Evidence map›Paper›PMID 34104458›Full record

ArticleGlobal mental health (Cambridge, England)2021

Effect of a lay counselor-delivered integrated maternal mental health and early childhood development group-based intervention in Northern Ghana: a cluster-randomized controlled trial.

Joy Noel Baumgartner, Mohammed Ali, John A Gallis, Margaret Lillie, Raymond Owusu, Safiyatu Abubakr-Bibilazu, Haliq Adam, Raymond Aborigo, Elena McEwan, Yunji Zhou and 4 more

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In one paragraph

Article in Global mental health (Cambridge, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

14 authors.

Joy Noel BaumgartnerUniversity of North Carolina at Chapel Hill, 325 Pittsboro Street, Chapel Hill, NC 27516, USA.ORCID https://orcid.org/0000-0002-1783-8972
Mohammed AliCatholic Relief Services Country Office, Tamale, Ghana.
John A GallisDuke Global Health Institute, Duke University, Durham, NC, USA.
Margaret LillieDuke Global Health Institute, Duke University, Durham, NC, USA.ORCID https://orcid.org/0000-0002-5246-1795
Raymond OwusuCatholic Relief Services Country Office, Tamale, Ghana.
Safiyatu Abubakr-BibilazuCatholic Relief Services Country Office, Tamale, Ghana.
Haliq AdamCatholic Relief Services Country Office, Tamale, Ghana.
Raymond AborigoNavrongo Health Research Centre, Navrongo, Ghana.
Elena McEwanCatholic Relief Services Head Quarters, Baltimore, MD, USA.
Yunji ZhouDuke Global Health Institute, Duke University, Durham, NC, USA.
Eunsoo Timothy KimDuke Global Health Institute, Duke University, Durham, NC, USA.
Jessica MacknessDuke Global Health Institute, Duke University, Durham, NC, USA.
John Koku Awoonor WilliamsGhana Health Service, Accra, Ghana.
John HemblingCatholic Relief Services Head Quarters, Baltimore, MD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCaregiver mental health is linked to early childhood development, yet more robust evidence of community-based interventions to prevent maternal depression and optimize socio-emotional development of young children is needed. Objectives of this cluster-randomized controlled trial (cRCT), based in Northern Ghana, are to assess the impact of the lay counselor-delivered, group-based Integrated Mothers and Babies Course and Early Childhood Development (iMBC/ECD) program on (1) the mental health of mothers of children under age 2; and (2) the socio-emotional development of their children.

methodsThis cRCT randomized 32 women's groups - 16 received iMBC/ECD content (intervention) and 16 received general health education content (control). Surveys were administered at baseline, immediate post-intervention, and 8-month post-intervention. The primary outcome was maternal depression [Patient Health Questionnaire (PHQ-9)], and the secondary outcome was child's socio-emotional development [Ages and Stages Questionnaire: Social Emotional (ASQ:SE-2)]. Qualitative interviews with 33 stakeholders were also conducted.

resultsIn total, 374 participants were enrolled at baseline while pregnant with the index child, 19% endorsing moderate/severe depression. Of these, 266 (71.1%) completed the 8-month post-intervention survey (~19 months post-baseline). There were no significant effects of iMBC/ECD on PHQ-9 and ASQ:SE-2 scores. However, results favored the intervention arm in most cases. iMBC participants were highly satisfied with the program but qualitative feedback from stakeholders indicated some implementation challenges.

conclusionsThis real-world evaluation had null findings; however, post-intervention depression levels were very low in both arms (3%). Future research should examine the potential impact of women's groups on postpartum mental health more broadly with varying content.

Indexed as

Early childhood developmentGhanainfant mental healthmaternal depressionsocio-emotional health

Identifiers

PMID34104458
PMCPMC8157813

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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.