sciences, Moi University.
Steve M TaylorDuke Global Health Institute, Duke University.
Eve S PufferDuke Global Health Institute, Duke University.
Duke University · USMoi University · KE

Funding

Malaria chemoprevention in children with sickle cell anemia in Western KenyaR01HL134211 · NHLBI · DUKE UNIVERSITY · PI TAYLOR, STEVE MYER · 2016 to 2020
$2.9M
NHLBI NIH HHS R01 HL134211
6 · The paper itself

Abstract

objectivesTo characterize the types and magnitude of psychosocial burden present in caregivers who have a child with sickle cell disease (SCD) in Kenya and to identify predictors of caregiver psychosocial burden, including disease severity and financial hardship.

methodsPrimary caregivers (N = 103) of children aged 1-10 years diagnosed with SCD completed surveys assessing multiple domains of caregiver quality of life (QOL), adjustment to child illness, mental health, and financial hardship. Descriptive statistics characterize psychosocial burden, and linear models assess associations.

resultsOn indicators of QOL, caregivers report multiple difficulties across most domains, including daily activities and physical, social, cognitive, and emotional well-being. Daily activities emerged as most burdensome. On indicators of parental adjustment to chronic illness, guilt and worry emerged as the greatest concern, followed by long-term uncertainty and unresolved sorrow and anger; relative to these, they reported higher levels of emotional resources. Financial hardship was high, as caregivers reported moderate to major financial losses due to the time spent caring for their child. General linear model analyses revealed that level of financial hardship was a significant predictor of all negative psychosocial outcomes.

conclusionsResults document that Kenyan caregivers of children with SCD experience difficulties across multiple domains of functioning and that financial difficulties are likely associated with psychosocial burden. Results can guide intervention development for caregivers of children with SCD in low-resource, global contexts.

Indexed as

Anemia, Sickle CellCaregiversQuality of LifeChildChild, PreschoolCost of IllnessFamilyFemaleHumansInfantKenyaSurveys and Questionnaireschronic illnessculturedisparitiesfamily functioninghematologymental healthparentingparent stresspsychosocial functioningpublic healthquality of lifesickle cell diseasestress

Identifiers

PMID32374404
PMCPMC7825476
OpenAlexW3023595269

What OpenQuestion holds

Textmetadata
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.