Evidence map›Paper›PMID 35734763›Full record

Trial reportFrontiers in public health2022

Development and Pilot Test of a Group Cognitive Behavioral Intervention for Women Recovering From Fistula Repair Surgery in Ethiopia.

Tracy R G Gladstone, Ana M Ugueto, Mulu Muleta, Tsega M Meshesha, Genet G Ambaafris, Mariya C Patwa, Cordelia Zhong, Katherine R Buchholz

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in Frontiers in public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 48% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Review
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

8 authors at 7 institutions in 2 countries.

Tracy R G GladstoneWellesley Centers for Women, Wellesley College, Wellesley, MA, United States.
Ana M UguetoDepartment of Psychiatry and Behavioral Sciences, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX, United States.
Mulu MuletaIthiel MCH, Addis Ababa, Ethiopia.
Tsega M MesheshaMIT Center for Biomedical Innovation, Massachusetts Institute of Technology, Cambridge, MA, United States.
Genet G AmbaafrisDepartment of Obstetrics and Gynecology, Saint Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Mariya C PatwaSchool of Medicine, Tufts University School of Medicine, Boston, MA, United States.
Cordelia ZhongWellesley Centers for Women, Wellesley College, Wellesley, MA, United States.
Katherine R BuchholzWellesley Centers for Women, Wellesley College, Wellesley, MA, United States.
Wellesley College · USInternational Trachoma Initiative · ETMassachusetts Institute of Technology · USSt. Paul's Hospital Millennium Medical College · ETThe University of Texas Health Science Center at Houston · USTufts University · USWellesley Centers for Women · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Obstetric fistula is a serious complication that affects thousands of women in low-income countries. Women who suffer from obstetric fistulae are at risk of developing mental health problems, but to date most interventions have focused on repairing the physical consequences of fistulae through surgery. The goal of the current study is to develop an evidence-based intervention targeting symptoms of depression, anxiety, and trauma in women recovering from fistula repair surgery. First, hospital staff and patients awaiting surgery at a fistula hospital in Ethiopia participated in qualitative interviews to provide information on the mental health needs of women with fistulae, how the hospital tends to these women's psychological needs, and the training needs of staff members. Data from these interviews were used to develop the COFFEE intervention (CBT with Obstetric Fistula for Education and Empowerment). COFFEE is a modular, group intervention that teaches psycho-education, behavioral activation, relaxation, problem solving, cognitive restructuring, and includes a trauma narrative. Patients then participated in an open trial of the COFFEE intervention at the University of Gondar Hospital. Five separate groups were conducted with 24 women who were enrolled post-fistula repair surgery. Women completed pre-treatment self-report questionnaires, participated in group sessions conducted by nurses (with 8 sessions delivered across 10-14 days), and were assessed post-treatment and at 3-month follow-up. Results indicate a significant reduction on depression and anxiety symptoms scores across the three time points [

Indexed as

Cognitive Behavioral TherapyFistulaCognitionEthiopiaFemaleHumansPregnancyanxietycognitive behavioral therapydepressionglobal mental healthlow- and middle-income countriesobstetric fistulapsychological treatmentstraumatic stress

Identifiers

PMID35734763
PMCPMC9207711
OpenAlexW4281705989

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.