Soul Buddyz Clubs: A social development innovation

Schmid, Jeanette; Wilson, Theresa; Taback, Rayna

doi:10.1177/0020872810369120

Cited by 7 publications

(11 citation statements)

References 3 publications

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“…In a systematic review of universally-delivered psychosocial interventions for adolescents, programme components targeting interpersonal skills – defined as the ability to develop strong and close relationships with others – were consistently linked to multiple positive adolescent outcomes [ 75 ]. In addition to the direct guidance and training for adolescents, caregivers, and service providers, a potential area for further research is modelling examples of good communication with adolescents in public forums, such as radio and television programming [ 76 , 77 ].…”

Section: Discussionmentioning

confidence: 99%

Relationships with caregivers and mental health outcomes among adolescents living with HIV: a prospective cohort study in South Africa

et al. 2021

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Background Mental health problems may impact adherence to anti-retroviral treatment, retention in care, and consequently the survival of adolescents living with HIV. The adolescent-caregiver relationship is an important potential source of resilience. However, there is a lack of longitudinal research in sub-Saharan Africa on which aspects of adolescent-caregiver relationships can promote mental health among adolescents living with HIV. We draw on a prospective longitudinal cohort study undertaken in South Africa to address this question. Methods The study traced adolescents aged 10–19 initiated on antiretroviral treatment in government health facilities (n = 53) within a health district of the Eastern Cape province. The adolescents completed standardised questionnaires during three data collection waves between 2014 and 2018. We used within-between multilevel regressions to examine the links between three aspects of adolescent-caregiver relationships (caregiver supervision, positive caregiving, and adolescent-caregiver communication) and adolescent mental health (depression symptoms and anxiety symptoms), controlling for potential confounders (age, sex, rural/urban residence, mode of infection, household resources), n=926 adolescents. Results Improvements in caregiver supervision were associated with reductions in anxiety (0.98, 95% CI 0.97–0.99, p=0.0002) but not depression symptoms (0.99, 95% CI 0.98–1.00, p=.151), while changes in positive caregiving were not associated with changes in mental health symptoms reported by adolescents. Improvements in adolescent-caregiver communication over time were associated with reductions in both depression (IRR=0.94, 95% CI 0.92–0.97, p<.0001) and anxiety (0.91, 95% CI 0.89–0.94, p<.0001) symptoms reported by adolescents. Conclusions Findings highlight open and supportive adolescent-caregiver communication and good caregiver supervision as potential factors for guarding against mental health problems among adolescents living with HIV in South Africa. Several evidence-informed parenting programmes aim to improve adolescent-caregiver communication and caregiver supervision, and their effect on depression and anxiety among adolescents living with HIV should be rigorously tested in sub-Saharan Africa. How to improve communication in other settings, such as schools and clinics, and provide communication support for caregivers, adolescents, and service providers through these existing services should also be considered.

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Section: Discussionmentioning

confidence: 99%

Relationships with caregivers and mental health outcomes among adolescents living with HIV: a prospective cohort study in South Africa

et al. 2021

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“…In a systematic review of universally-delivered psychosocial interventions for adolescents, programme components targeting interpersonal skillsdefined as the ability to develop strong and close relationships with otherswere consistently linked to multiple positive adolescent outcomes (75). In addition to the direct guidance and training for adolescents, caregivers, and service providers, a potential area for further research is modelling examples of good communication with adolescents in public forums, such as radio and television programming (76,77).…”

Section: Other Parenting Interventions Have Targeted Adolescent-caregmentioning

confidence: 99%

Relationships with caregivers and mental health outcomes among adolescents living with HIV: A prospective cohort study in South Africa

Shenderovich

Boyes

Esposti

et al. 2020

Preprint

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Background Mental health problems may impact adherence to anti-retroviral treatment, retention in care, and consequently the survival of adolescents living with HIV. The adolescent-caregiver relationship is an important potential source of resilience. However, there is a lack of longitudinal research in sub-Saharan Africa on which aspects of adolescent-caregiver relationships can promote mental health among adolescents living with HIV. We draw on a prospective longitudinal cohort study undertaken in South Africa to address this question. Methods The study traced adolescents aged 10-19 initiated on antiretroviral treatment in government health facilities ( n = 53) within a health district of the Eastern Cape province. The adolescents completed standardised questionnaires during three data collection waves between 2014 and 2018. We used within-between multilevel regressions to examine the links between three aspects of adolescent-caregiver relationships (caregiver supervision, positive caregiving, and adolescent-caregiver communication) and adolescent mental health (depression symptoms and anxiety symptoms), controlling for potential confounders (age, sex, rural/urban residence, mode of infection, household resources), n =926 adolescents. Results Improvements in caregiver supervision were associated with reductions in anxiety (0.98, 95% CI 0.97-0.99, p=0.0002) but not depression symptoms (0.99, 95% CI 0.98-1.00, p=.151), while changes in positive caregiving were not associated with changes in mental health symptoms reported by adolescents. Improvements in adolescent-caregiver communication over time were associated with reductions in both depression (IRR=0.94, 95% CI 0.92-0.97, p<.0001) and anxiety (0.91, 95% CI 0.89-0.94, p<.0001) symptoms reported by adolescents. Conclusions Findings highlight open and supportive adolescent-caregiver communication and good caregiver supervision as potential factors for guarding against mental health problems among adolescents living with HIV in South Africa. Several evidence-informed parenting programmes aim to improve adolescent-caregiver communication and caregiver supervision, and their effect on depression and anxiety among adolescents living with HIV should be rigorously tested in sub-Saharan Africa. How to improve communication in other settings, such as schools and clinics, and provide communication support for caregivers, adolescents, and service providers through these existing services should also be considered.

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“…Despite constraints, innovative child welfare programmes incorporating critical DSW elements exist (Sewpaul 2001b, September 2006, Schmid et al 2011 Transforming child and family services L Patel, J E Schmid and H J Venter Child and Family Social Work 2017, 22, pp 451-460 Patel forthcoming). These are signs of change.…”

Section: Tracking Transformation In Child and Welfare Servicesmentioning

confidence: 99%

“…Despite constraints, innovative child welfare programmes incorporating critical DSW elements exist (Sewpaul , September , Schmid et al , Patel forthcoming). These are signs of change.…”

Section: Tracking Transformation In Child and Welfare Servicesmentioning

confidence: 99%

Transforming child and family services in urban communities in South Africa: lessons from the South

Patel

Schmid²,

Venter³

2015

Child & Family Social Work

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Post-apartheid, South African agencies have been required to shift their services in fundamental ways, including offering services in previously un-resourced areas, honouring the rights of children and families, ensuring that users, staff and governing bodies are representative of the population and providing developmental social welfare services in place of child protection-oriented interventions only. A study of urban South African child welfare agencies provides insight into the complex task of managing and leading change. In view of overloaded change agenda and resource constraints, managers focused on effecting incremental change and prioritized the most 'rewarding' change efforts. Transforming practice towards a developmental approach was less successful. Structural interventions were also not prioritized. Child welfare agencies internationally face demands to transform in response to the effects of local change and globalization. The study's insights might resonate with agencies working for change in other societal contexts.

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Soul Buddyz Clubs: A social development innovation

Cited by 7 publications

References 3 publications

Relationships with caregivers and mental health outcomes among adolescents living with HIV: a prospective cohort study in South Africa

Relationships with caregivers and mental health outcomes among adolescents living with HIV: a prospective cohort study in South Africa

Relationships with caregivers and mental health outcomes among adolescents living with HIV: A prospective cohort study in South Africa

Transforming child and family services in urban communities in South Africa: lessons from the South

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