How effective is help on the doorstep? A longitudinal evaluation of community-based organisation support

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dc.contributor.authorSherr, Lorraineen_ZA
dc.contributor.authorYakubovich, Alexa Ren_ZA
dc.contributor.authorSkeen, Sarahen_ZA
dc.contributor.authorCluver, Lucie Den_ZA
dc.contributor.authorHensels, Imca Sen_ZA
dc.contributor.authorMacedo, Anaen_ZA
dc.contributor.authorTomlinson, Marken_ZA
dc.date.accessioned2016-04-13T12:38:26Z
dc.date.available2016-04-13T12:38:26Z
dc.date.issued2016en_ZA
dc.description.abstractCommunity-based responses have a lengthy history. The ravages of HIV on family functioning has included a widespread community response. Although much funding has been invested in front line community-based organisations (CBO), there was no equal investment in evaluations. This study was set up to compare children aged 9-13 years old, randomly sampled from two South African provinces, who had not received CBO support over time (YC) with a group of similarly aged children who were CBO attenders (CCC). YC baseline refusal rate was 2.5% and retention rate was 97%. CCC baseline refusal rate was 0.7% and retention rate was 86.5%. 1848 children were included--446 CBO attenders compared to 1402 9-13 year olds drawn from a random sample of high-HIV prevalence areas. Data were gathered at baseline and 12-15 months follow-up. Standardised measures recorded demographics, violence and abuse, mental health, social and educational factors. Multivariate regression analyses revealed that children attending CBOs had lower odds of experiencing weekly domestic conflict between adults in their home (OR 0.17; 95% CI 0.09, 0.32), domestic violence (OR 0.22; 95% CI 0.08, 0.62), or abuse (OR 0.11; 95% CI 0.05, 0.25) at follow-up compared to participants without CBO contact. CBO attenders had lower odds of suicidal ideation (OR 0.41; 95% CI 0.18, 0.91), fewer depressive symptoms (B = -0.40; 95% CI -0.62, -0.17), less perceived stigma (B = -0.37; 95% CI -0.57, -0.18), fewer peer problems (B = -1.08; 95% CI -1.29, -0.86) and fewer conduct problems (B = -0.77; 95% CI -0.95, -0.60) at follow-up. In addition, CBO contact was associated with more prosocial behaviours at follow-up (B = 1.40; 95% CI 1.13, 1.67). No associations were observed between CBO contact and parental praise or post-traumatic symptoms. These results suggest that CBO exposure is associated with behavioural and mental health benefits for children over time. More severe psychopathology was not affected by attendance and may need more specialised input.en_ZA
dc.identifier.apacitationSherr, L., Yakubovich, A. R., Skeen, S., Cluver, L. D., Hensels, I. S., Macedo, A., & Tomlinson, M. (2016). How effective is help on the doorstep? A longitudinal evaluation of community-based organisation support. <i>PLoS One</i>, http://hdl.handle.net/11427/18860en_ZA
dc.identifier.chicagocitationSherr, Lorraine, Alexa R Yakubovich, Sarah Skeen, Lucie D Cluver, Imca S Hensels, Ana Macedo, and Mark Tomlinson "How effective is help on the doorstep? A longitudinal evaluation of community-based organisation support." <i>PLoS One</i> (2016) http://hdl.handle.net/11427/18860en_ZA
dc.identifier.citationSherr, L., Yakubovich, A. R., Skeen, S., Cluver, L. D., Hensels, I. S., Macedo, A., & Tomlinson, M. (2016). How effective is help on the doorstep? A longitudinal evaluation of community-based organisation support. PloS one, 11(3), e0151305. doi:10.1371/journal.pone.0151305en_ZA
dc.identifier.ris TY - Journal Article AU - Sherr, Lorraine AU - Yakubovich, Alexa R AU - Skeen, Sarah AU - Cluver, Lucie D AU - Hensels, Imca S AU - Macedo, Ana AU - Tomlinson, Mark AB - Community-based responses have a lengthy history. The ravages of HIV on family functioning has included a widespread community response. Although much funding has been invested in front line community-based organisations (CBO), there was no equal investment in evaluations. This study was set up to compare children aged 9-13 years old, randomly sampled from two South African provinces, who had not received CBO support over time (YC) with a group of similarly aged children who were CBO attenders (CCC). YC baseline refusal rate was 2.5% and retention rate was 97%. CCC baseline refusal rate was 0.7% and retention rate was 86.5%. 1848 children were included--446 CBO attenders compared to 1402 9-13 year olds drawn from a random sample of high-HIV prevalence areas. Data were gathered at baseline and 12-15 months follow-up. Standardised measures recorded demographics, violence and abuse, mental health, social and educational factors. Multivariate regression analyses revealed that children attending CBOs had lower odds of experiencing weekly domestic conflict between adults in their home (OR 0.17; 95% CI 0.09, 0.32), domestic violence (OR 0.22; 95% CI 0.08, 0.62), or abuse (OR 0.11; 95% CI 0.05, 0.25) at follow-up compared to participants without CBO contact. CBO attenders had lower odds of suicidal ideation (OR 0.41; 95% CI 0.18, 0.91), fewer depressive symptoms (B = -0.40; 95% CI -0.62, -0.17), less perceived stigma (B = -0.37; 95% CI -0.57, -0.18), fewer peer problems (B = -1.08; 95% CI -1.29, -0.86) and fewer conduct problems (B = -0.77; 95% CI -0.95, -0.60) at follow-up. In addition, CBO contact was associated with more prosocial behaviours at follow-up (B = 1.40; 95% CI 1.13, 1.67). No associations were observed between CBO contact and parental praise or post-traumatic symptoms. These results suggest that CBO exposure is associated with behavioural and mental health benefits for children over time. More severe psychopathology was not affected by attendance and may need more specialised input. DA - 2016 DB - OpenUCT DO - 10.1371/journal.pone.0151305 DP - University of Cape Town J1 - PLoS One LK - https://open.uct.ac.za PB - University of Cape Town PY - 2016 T1 - How effective is help on the doorstep? A longitudinal evaluation of community-based organisation support TI - How effective is help on the doorstep? A longitudinal evaluation of community-based organisation support UR - http://hdl.handle.net/11427/18860 ER - en_ZA
dc.identifier.urihttp://dx.doi.org/10.1371/journal.pone.0151305en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/18860
dc.identifier.vancouvercitationSherr L, Yakubovich AR, Skeen S, Cluver LD, Hensels IS, Macedo A, et al. How effective is help on the doorstep? A longitudinal evaluation of community-based organisation support. PLoS One. 2016; http://hdl.handle.net/11427/18860.en_ZA
dc.language.isoengen_ZA
dc.publisherPublic Library of Scienceen_ZA
dc.publisher.departmentDepartment of Psychiatry and Mental Healthen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsThis is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.en_ZA
dc.rights.holder© 2016 Sherr et alen_ZA
dc.rights.urihttp://creativecommons.org/licenses/by/4.0en_ZA
dc.sourcePLoS Oneen_ZA
dc.source.urihttp://journals.plos.org/plosoneen_ZA
dc.subject.otherDomestic violenceen_ZA
dc.subject.otherChildrenen_ZA
dc.subject.otherSchoolsen_ZA
dc.subject.otherHIVen_ZA
dc.subject.otherMental health and psychiatryen_ZA
dc.subject.otherHuman familiesen_ZA
dc.subject.otherDepressionen_ZA
dc.subject.otherSuicideen_ZA
dc.titleHow effective is help on the doorstep? A longitudinal evaluation of community-based organisation supporten_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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