Evidence map›Paper›PMID 38951006›Full record

ArticleBMJ open2024

Assessing the efficacy of a brief universal family skills programme on child behaviour and family functioning in Gilgit-Baltistan, Pakistan: protocol for a feasibility randomised controlled trial of the Strong Families programme.

Aala El-Khani, Muqaddas Asif, Salman Shahzad, Majid Sain Bux, Wadih Maalouf, Noor Ul Zaman Rafiq, Ameer B Khoso, Imran Bashir Chaudhry, Marie-Claire Van Hout, Zainab Zadeh and 4 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05933850 (Culturally Adapted Strong Families Programme to Improve Child Behavior and Family Functioning in Families Living in Gilgit Baltistan, Pakistan), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT05933850 narecruitingnot on this mapstarted 2026, after this paper: background citation

Culturally Adapted Strong Families Programme to Improve Child Behavior and Family Functioning in Families Living in Gilgit Baltistan, Pakistan

TypeinterventionalSponsorPakistan Institute of Living and LearningRan2026 to 2027Enrolled90ConditionsMental HealthArmsStrong Families Programme Intervention
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Improving parenting skill through the strong families program in Thailand.Archives of public health = Archives belges de sante publique · 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

14 authors.

Aala El-KhaniPrevention, Treatment and Rehabilitation Section, Drug Prevention and Health Branch, Division of Operations, United Nations Office on Drugs and Crime, Wien, Austria.
Muqaddas AsifPakistan Institute of Living and Learning, Karachi, Pakistan muqaddasasif@hotmail.com.ORCID 0000-0003-1605-9181
Salman ShahzadPakistan Institute of Living and Learning, Karachi, Pakistan.
Majid Sain BuxPakistan Institute of Living and Learning, Karachi, Pakistan.
Wadih MaaloufTreatment and Rehabilitation Section, Drug Prevention and Health Branch, Division of Operations, United Nations Office on Drugs and Crime, Vienna, Austria.
Noor Ul Zaman RafiqPakistan Institute of Living and Learning, Lahore, Pakistan.
Ameer B KhosoPakistan Institute of Living and Learning, Karachi, Pakistan.
Imran Bashir ChaudhryDivision of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.
Marie-Claire Van HoutPublic Health Institute, Liverpool John Moores University, Liverpool, UK.ORCID 0000-0002-0018-4060
Zainab ZadehChild and Adolescent Mental Health, Pakistan Institute of Living and Learning, Karachi, Pakistan.
Azam TahirPakistan Institute of Living and Learning, Karachi, Pakistan.
Rakhshi MemonUniversity College London, London, UK.
Nasim ChaudhryPakistan Institute of Living and Learning, Karachi, Pakistan.
Nusrat HusainDivision of Psychology and Mental Health, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK.ORCID 0000-0002-9493-0721

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe global burden of mental health difficulties among children underscores the importance of early prevention. This study aims to assess the efficacy, feasibility and acceptability of the Strong Families programme in enhancing child behaviour and family functioning in low-resource settings in Gilgit-Baltistan, Pakistan. METHODS AND ANALYSIS: This is a two-arm, multisite feasibility randomised controlled trial with an embedded process evaluation in three districts of Gilgit-Baltistan, namely Gilgit, Hunza and Skardu. 90 families living in these challenged settings, comprising a female primary caregiver aged 18 or above, and at least one child aged 8-15 years, will participate. Participants will be randomly assigned to either receive the Strong Families programme or to the waitlist group. Strong Families is a 7-hour family skills group intervention programme attended by children and their primary caregivers over 3 weeks. The waitlist group will be offered the intervention after their outcome assessment. Three raters will conduct blind assessments at baseline, 2 and 6 weeks postintervention. The primary outcome measures include the feasibility of Strong Families, as determined by families' recruitment and attendance rates, and programme completeness (mean number of sessions attended, attrition rates). The secondary outcomes include assessment of child behaviour, parenting practices, parental adjustment and child resilience. Purposefully selected participants, including up to five caregivers from each site, researchers and facilitators delivering the intervention, will be interviewed. Descriptive statistics will be used to analyse primary and secondary outcomes. The process evaluation will be conducted in terms of programme context, reach, fidelity, dose delivered and received, implementation, and recruitment. ETHICS AND DISSEMINATION: This study has been approved by the UNODC Drug Prevention and Health Branch in the Headquarters office of Vienna and the National Bioethics Committee of Pakistan. Findings will be disseminated through publication in reputable journals, newsletters and presentations at conferences. TRIAL REGISTRATION NUMBER: NCT05933850.

Indexed as

Feasibility StudiesAdolescentChildChild BehaviorFamily TherapyFemaleHumansMalePakistanParentingProgram EvaluationRandomized Controlled Trials as TopicFeasibility StudiesMENTAL HEALTHPUBLIC HEALTHRandomized Controlled Trial

Identifiers

PMID38951006
PMCPMC11328616

What OpenQuestion holds

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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.