Evidence map›Paper›PMID 38761066›Full record

Trial reportFamily process2024

The longitudinal impact of an evidence-based multiple family group intervention (Amaka Amasanyufu) on family cohesion among children in Uganda: Analysis of the cluster randomized SMART Africa-Uganda scale-up study (2016-2022).

William Byansi, Ozge Sensoy Bahar, Latoya Small, Phionah Namatovu, Josephine Nabayinda, Joshua Kiyingi, Abel Mwebembezi, Gertrude Nakigozi, Kimberly Hoagwood, Mary M McKay and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Family process, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Trial
  2. Short-term impact of a combination intervention on family cohesion: Results from a pilot cluster-randomized clinical trial in Northern Ghana.Journal of research on adolescence : the official journal of the Society for Research on Adolescence · 2024
    Trial
  3. Article
  4. Preliminary Effects of the ANZANSI Family Program on Caregiver Outcomes in Northern Ghana: A Pilot Study.Families in society : the journal of contemporary human services · 2026
    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

11 authors.

William ByansiSchool of Social Work, Boston College, Chestnut Hill, Massachusetts, USA.ORCID 0000-0003-2880-9357
Ozge Sensoy BaharBrown School, Washington University in St. Louis, St. Louis, Missouri, USA.
Latoya SmallLuskin School of Public Affairs, University of California at Los Angeles, Los Angeles, California, USA.
Phionah NamatovuInternational Center for Child Health and Development Field Office, Masaka, Uganda.
Josephine NabayindaBrown School, Washington University in St. Louis, St. Louis, Missouri, USA.
Joshua KiyingiBrown School, Washington University in St. Louis, St. Louis, Missouri, USA.
Abel MwebembeziReach the Youth Uganda, Kampala, Uganda.
Gertrude NakigoziRakai Health Sciences Program, Rakai, Uganda.
Kimberly HoagwoodGrossman School of Medicine, New York University, New York City, New York, USA.
Mary M McKayVice Provost Office, Washington University in St. Louis, St. Louis, Missouri, USA.
Fred M SsewamalaBrown School, Washington University in St. Louis, St. Louis, Missouri, USA.

Funding

Scaling up a family strengthening EBP to reduce child disruptive behavior problems in SSAU19MH110001 · NIMH · WASHINGTON UNIVERSITY · PI HOAGWOOD, KIMBERLY E., MCKAY, MARY MCKERNAN · 2016 to 2020
$3.9M
NIMH NIH HHS U19 MH110001NIMH NIH HHS U19MH110001
6 · The paper itself

Abstract

Family functioning plays a critical role in childhood disruptive behavior disorders (The Family Journal, 2003, 11(1), 33-41; Research in Nursing and Health, 2016, 39(4), 229-243). Yet, there is limited research on the impact of evidence-based family strengthening interventions on improving family cohesion as a protective factor among children experiencing behavioral challenges. To address this gap, we analyzed data (N = 636) from the SMART Africa-Uganda study (2016-2022), a cluster randomized clinical trial testing an evidence-based family-strengthening intervention called Amaka Amasanyufu (translated as "Happy Families" in the local language). Children aged 8-13 and their caregivers were recruited from 26 public primary schools that were randomized to: (1) control condition receiving generalized psychosocial literature (10 schools), (2) intervention delivered via parent peers (eight schools), and (3) intervention delivered via community healthcare workers (eight schools). Children completed the family cohesion questionnaire at baseline, 8 weeks, 16 weeks, and 6 months post-intervention completion. The intervention effectiveness was evaluated via a three-level logistic mixed effects model with pairwise comparisons across study conditions within each time point. Participants in the parent-peer intervention group had greater odds of being in the higher family cohesion group than participants in the control group at 8 weeks (OR = 3.24), 16 weeks (OR = 1.88) and 6 months (OR = 2.07). At 8 weeks, 16 weeks, and 6 months, participants in the community health worker group had 3.98, 2.08, and 1.79 times greater odds of being in the higher family cohesion group than participants in the control group, respectively. Our findings strengthen the evidence base for Amaka Amansayufu as an effective intervention that can be utilized in SSA to improve family cohesion in families with children experiencing behavioral challenges.

Indexed as

Family RelationsAdolescentChildChild Behavior DisordersFamily TherapyFemaleHumansLongitudinal StudiesMaleUgandafamily cohesionfamily strengthening interventionfamily wellbeingmultiple family groupssub‐Saharan Africa

Identifiers

PMID38761066
PMCPMC11659092

What OpenQuestion holds

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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.