Evidence map›Paper›PMID 36888596›Full record

ReviewPloS one2023

Understanding depression treatment and perinatal service preferences of Kenyan pregnant adolescents: A discrete choice experiment.

Manasi Kumar, Albert Tele, Joseph Kathono, Vincent Nyongesa, Obadia Yator, Shillah Mwaniga, Keng Yen Huang, Mary McKay, Joanna Lai, Marcy Levy and 3 more

Open access · goldAbstract readReview
In one paragraph

Review in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 19% 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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
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

13 authors at 7 institutions in 4 countries.

Manasi KumarDepartment of Psychiatry, University of Nairobi, Nairobi, Kenya.ORCID 0000-0002-9773-8014
Albert TeleVrije University, Amsterdam, Netherlands.
Joseph KathonoDepartment of Psychiatry, University of Nairobi, Nairobi, Kenya.
Vincent NyongesaDepartment of Psychiatry, University of Nairobi, Nairobi, Kenya.
Obadia YatorDepartment of Psychiatry, University of Nairobi, Nairobi, Kenya.
Shillah MwanigaVrije University, Amsterdam, Netherlands.
Keng Yen HuangNew York University Medical School, New York, New York, United States of America.
Mary McKayWashington University in St. Louis, St. Louis, Missouri, United States of America.
Joanna LaiUNICEF Headquarters, New York, New York, United States of America.
Marcy LevyUNICEF Headquarters, New York, New York, United States of America.
Pim CuijpersVrije University, Amsterdam, Netherlands.
Matthew QuaifeLondon School of Tropical Medicine and Hygiene, Bloomsbury, United Kingdom.
Jurgen UnutzerUniversity of Washington, Seattle, Washington, United States of America.
University of Nairobi · KEVrije Universiteit Amsterdam · NLUnited Nations Children's Fund · USLondon School of Hygiene & Tropical Medicine · GBNew York University · USUniversity of Washington · USWashington University in St. Louis · US

Funding

Mapping impact and developing mitigation strategies for climate change-mental health nexus in the context of vulnerable adolescent populations in KenyaK43TW010716 · FIC · UNIVERSITY OF NAIROBI · PI KUMAR, MANASI · 2018 to 2022
$648k
FIC NIH HHS K43 TW010716
6 · The paper itself

Abstract

backgroundUnderstanding mental health treatment preferences of adolescents and youth is particularly important for interventions to be acceptable and successful. Person-centered care mandates empowering individuals to take charge of their own health rather than being passive recipients of services.

methodsWe conducted a discrete choice experiment to quantitatively measure adolescent treatment preferences for different care characteristics and explore tradeoffs between these. A total of 153 pregnant adolescents were recruited from two primary healthcare facilities in the informal urban settlement of Nairobi. We selected eight attributes of depression treatment option models drawn from literature review and previous qualitative work. Bayesian d-efficient design was used to identify main effects. A total of ten choice tasks were solicited per respondent. We evaluated mean preferences using mixed logit models to adjust for within subject correlation and account for unobserved heterogeneity.

resultsRespondents showed a positive preference that caregivers be provided with information sheets, as opposed to co-participation with caregivers. With regards to treatment options, the respondents showed a positive preference for 8 sessions as compared to 4 sessions. With regards to intervention delivery agents, the respondents had a positive preference for facility nurses as compared to community health volunteers. In terms of support, the respondents showed positive preference for parenting skills as compared to peer support. Our respondents expressed negative preferences of ANC service combined with older mothers as compared to adolescent friendly services and of being offered refreshments alone. A positive preference was revealed for combined refreshments and travel allowance over travel allowance or refreshments alone. A number of these suggestions were about enhancing their experience of maternity clinical care experience.

conclusionThis study highlights unique needs of this population. Pregnant adolescents' value responsive maternity and depression care services offered by nurses. Participants shared preference for longer psychotherapy sessions and their preference was to have adolescent centered maternal mental health and child health services within primary care.

Indexed as

DepressionPregnant PeopleAdolescentBayes TheoremCaregiversChildChoice BehaviorFemaleHumansKenyaPatient PreferencePregnancy

Identifiers

PMID36888596
PMCPMC9994687
OpenAlexW4323532084

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.