Evidence map›Paper›PMID 37277837›Full record

Trial reportReproductive health2023

Effects of the reaching married adolescents program on modern contraceptive use and intimate partner violence: results of a cluster randomized controlled trial among married adolescent girls and their husbands in Dosso, Niger.

Jay G Silverman, Mohamad I Brooks, Sani Aliou, Nicole E Johns, Sneha Challa, Abdoul Moumouni Nouhou, Shweta Tomar, Holly Baker, Sabrina C Boyce, Lotus McDougal and 2 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Reproductive health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03226730 (Evaluating Household Visits and Small Groups to Increase Contraception Use Among Married Adolescent Girls in Rural Niger), which is not on this map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
10.0field-weighted citation impact, top 2% 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.

NCT03226730 nacompletednot on this map

Evaluating Household Visits and Small Groups to Increase Contraception Use Among Married Adolescent Girls in Rural Niger

TypeinterventionalSponsorUniversity of California, San DiegoRan2016 to 2021Enrolled2,898ConditionsContraceptionArmsHousehold Visits, Small Groups
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 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

12 authors at 4 institutions in 2 countries.

Jay G SilvermanCenter On Gender Equity and Health, School of Medicine, University of California San Diego, La Jolla, CA, 92093, USA. jgsilverman@health.ucsd.edu.
Mohamad I BrooksPathfinder International, Watertown, USA.
Sani AliouPathfinder International, Watertown, USA.
Nicole E JohnsCenter On Gender Equity and Health, School of Medicine, University of California San Diego, La Jolla, CA, 92093, USA.
Sneha ChallaCenter On Gender Equity and Health, School of Medicine, University of California San Diego, La Jolla, CA, 92093, USA.
Abdoul Moumouni NouhouGRADE Africa-Niger, Niamey, Niger.
Shweta TomarCenter On Gender Equity and Health, School of Medicine, University of California San Diego, La Jolla, CA, 92093, USA.
Holly BakerCenter On Gender Equity and Health, School of Medicine, University of California San Diego, La Jolla, CA, 92093, USA.
Sabrina C BoyceCenter On Gender Equity and Health, School of Medicine, University of California San Diego, La Jolla, CA, 92093, USA.
Lotus McDougalCenter On Gender Equity and Health, School of Medicine, University of California San Diego, La Jolla, CA, 92093, USA.
Stephanie DeLongCenter On Gender Equity and Health, School of Medicine, University of California San Diego, La Jolla, CA, 92093, USA.
Anita RajCenter On Gender Equity and Health, School of Medicine, University of California San Diego, La Jolla, CA, 92093, USA.
University of California San Diego · USCenter for Health and Gender Equity · USPathfinder International · USUnited Nations Children's Fund Niger · NE

Funding

Bill and Melinda Gates Foundation OPP1195210
6 · The paper itself

Abstract

backgroundNiger has the highest rate of adolescent fertility in the world, with early marriage, early childbearing and high gender inequity. This study assesses the impact of Reaching Married Adolescents (RMA), a gender-synchronized social behavioral intervention designed to improve modern contraceptive use and reduce intimate partner violence (IPV) among married adolescent couples in rural Niger.

methodsWe conducted a four-armed cluster-randomized trial in 48 villages across three districts in Dosso region, Niger. Married adolescent girls (ages 13-19) and their husbands were recruited within selected villages. Intervention arms included home visits by gender-matched community health workers (CHWs) (Arm 1), gender-segregated, group discussion sessions (Arm 2), and both approaches (Arm 3). We used multilevel mixed-effects Poisson regression models to assess intervention effects for our primary outcome, current modern contraceptive use, and our secondary outcome, past year IPV.

resultsBaseline and 24-month follow-up data were collected April-June 2016 and April-June 2018. At baseline, 1072 adolescent wives were interviewed (88% participation), with 90% retention at follow-up; 1080 husbands were interviewed (88% participation), with 72% retention at follow-up. Adolescent wives had higher likelihood of modern contraceptive use at follow-up relative to controls in Arm 1 (aIRR 3.65, 95% CI 1.41-8.78) and Arm 3 (aIRR 2.99, 95% CI 1.68-5.32); no Arm 2 effects were observed. Relative to those in the control arm, Arm 2 and Arm 3 participants were significantly less likely to report past year IPV (aIRR 0.40, 95% CI 0.18-0.88 for Arm 2; aIRR 0.46, 95% CI 0.21-1.01 for Arm 3). No Arm 1 effects were observed.

conclusionsThe RMA approach blending home visits by CHWs and gender-segregated group discussion sessions is the optimal format for increasing modern contraceptive use and decreasing IPV among married adolescents in Niger. Trial registration This trial is retrospectively registered with ClinicalTrials.gov, Identifier NCT03226730.

Indexed as

Contraception BehaviorIntimate Partner ViolenceMarriageSpousesAdolescentFamily Planning ServicesFemaleHumansNigerRural PopulationAdolescent fertilityAdolescent marriageBehavior changeContraceptionFamily planningIPVNigerRCT

Identifiers

PMID37277837
PMCPMC10243049
OpenAlexW4379472478

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.