Evidence map›Paper›PMID 34001288›Full record

ArticlePilot and feasibility studies2021

Development and assessment of feasibility of a community-based peer support intervention to mitigate social isolation and stigma of adolescent motherhood in Harare, Zimbabwe.

Chiwoneso B Tinago, Edward A Frongillo, Andrea M Warren, Vivian Chitiyo, Ashley K Cifarelli, Shannon Fyalkowski, Victoria Pauline

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Article in Pilot and feasibility studies, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.2field-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

7 citing papers in PubMed, 10 citations in OpenAlex.

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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

7 authors at 2 institutions in 1 country.

Chiwoneso B TinagoDepartment of Health, West Chester University of Pennsylvania, 855 S. New Street, West Chester, PA, 19383, USA.
Edward A FrongilloDepartment of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, 915 Greene Street, Room 529, Columbia, SC, 29208, USA.
Andrea M WarrenDepartment of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, 915 Greene Street, Room 529, Columbia, SC, 29208, USA. warren5@mailbox.sc.edu.ORCID http://orcid.org/0000-0001-6186-1101
Vivian ChitiyoThe Organization for Public Health Interventions and Development (OPHID), 20 Cork Road, Belgravia, Harare, Zimbabwe.
Ashley K CifarelliDepartment of Health, West Chester University of Pennsylvania, 855 S. New Street, West Chester, PA, 19383, USA.
Shannon FyalkowskiDepartment of Health, West Chester University of Pennsylvania, 855 S. New Street, West Chester, PA, 19383, USA.
Victoria PaulineDepartment of Health, West Chester University of Pennsylvania, 855 S. New Street, West Chester, PA, 19383, USA.
West Chester University · USUniversity of South Carolina · US

Funding

Bill and Melinda Gates Foundation OPP1190830
6 · The paper itself

Abstract

backgroundAdolescent mothers in Zimbabwe often experience stigma, isolation, and lack coping skills and resources to successfully navigate motherhood. Social isolation and stigma are linked to poor mental health outcomes. No interventions currently address mental health of adolescent mothers in Zimbabwe. Peer support groups in other contexts have been effective at increasing social connectedness, self-esteem, and self-efficacy, providing coping mechanisms to manage stigma experiences, in addition to empowering and improving mental health of adolescents and adolescent mothers. To develop a community-based peer support intervention, we aimed to understand the unique needs of adolescent mothers, how peer support groups could address those needs, and the feasibility of implementing the intervention.

methodsFocus group discussions were conducted with 86 adolescent mothers aged 14-18 years, 24 community health workers, and 25 key community stakeholders in a low-income high-density community in Harare. Data were analyzed thematically using NVivo 12 software.

resultsParticipants described adolescent mother experiences with stigma and social isolation, in addition to challenges including gossip, lack of employment and educational opportunities, and gaps in services and programming. Peer support groups for adolescent mothers were welcomed to improve mental health, social support, knowledge sharing, and skills building. Participants identified varying preferred frequency and duration of group sessions addressing topics including income generation, mental health, and gossip, facilitated by community health workers at health and community centers. The use of WhatsApp Messenger to support intervention efforts was welcomed as an affordable and user-friendly platform to share information. Implementation (i.e., training, supervision, frequency, location, and co-facilitation) was feasible.

conclusionsAdolescent mothers, community health workers and key community stakeholders welcomed the peer support groups as a feasible way to address the mothers' needs.

Indexed as

Adolescent healthAdolescent mothersMaternal healthMental healthWhatsApp MessengerZimbabwe

Identifiers

PMID34001288
PMCPMC8127315
OpenAlexW3161445954

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.