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. 2023 Oct 24;2023(10):CD014722. doi: 10.1002/14651858.CD014722.pub2

Puffer 2016.

Methods No information on the type of control group
Study design: RCT
Country: Kenya
Participants Adolescents (10‐16 years old) and their caregivers
Inclusion criteria: 
a. All 56 churches in the division were enumerated and mapped and represented multiple types of churches, including several Protestant denominations, churches based on indigenous beliefs, and a few Catholic congregations.
b. All families from these congregations with at least one adolescent living at home between the ages of 10 and 16 were eligible to participate.
Exclusion criteria:
a. Youth living away from home the majority of the time (e.g. at boarding school) were not eligible to participate.
Stated purpose: to evaluate a family‐ and church‐based intervention for adolescents and caregivers in rural Kenya to improve family relationships, reduce HIV risk, and promote mental health
Interventions Intervention:
READY
READY was developed in collaboration with a local Community Advisory Committee (CAC) using community‐based participatory methods. The central objective of the 9‐session READY intervention was to improve family relationships as a protective factor against risky sexual behaviour and mental health symptoms. The intervention incorporated evidence‐based strategies from behavioural family communication skills training, skills‐based HIV prevention interventions, behavioural parent training, and cognitive behavioural therapies. The 2‐hour sessions were divided into three modules: Economic Empowerment, Emotional Support, and HIV Education and Prevention.
Control:
usual care (stepped wedge trial with usual care – no intervention)
Outcomes Participants'outcomes of interest for this review
  1. Mental health symptoms/depression – Children's Depression Inventory (CDI)

  2. Mental health symptoms – Strengths and difficulties questionnaire (SDQ)

  3. Mental health symptoms/anxiety – Multi‐Dimensional Anxiety Scale for Children


Economic outcomes
Nil
Time points: baseline, post‐intervention (1 month and 3 months post‐intervention)
Notes Source of funding: the NIH Fogerty International Center, Johnson & Johnson, the Duke Global Health Institute, and the Duke Center for AIDS Research
Prospective trial registration number: not specified