Evidence map›Paper›PMID 37256892›Full record

ArticlePloS one2023

Narratives of most significant change to explore experiences of caregivers in a caregiver-young adolescent sexual and reproductive health communication intervention in rural south-western Uganda.

Cecilia Akatukwasa, Elizabeth Kemigisha, Dorcus Achen, Danielle Fernandes, Shakira Namatovu, Wendo Mlahagwa, Gad Ndaruhutse Ruzaaza, Gily Coene, Godfrey Zari Rukundo, Kristien Michielsen and 1 more

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In one paragraph

Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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 synthesis or guideline pooled it.

  1. Pooled it
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.

Cecilia AkatukwasaFaculty of Medicine and Health Sciences, Department of Public Health and Primary Care, International Center for Reproductive Health, Ghent University, Ghent, Belgium.ORCID 0000-0002-1157-9797
Elizabeth KemigishaFaculty of Interdisciplinary Studies, Mbarara University of Science & Technology, Mbarara, Uganda.ORCID 0000-0001-9137-8014
Dorcus AchenFaculty of Interdisciplinary Studies, Mbarara University of Science & Technology, Mbarara, Uganda.
Danielle FernandesFaculty of Medicine and Health Sciences, Department of Public Health and Primary Care, International Center for Reproductive Health, Ghent University, Ghent, Belgium.ORCID 0000-0002-8640-0448
Shakira NamatovuFaculty of Interdisciplinary Studies, Mbarara University of Science & Technology, Mbarara, Uganda.
Wendo MlahagwaFaculty of Interdisciplinary Studies, Mbarara University of Science & Technology, Mbarara, Uganda.
Gad Ndaruhutse RuzaazaFaculty of Medicine, Department of Community Health, Mbarara University of Science & Technology, Mbarara, Uganda.
Gily CoeneFaculty of Interdisciplinary Studies, Mbarara University of Science & Technology, Mbarara, Uganda.
Godfrey Zari RukundoFaculty of Medicine, Department of Psychiatry, Mbarara University of Science & Technology, Mbarara, Uganda.
Kristien MichielsenFaculty of Medicine and Health Sciences, Department of Public Health and Primary Care, International Center for Reproductive Health, Ghent University, Ghent, Belgium.
Viola N NyakatoFaculty of Interdisciplinary Studies, Mbarara University of Science & Technology, Mbarara, Uganda.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis paper presents findings from a qualitative effectiveness evaluation of an intervention aimed at improving caregiver-young adolescent sexual and reproductive health (SRH) communication including training modules for caregivers on parent-child SRH communication.

methodsData was collected (October 2021-November 2021) using a narrative interviewing technique with thirty caregivers (8 males and 22 females), who received the parent-child communication intervention in Mbarara district, south-western Uganda. We explored caregivers' experiences with the intervention based on four domains of change: caregiver-young adolescent communication on SRH issues, knowledge and attitudes towards adolescent SRH, parenting skills, and personal life and family. Thematic analysis was used to code and analyse the data, with attention to gender differences.

resultsFindings highlight positive parenting as a key attribute of SRH communication, along with a transformation of knowledge and attitudes towards the SRH of young adolescents leading to an overall improvement in SRH communication. However, communication is still limited to comfortable topics.

conclusionOur findings indicate improved caregiver-adolescent SRH communication practices following a community intervention. Programming for adolescent health on broader sexuality topics, comfortability and attitude change among caregivers could promote behaviour change on a long term. Future studies may focus on the long term impacts of interventions of this nature and test interventions aimed at addressing comfortability with discussingSRH issues.

Indexed as

CaregiversHealth CommunicationAdolescentAdolescent HealthCommunicationFemaleHumansMaleReproductive HealthSexual BehaviorUganda

Identifiers

PMID37256892
PMCPMC10231775

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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.