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)
2024

Impact of Family Intervention on Family Cohesion in Uganda

Sample size: 636 publication 10 minutes Evidence: high

Author Information

Author(s): William Byansi, Bahar Sensoy Ozge, Latoya Small, Phionah Namatovu, Josephine Nabayinda, Joshua Kiyingi, Abel Mwebembezi, Gertrude Nakigozi, Kimberly Hoagwood, Mary M. McKay, Fred M. Ssewamala

Primary Institution: School of Social Work Boston College

Hypothesis

Children in the community health workers group would have a significant increase in family cohesion over time compared to children in the control condition.

Conclusion

The Amaka Amasanyufu intervention significantly improved family cohesion among children with behavioral challenges in Uganda.

Supporting Evidence

  • 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 multiple time points.
  • Both intervention groups experienced significant improvements in family cohesion compared to the control condition.
  • Family cohesion is essential for building emotional bonds among family members.

Takeaway

This study shows that a special program helped families in Uganda feel closer and work better together, which is important for kids who have behavior problems.

Methodology

A cluster randomized controlled trial with three groups: control, parent peer intervention, and community health worker intervention, assessing family cohesion at multiple time points.

Potential Biases

Potential bias due to self-reporting and the lack of multiple data sources.

Limitations

Self-reported data may lead to socially desirable responses; the intervention was not specifically designed to target family cohesion.

Participant Demographics

Participants were children aged 8-13, with 51.4% female, and 12% were orphans.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI: 1.66, 6.34

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1111/famp.13007

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