Evidence map›Paper›PMID 37957412›Full record

ArticleMaternal and child health journal2024

Testing the Effectiveness of a Community-Based Peer Support Intervention to Mitigate Social Isolation and Stigma of Adolescent Motherhood in Zimbabwe.

Chiwoneso B Tinago, Edward A Frongillo, Andrea M Warren, Vivian Chitiyo, Tiara N Jackson, Ashley K Cifarelli, Shannon Fyalkowski, Victoria Pauline

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Maternal and child health journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05213182 (Community-Based Peer Support Intervention to Mitigate Social Isolation and Stigma of Adolescent Motherhood in Harare, Zimbabwe), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.9field-weighted citation impact, top 9% 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.

NCT05213182 phase2completednot on this map

Community-Based Peer Support Intervention to Mitigate Social Isolation and Stigma of Adolescent Motherhood in Harare, Zimbabwe

TypeinterventionalSponsorWest Chester University of PennsylvaniaRan2018 to 2019Enrolled183ConditionsMental Health Disorder, Social Isolation, Stigma, SocialArmsYoung Women of Today
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. MCH and Abortion: Towards a Stronger Relationship.Maternal and child health journal · 2025
    Article
  8. Article
  9. 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 3 institutions in 1 country.

Chiwoneso B TinagoDepartment of Public Health Sciences, West Chester University of Pennsylvania, 155 University Avenue, West Chester, PA, 19383, USA. ctinago@wcupa.edu.ORCID http://orcid.org/0000-0002-7682-524X
Edward A FrongilloDepartment of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, 915 Greene Street, Columbia, SC, 29208, USA.
Andrea M WarrenDepartment of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, 915 Greene Street, Columbia, SC, 29208, USA.
Vivian ChitiyoThe Organization for Public Health Interventions and Development (OPHID), 20 Cork Road, Belgravia, Harare, Zimbabwe.
Tiara N JacksonNORC at the University of Chicago, 4350 East-West Highway, 8th Floor, Bethesda, MD, USA.
Ashley K CifarelliDepartment of Public Health Sciences, West Chester University of Pennsylvania, 155 University Avenue, West Chester, PA, 19383, USA.
Shannon FyalkowskiDepartment of Public Health Sciences, West Chester University of Pennsylvania, 155 University Avenue, West Chester, PA, 19383, USA.
Victoria PaulineDepartment of Public Health Sciences, West Chester University of Pennsylvania, 155 University Avenue, West Chester, PA, 19383, USA.
West Chester University · USUniversity of South Carolina · USUniversity of Chicago · US

Funding

Bill and Melinda Gates Foundation OPP1190830
6 · The paper itself

Abstract

objectivesSocial isolation and stigma contribute to poor mental health outcomes. Adolescent mothers in Zimbabwe often experience isolation and stigma, lacking social support and resources to navigate motherhood. The study tested the effectiveness of a community-based peer support intervention to mitigate social isolation and stigma of adolescent motherhood in Harare, Zimbabwe.

methodsCommunity health workers (n = 12) and peer educators (n = 12) in the intervention arm were recruited and trained on co-facilitating peer support groups. Adolescent mothers aged 15-18 years from two low-income high-density communities in Harare were recruited, using a quasi-experimental design. The intervention arm (n = 104) participated in the peer support groups and both arms completed sociodemographic, base-, mid-, and end-line surveys (control arm n = 79). Peer support groups (12 groups with 6-12 participants in each) met in-person twice a month and completed 12 sessions from May to August 2019 addressing participant-identified topics such as income generation and depression. WhatsApp Messenger was used for training and implementation support. Key community stakeholders discussed project progress and recommendations to improve adolescent mothers' health. Data were analyzed using Stata 15.

resultsThe intervention arm reported lower depressive symptoms and common mental disorders and higher overall, family, friends, and significant-other support, compared to control. The intervention arm felt more engaged with peers, knew who and where to turn to for help, and had coping, parenting and communication strategies to manage life challenges. CONCLUSIONS FOR PRACTICE: The intervention mitigated social isolation and stigma and thereby improved mental health and social support among adolescent mothers in Harare. Trial Registration This trial is registered at Clinical Trials.gov, NCT05213182 https://clinicaltrials.gov/ct2/show/NCT05213182 .

Indexed as

Adolescent MothersMental DisordersAdolescentCounselingFemaleHumansSocial IsolationSocial StigmaSocial SupportZimbabweAdolescent mothersMental healthPeer supportSocial isolation and stigmaWhatsApp Messenger

Identifiers

PMID37957412
PMCPMC10963463
OpenAlexW4388627458

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.