Evidence map›Paper›PMID 34134027›Full record

ArticleJournal of affective disorders2021

Effect of a lay counselor delivered integrated maternal mental health and early childhood development group-based intervention in Siaya County, Kenya: A quasi-experimental longitudinal study.

Eunsoo Timothy Kim, Tobias Opiyo, Pauline S Acayo, Margaret Lillie, John Gallis, Yunji Zhou, Michael Ochieng, Samwel Okuro, John Hembling, Elena McEwan and 1 more

Open access · hybridAbstract readControlled Clinical Trial
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of affective disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 11% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. 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

11 authors at 4 institutions in 1 country.

Eunsoo Timothy KimDuke Global Health Institute, Durham, NC, USA.
Tobias OpiyoCatholic Relief Services, Nairobi, Kenya.
Pauline S AcayoCatholic Relief Services, Nairobi, Kenya.
Margaret LillieDuke Global Health Institute, Durham, NC, USA.
John GallisDuke Global Health Institute, Durham, NC, USA; Department of Biostatistics & Bioinformatics, Duke University, Durham, NC, USA.
Yunji ZhouDuke Global Health Institute, Durham, NC, USA; Department of Biostatistics & Bioinformatics, Duke University, Durham, NC, USA.
Michael OchiengB&M Consult, Nairobi, Kenya.
Samwel OkuroB&M Consult, Nairobi, Kenya.
John HemblingCatholic Relief Services, Baltimore, MD, USA.
Elena McEwanCatholic Relief Services, Baltimore, MD, USA.
Joy Noel BaumgartnerDuke Global Health Institute, Durham, NC, USA; School of Social Work, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. Electronic address: joy.baumgartner@unc.edu.
Catholic Relief Services · USDuke Institute for Health Innovation · USDuke University · USUniversity of North Carolina at Chapel Hill · US

Funding

Support for QA/QC for Prior Approval ProcessUL1TR002553 · NCATS · DUKE UNIVERSITY · PI LI, JENNIFER S, MCNAMARA, JAMES O. · 2018 to 2023
$58.5M
NCATS NIH HHS UL1 TR002553
6 · The paper itself

Abstract

backgroundMaternal mental health is linked to early childhood development; yet there is a gap in evidence-based interventions for low-resource settings. This study estimates the impact of 'Integrated Mothers and Babies Course and Early Childhood Development' (iMBC/ECD), a cognitive-behavioral, group-based intervention, on maternal depression and early childhood social-emotional development in Siaya County, Kenya.

methodsThis quasi-experimental study enrolled 417 pregnant women and mothers of children under age 2 across two sub-counties in Siaya County. The intervention area had 193 women in 23 groups implementing iMBC/ECD and the control area had 224 women in 30 groups exposed to ECD only content. Mother/index child dyads were followed for two years. To estimate the causal treatment effect from the non-randomized design, we implemented the propensity score weighting method with inverse probability weights.

resultsAt baseline, 10.2% of participants endorsed moderate/severe depressive symptoms. At 14-months post-intervention, 7.4% endorsed moderate/severe depression. Overall, iMBC/ECD intervention did not have a significant impact on reducing maternal depression or improving children's social and emotional development. However, sub-group analyses revealed that iMBC/ECD was associated with lowered depressive symptoms among women with no/low education, four or more children and/or no experience of intimate partner violence in the past year. Women with high program attendance (more than half of 14 sessions) also experienced consistently fewer depressive symptoms compared to those with lower attendance. LIMITATIONS: Non-randomized study, sub-group analyses are exploratory.

conclusionsThe iMBC/ECD program may have the potential to improve maternal mental health and early child development for more targeted vulnerable populations.

Indexed as

Child DevelopmentCounselorsFemaleHumansInfantKenyaLongitudinal StudiesMental HealthMothersPregnancyCognitive behavior therapyDepressionEarly child developmentEarly stimulationLay counselorMental healthSub-Saharan AfricaTask-shifting

Identifiers

PMID34134027
PMCPMC8863180
OpenAlexW3169759193

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.