Sustainability of effects and secondary long-term outcomes: One-year follow-up of a cluster-randomized controlled trial to prevent maltreatment in institutional care

Hecker T, Mkinga G, Hartmann E, Nkuba M, Hermenau K (2022)
PLOS Global Public Health 2(5): e0000286.

Zeitschriftenaufsatz | Veröffentlicht | Englisch
 
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Abstract / Bemerkung
**Background**
Many orphans in East Africa are living in institutional care facilities where they experience poor quality of care and ongoing maltreatment. We report on the extension of a cluster-randomized controlled trial aiming to replicate and show sustainability of previous found effects and to discover long-term effects of the interventionInteraction Competencies with Children–for Caregivers(ICC-C)12-months after the intervention’s conclusion. **Methods**
Conducting a robust 2x3 analysis of variance, we investigated the changes over time in the waitlist orphanages (n= 75, 62.7% female,Mage= 37.63 years,SDage= 11.81), which participated in the intervention after first follow-up and in the initial intervention orphanages (n= 81, 61.7% female,Mage= 38.73 years,SDage= 11.94). **Results**
The caregivers in the waitlist orphanages reported less reported levels of maltreatment (d= −0.09), fewer positive attitudes towards violent discipline (d= −0.44) and increased childcare knowledge (d= 1.26) three months after intervention, replicating our findings of the initial intervention condition. In addition, these effects were maintained in the intervention orphanages 12 months post intervention. Furthermore, we found long-term improvements in negative caregiver-child relationship (d= –0.83), caregivers’ stress level (d= −0.98) and their mental health problems (d= −0.61). **Conclusions**
The replication and maintenance of the intervention effects and first hints to additional long-term effects substantiates the effectiveness of ICC-C. As long as alternative care cannot be provided for all children in need, brief caregiver trainings can make an important contribution to enlarge the opportunities for many children.
Erscheinungsjahr
2022
Zeitschriftentitel
PLOS Global Public Health
Band
2
Ausgabe
5
Art.-Nr.
e0000286
eISSN
2767-3375
Page URI
https://pub.uni-bielefeld.de/record/2963291

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Hecker T, Mkinga G, Hartmann E, Nkuba M, Hermenau K. Sustainability of effects and secondary long-term outcomes: One-year follow-up of a cluster-randomized controlled trial to prevent maltreatment in institutional care. PLOS Global Public Health. 2022;2(5): e0000286.
Hecker, T., Mkinga, G., Hartmann, E., Nkuba, M., & Hermenau, K. (2022). Sustainability of effects and secondary long-term outcomes: One-year follow-up of a cluster-randomized controlled trial to prevent maltreatment in institutional care. PLOS Global Public Health, 2(5), e0000286. https://doi.org/10.1371/journal.pgph.0000286
Hecker, T., Mkinga, G., Hartmann, E., Nkuba, M., and Hermenau, K. (2022). Sustainability of effects and secondary long-term outcomes: One-year follow-up of a cluster-randomized controlled trial to prevent maltreatment in institutional care. PLOS Global Public Health 2:e0000286.
Hecker, T., et al., 2022. Sustainability of effects and secondary long-term outcomes: One-year follow-up of a cluster-randomized controlled trial to prevent maltreatment in institutional care. PLOS Global Public Health, 2(5): e0000286.
T. Hecker, et al., “Sustainability of effects and secondary long-term outcomes: One-year follow-up of a cluster-randomized controlled trial to prevent maltreatment in institutional care”, PLOS Global Public Health, vol. 2, 2022, : e0000286.
Hecker, T., Mkinga, G., Hartmann, E., Nkuba, M., Hermenau, K.: Sustainability of effects and secondary long-term outcomes: One-year follow-up of a cluster-randomized controlled trial to prevent maltreatment in institutional care. PLOS Global Public Health. 2, : e0000286 (2022).
Hecker, Tobias, Mkinga, Getrude, Hartmann, Eva, Nkuba, Mabula, and Hermenau, Katharin. “Sustainability of effects and secondary long-term outcomes: One-year follow-up of a cluster-randomized controlled trial to prevent maltreatment in institutional care”. PLOS Global Public Health 2.5 (2022): e0000286.
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2022-05-25T06:43:30Z
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