Evidence map›Paper›PMID 33944793›Full record

ArticleJMIR research protocols2021

Effectiveness of an Integrated Care Package for Refugee Mothers and Children: Protocol for a Cluster Randomized Controlled Trial.

Zunayed Al Azdi, Khaleda Islam, Muhammad Amir Khan, Nida Khan, Amna Ejaz, Muhammad Ahmar Khan, Azza Warraitch, Ishrat Jahan, Rumana Huque

Abstract read
In one paragraph

Article in JMIR research protocols, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

9 authors.

Zunayed Al AzdiARK Foundation, Dhaka, Bangladesh.ORCID https://orcid.org/0000-0002-3896-875X
Khaleda IslamARK Foundation, Dhaka, Bangladesh.ORCID https://orcid.org/0000-0002-8303-0947
Muhammad Amir KhanAssociation for Social Development, Lahore, Pakistan.ORCID https://orcid.org/0000-0002-0561-5747
Nida KhanAssociation for Social Development, Lahore, Pakistan.ORCID https://orcid.org/0000-0002-2881-2153
Amna EjazAssociation for Social Development, Lahore, Pakistan.ORCID https://orcid.org/0000-0003-1370-1693
Muhammad Ahmar KhanAssociation for Social Development, Lahore, Pakistan.ORCID https://orcid.org/0000-0002-3948-6824
Azza WarraitchAssociation for Social Development, Lahore, Pakistan.ORCID https://orcid.org/0000-0002-7176-4353
Ishrat JahanARK Foundation, Dhaka, Bangladesh.ORCID https://orcid.org/0000-0001-9020-8080
Rumana HuqueARK Foundation, Dhaka, Bangladesh.ORCID https://orcid.org/0000-0002-7616-9596

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThousands of Rohingya refugee mothers at the world's largest refugee camp located in Bangladesh are at risk of poor mental health. Accordingly, their children are also vulnerable to delayed cognitive and physical development.

objectiveThe aim of this study is to evaluate the effectiveness of an integrated care package in reducing the prevalence of developmental delays among children aged 1 year and improving their mothers' mental health status.

methodsThis is a parallel, two-arm, single-blind, cluster randomized controlled trial (cRCT). A total of 704 mother-child dyads residing at the Kutupalong refugee camp in Cox's Bazar, Bangladesh, will be recruited from 22 clusters with 32 mother-child dyads per cluster. In the intervention arm, an integrated early childhood development and maternal mental health package will be delivered every quarter to mothers of newborns by trained community health workers until the child is 1 year old. Our primary outcome is a reduction in the prevalence of two or more childhood developmental delays of infants aged 1 year compared to the usual treatment. The secondary outcomes include reduced stunting among children and the prevalence of maternal depression. We will also assess the cost-effectiveness of the integrated intervention, and will further explore the intervention's acceptability and feasibility.

resultsAt the time of submission, the study was at the stage of endpoint assessment. The data analysis started in December 2020, and the results are expected to be published after the first quarter of 2021.

conclusionsThis study will address the burden of childhood developmental delays and poor maternal mental health in a low-resource setting. If proven effective, the delivery of the intervention through community health workers will ensure the proposed intervention's sustainability.

trial registrationISRCTN Registry ISRCTN10892553; https://www.isrctn.com/ISRCTN10892553. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/25047.

Indexed as

Bangladeshcommunity health carecommunity health workerearly childhood developmentmental healthrefugee healthRohingya

Identifiers

PMID33944793
PMCPMC8132976

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.