Use of the creating opportunities for parent empowerment programme to decrease mental health problems in Ugandan children surviving severe malaria: a randomized controlled trial
Abstract Background Severe malaria is associated with long-term mental health problems in Ugandan children. This study investigated the effect of a behavioural intervention for caregivers of children admitted with severe malaria, on the children’s mental health outcomes 6 months after discharge. Met...
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ftdoajarticles:oai:doaj.org/article:cd9f6813a6b34042a0eade030fbd76eb 2023-05-15T15:15:26+02:00 Use of the creating opportunities for parent empowerment programme to decrease mental health problems in Ugandan children surviving severe malaria: a randomized controlled trial Paul Bangirana Annet Birabwa Mary Nyakato Ann J. Nakitende Maria Kroupina John M. Ssenkusu Noeline Nakasujja Seggane Musisi Chandy C. John Richard Idro 2021-06-01T00:00:00Z https://doi.org/10.1186/s12936-021-03795-y https://doaj.org/article/cd9f6813a6b34042a0eade030fbd76eb EN eng BMC https://doi.org/10.1186/s12936-021-03795-y https://doaj.org/toc/1475-2875 doi:10.1186/s12936-021-03795-y 1475-2875 https://doaj.org/article/cd9f6813a6b34042a0eade030fbd76eb Malaria Journal, Vol 20, Iss 1, Pp 1-9 (2021) Severe malaria Behavioural problems Mental health Caregiver training Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 2021 ftdoajarticles https://doi.org/10.1186/s12936-021-03795-y 2022-12-31T11:41:37Z Abstract Background Severe malaria is associated with long-term mental health problems in Ugandan children. This study investigated the effect of a behavioural intervention for caregivers of children admitted with severe malaria, on the children’s mental health outcomes 6 months after discharge. Methods This randomized controlled trial was conducted at Naguru Hospital in Kampala, Uganda from January 2018 to July 2019. Caregiver and child dyads were randomly assigned to either a psycho-educational arm providing information about hospital procedures during admission (control group), or to a behavioural arm providing information about the child’s possible emotions and behaviour during and after admission, and providing age appropriate games for the caregiver and child (intervention group). Pre- and post-intervention assessments for caregiver anxiety and depression (Hopkins Symptom Checklist) and child mental health problems (Strength and Difficulties Questionnaire and the Child Behaviour Checklist) were done during admission and 6 months after discharge, respectively. T-tests, analysis of covariance, Chi-Square, and generalized estimating equations were used to compare outcomes between the two treatment arms. Results There were 120 caregiver-child dyads recruited at baseline with children aged 1.45 to 4.89 years (mean age 2.85 years, SD = 1.01). The intervention and control groups had similar sociodemographic, clinical and behavioural characteristics at baseline. Caregiver depression at baseline, mother’s education and female child were associated with behavioural problems in the child at baseline (p < 0.05). At 6 months follow-up, there was no difference in the frequency of behavioural problems between the groups (6.8% vs. 10% in intervention vs control groups, respectively, p = 0.72). Caregiver depression and anxiety scores between the treatment arms did not differ at 6 months follow-up. Conclusion This behavioural intervention for caregivers and their children admitted with severe malaria had no effect on the ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Malaria Journal 20 1 |
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English |
topic |
Severe malaria Behavioural problems Mental health Caregiver training Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
spellingShingle |
Severe malaria Behavioural problems Mental health Caregiver training Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Paul Bangirana Annet Birabwa Mary Nyakato Ann J. Nakitende Maria Kroupina John M. Ssenkusu Noeline Nakasujja Seggane Musisi Chandy C. John Richard Idro Use of the creating opportunities for parent empowerment programme to decrease mental health problems in Ugandan children surviving severe malaria: a randomized controlled trial |
topic_facet |
Severe malaria Behavioural problems Mental health Caregiver training Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Abstract Background Severe malaria is associated with long-term mental health problems in Ugandan children. This study investigated the effect of a behavioural intervention for caregivers of children admitted with severe malaria, on the children’s mental health outcomes 6 months after discharge. Methods This randomized controlled trial was conducted at Naguru Hospital in Kampala, Uganda from January 2018 to July 2019. Caregiver and child dyads were randomly assigned to either a psycho-educational arm providing information about hospital procedures during admission (control group), or to a behavioural arm providing information about the child’s possible emotions and behaviour during and after admission, and providing age appropriate games for the caregiver and child (intervention group). Pre- and post-intervention assessments for caregiver anxiety and depression (Hopkins Symptom Checklist) and child mental health problems (Strength and Difficulties Questionnaire and the Child Behaviour Checklist) were done during admission and 6 months after discharge, respectively. T-tests, analysis of covariance, Chi-Square, and generalized estimating equations were used to compare outcomes between the two treatment arms. Results There were 120 caregiver-child dyads recruited at baseline with children aged 1.45 to 4.89 years (mean age 2.85 years, SD = 1.01). The intervention and control groups had similar sociodemographic, clinical and behavioural characteristics at baseline. Caregiver depression at baseline, mother’s education and female child were associated with behavioural problems in the child at baseline (p < 0.05). At 6 months follow-up, there was no difference in the frequency of behavioural problems between the groups (6.8% vs. 10% in intervention vs control groups, respectively, p = 0.72). Caregiver depression and anxiety scores between the treatment arms did not differ at 6 months follow-up. Conclusion This behavioural intervention for caregivers and their children admitted with severe malaria had no effect on the ... |
format |
Article in Journal/Newspaper |
author |
Paul Bangirana Annet Birabwa Mary Nyakato Ann J. Nakitende Maria Kroupina John M. Ssenkusu Noeline Nakasujja Seggane Musisi Chandy C. John Richard Idro |
author_facet |
Paul Bangirana Annet Birabwa Mary Nyakato Ann J. Nakitende Maria Kroupina John M. Ssenkusu Noeline Nakasujja Seggane Musisi Chandy C. John Richard Idro |
author_sort |
Paul Bangirana |
title |
Use of the creating opportunities for parent empowerment programme to decrease mental health problems in Ugandan children surviving severe malaria: a randomized controlled trial |
title_short |
Use of the creating opportunities for parent empowerment programme to decrease mental health problems in Ugandan children surviving severe malaria: a randomized controlled trial |
title_full |
Use of the creating opportunities for parent empowerment programme to decrease mental health problems in Ugandan children surviving severe malaria: a randomized controlled trial |
title_fullStr |
Use of the creating opportunities for parent empowerment programme to decrease mental health problems in Ugandan children surviving severe malaria: a randomized controlled trial |
title_full_unstemmed |
Use of the creating opportunities for parent empowerment programme to decrease mental health problems in Ugandan children surviving severe malaria: a randomized controlled trial |
title_sort |
use of the creating opportunities for parent empowerment programme to decrease mental health problems in ugandan children surviving severe malaria: a randomized controlled trial |
publisher |
BMC |
publishDate |
2021 |
url |
https://doi.org/10.1186/s12936-021-03795-y https://doaj.org/article/cd9f6813a6b34042a0eade030fbd76eb |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Malaria Journal, Vol 20, Iss 1, Pp 1-9 (2021) |
op_relation |
https://doi.org/10.1186/s12936-021-03795-y https://doaj.org/toc/1475-2875 doi:10.1186/s12936-021-03795-y 1475-2875 https://doaj.org/article/cd9f6813a6b34042a0eade030fbd76eb |
op_doi |
https://doi.org/10.1186/s12936-021-03795-y |
container_title |
Malaria Journal |
container_volume |
20 |
container_issue |
1 |
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1766345796123361280 |