Evidence map›Paper›PMID 34447897›Full record

ArticleCurrent developments in nutrition2021

A Mixed-Methods Cluster-Randomized Controlled Trial of a Hospital-Based Psychosocial Stimulation and Counseling Program for Caregivers and Children with Severe Acute Malnutrition.

Allison I Daniel, Mike Bwanali, Josephine Chimoyo Tenthani, Melissa Gladstone, Wieger Voskuijl, Isabel Potani, Frank Ziwoya, Kate Chidzalo, Emmie Mbale, Anna Heath and 4 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Current developments in nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03072433 (The Effect of an Intervention Program for Primary Caregivers on the Development of Children With Severe Malnutrition), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.4field-weighted citation impact, top 43% 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.

NCT03072433 nacompletednot on this map

The Effect of an Intervention Program for Primary Caregivers on the Development of Children With Severe Malnutrition: A Cluster Randomized Controlled Clinical Trial

TypeinterventionalSponsorThe Hospital for Sick ChildrenRan2016 to 2020Enrolled181ConditionsChild MalnutritionArmsCounseling Intervention Package, Standard of Care
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 7 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

14 authors at 4 institutions in 4 countries.

Allison I DanielCentre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0002-1774-1214
Mike BwanaliThe Childhood Acute Illness & Nutrition (CHAIN) Network, Blantyre, Malawi.
Josephine Chimoyo TenthaniThe Childhood Acute Illness & Nutrition (CHAIN) Network, Blantyre, Malawi.
Melissa GladstoneDepartment of Women's and Children's Health, Institute of Translational Medicine, University of Liverpool, Liverpool, United Kingdom.ORCID https://orcid.org/0000-0002-2579-9301
Wieger VoskuijlThe Childhood Acute Illness & Nutrition (CHAIN) Network, Blantyre, Malawi.ORCID https://orcid.org/0000-0001-5825-2831
Isabel PotaniDepartment of Nutritional Sciences, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0002-3494-534X
Frank ZiwoyaThe Childhood Acute Illness & Nutrition (CHAIN) Network, Blantyre, Malawi.
Kate ChidzaloThe Childhood Acute Illness & Nutrition (CHAIN) Network, Blantyre, Malawi.ORCID https://orcid.org/0000-0003-4301-0404
Emmie MbaleThe Childhood Acute Illness & Nutrition (CHAIN) Network, Blantyre, Malawi.ORCID https://orcid.org/0000-0001-7134-2858
Anna HeathChild Health Evaluative Sciences, Hospital for Sick Children, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0002-7263-4251
Celine BourdonTranslational Medicine Program, Hospital for Sick Children, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0002-6336-0906
Jenala NjirammadziDepartment of Pediatrics, College of Medicine, University of Malawi, Blantyre, Malawi.
Meta van den HeuvelCentre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0003-2742-1182
Robert H J BandsmaCentre for Global Child Health, Hospital for Sick Children, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0001-6358-4750
University of Malawi · MWUniversity of Toronto · CAHospital for Sick Children · CAUniversity of Liverpool · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChildren with severe acute malnutrition (SAM) who require nutritional rehabilitation unit (NRU) treatment often have poor developmental and nutritional outcomes following discharge. The Kusamala Program is a 4-d hospital-based counseling program for caregivers of children with SAM that integrates nutrition, water, sanitation, and hygiene and psychosocial stimulation, aimed at improving these outcomes.

objectivesThe aim was to evaluate the effects of the Kusamala Program on child development and nutritional status in children with SAM 6 mo after NRU discharge. The other aim was to qualitatively understand perceptions and experiences of caregivers who participated in the intervention.

methodsA cluster-randomized controlled trial was conducted with caregivers and their children 6-59 mo of age with SAM admitted to the Moyo NRU in Blantyre, Malawi. The primary outcome of the trial was child development according to Malawi Developmental Assessment Tool (MDAT) composite

resultsSixty-eight caregivers and children were enrolled to clusters by week and randomly assigned to the comparison arm and 104 to the intervention arm. There were no differences in child development, with mean MDAT composite

conclusionsThe Kusamala Program did not result in improved developmental or nutritional outcomes, yet it was viewed positively by caregivers according to qualitative results. Future research should evaluate more intensive interventions for caregivers and children with SAM. This trial was registered at www.clinicaltrials.gov as NCT03072433.

Indexed as

child developmentHOME Inventorynurturing care frameworknutritionpsychosocial stimulationSAMsevere acute malnutrition

Identifiers

PMID34447897
PMCPMC8382273
OpenAlexW3193282792

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.