Evidence map›Paper›PMID 37062584›Full record

Trial reportThe Journal of adolescent health : official publication of the Society for Adolescent Medicine2023

The Impact of Family Economic Empowerment Intervention on Psychological Difficulties and Prosocial Behavior Among AIDS-Orphaned Children in Southern Uganda.

Nhial T Tutlam, Lindsey M Filiatreau, William Byansi, Rachel Brathwaite, Proscovia Nabunya, Ozge Sensoy Bahar, Flavia Namuwonge, Fred M Ssewamala

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of adolescent health : official publication of the Society for Adolescent Medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
6.7field-weighted citation impact, top 3% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Article
  7. Patterns of Adverse Childhood Experiences from a Longitudinal South African Community Sample: A Latent Class Analysis.International journal on child maltreatment : research, policy and practice · 2025
    Article
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 2 institutions in 1 country.

Nhial T TutlamInternational Center for Child Health and Development, Brown School of Social Work, Washington University in St. Louis, St. Louis, Missouri.
Lindsey M FiliatreauInternational Center for Child Health and Development, Brown School of Social Work, Washington University in St. Louis, St. Louis, Missouri.
William ByansiBoston College, School of Social Work, Chestnut Hill, Massachusetts.
Rachel BrathwaiteInternational Center for Child Health and Development, Brown School of Social Work, Washington University in St. Louis, St. Louis, Missouri.
Proscovia NabunyaInternational Center for Child Health and Development, Brown School of Social Work, Washington University in St. Louis, St. Louis, Missouri.
Ozge Sensoy BaharInternational Center for Child Health and Development, Brown School of Social Work, Washington University in St. Louis, St. Louis, Missouri.
Flavia NamuwongeInternational Center for Child Health and Development Field Office, Masaka, Uganda.
Fred M SsewamalaInternational Center for Child Health and Development, Brown School of Social Work, Washington University in St. Louis, St. Louis, Missouri. Electronic address: fms1@wustl.edu.
Washington University in St. Louis · USBoston College · US

Funding

Training Program for Scientists Conducting Research to Reduce HIV Health DisparitR25MH067127 · NIMH · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Emily A Arnold, Torsten Brian Neilands · 2003 to 2026
$5.4M
Strengthening Child Health Research Capacity in Resource Constrained Settings: Researcher Resilience Training (RRT)R25MH118935 · NIMH · WASHINGTON UNIVERSITY · PI SEAN JOE, Mary McKernan McKay · 2018 to 2026
$1.5M
Training LEADers to Accelerate Global Mental Health Disparities in Research (LEAD)T37MD014218 · NIMHD · WASHINGTON UNIVERSITY · PI CAVAZOS-REHG, PATRICIA A, SSEWAMALA, FRED M · 2019 to 2023
$1.3M
A Family-Based Economic Empowerment Model for Orphaned Children in UgandaR34MH081763 · NIMH · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI SSEWAMALA, FRED M · 2008 to 2010
$836k
NIMHD NIH HHS T37 MD014218NIMH NIH HHS R25 MH067127NIMH NIH HHS R25 MH118935NIMH NIH HHS R34 MH081763
6 · The paper itself

Abstract

purposeChildren orphaned by AIDS are more likely to have psychological and emotional problems compared to their counterparts. Poverty resulting from orphanhood is linked to the negative psychological outcomes experienced by AIDS-orphaned adolescents. No studies have investigated the impact of an economic empowerment intervention on child psychological and emotional problems and prosocial behavior. Therefore, we aimed to examine the impact of a family economic empowerment intervention on psychological difficulties and prosocial behavior among AIDS-orphaned adolescents.

methodsWe analyzed data from a two-arm cluster randomized controlled trial conducted in 10 primary schools in southern Uganda. Schools were randomized to either bolstered usual care (n = 5 schools; 167 participants) or a family-economic empowerment intervention (Suubi-Maka; n = 5 schools; 179 individuals). We used t-test and multi-level mixed effects models to examine the impact of Suubi-Maka on psychological and behavioral outcomes.

resultsNo differences were observed between intervention and control groups in almost all the outcomes at baseline, 12 months, and 24 months. Simple main effects comparisons of 12 months versus baseline within each condition indicate modest to significant declines in emotional symptoms, hyperactivity, peer relationships (Δs = -1.00 to -2.11, all p < .001), and total difficulties (Δs = -4.85 to -4.89, both p < .001) across both groups. DISCUSSION: Our analysis found no meaningful difference between intervention and control groups in child psychological difficulties and prosocial behavior postintervention. However, improvements were observed across both control and treatment groups following the intervention. Future studies should investigate the impact of different components of the intervention.

Indexed as

Acquired Immunodeficiency SyndromeChild, OrphanedAdolescentAltruismChildHumansPovertyUgandaEconomic empowermentEmotional and behavioral difficultiesFamily functioningHIV/AIDSOrphansPsychological wellbeingSub-Saharan AfricaVulnerable children

Identifiers

PMID37062584
PMCPMC10159782
OpenAlexW4365506027

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.