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| Name | Class |
|---|---|
| The Research Council of Norway | OTHER |
| Makerere University | OTHER |
| Norwegian University of Science and Technology | OTHER |
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The investigators will investigate the existence of alcohol drinking among children living under adult supervision and care, living within the communities. The investigators will focus on the age group 6-13 years overlapping with the recommended age for primary school attendance. The project is approaching the research topic using quantitative and qualitative methods. The TREAT C-AUD research project will therefore document to which degree alcohol drinking is a problem among children in Mbale, Eastern Uganda.
Uganda has as many other sub-Saharan countries high alcohol consumption per capita and traditions for home brewing. The TREAT C-AUD research project, with partners from Makerere University in Uganda, University of Bergen and Norwegian University of Science and Technology in Norway, will investigate the existence of alcohol drinking among children living under adult supervision and care, living within the communities. The investigators will focus on the age group 6-13 years overlapping with the recommended age for primary school attendance. The project is approaching the research topic from comprehensive perspectives including a large cross-sectional study, interviews with parents and carers, children and stakeholders in the communities, schools and in the health system. The investigators have been including community representatives, expert groups, user groups and stakeholders in the development of screening tools and will do so in interpreting and disseminating the results. The investigators have to take the Covid-19 situation into account both with regard to its effect on the research question at stake and the methods used. The TREAT C-AUD research project will therefore document to which degree alcohol drinking is a problem among children in the communities in Mbale District, Eastern Ugandan. The data collection is capturing cofactors such as other substance use, mental health, parenting, trauma, nutrition and growth. The development of alcohol assessment tools can be used by the health- and school-system for detection and handling of children having problems with alcohol. The investigators will collaborate closely with services in case of identification of children suffering severe harm and adhere to Good Clinical Practice guidelines for ethical conduct, the consent procedure, follow-up and referral.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Household | Household carer-child pairs will be included according to age and consent criteria |
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| Measure | Description | Time Frame |
|---|---|---|
| Prevalence of alcohol use disorder using context adapted CRAFFT screening tool | Period | 2020-2021 |
| Measure | Description | Time Frame |
|---|---|---|
| Parenting: Alabama Parenting questionnaire short form (APQ - 15) | The short form includes 15 items scored 0 (never), 1 (almost never), 2 (sometimes), 3 (often), 4 (always) on the five subscales as follows: Involvement (3 qs), Positive Parenting (3 qs), Poor Monitoring/Supervision (3 qs), Inconsistent Discipline (3 qs), Corporal Punishment (3 qs), respectively. No reverse coding necessary when sub-scales reported separately. |
| Measure | Description | Time Frame |
|---|---|---|
| Other substance use - sections from Global School Based Health surveys | Not a scale, individual questions measuring frequency and number of units used, measured in days per month and units per month. | 2020-2021 |
| Height, in cm, 0.1 nearest cm |
Inclusion Criteria:
Care-giver- child pairs
Exclusion Criteria:
• Caregiver or child not living in household
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Child-carer
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ingunn MS Engebretsen, PhD | Contact | +4755588553 | +4755588553 | ingunn.engebretsen@uib.no |
| Anne-Berit Kolmanskolg, Ms | Contact | +47 55 58 54 39 | Anne.Kolmannskog@uib.no |
| Name | Affiliation | Role |
|---|---|---|
| Guri Rørtveit, PhD | Leader | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| School of Public Health, Makerere University | Recruiting | Kampala | Uganda |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33110445 | Result | Engebretsen IMS, Nalugya JS, Skylstad V, Ndeezi G, Akol A, Babirye JN, Nankabirwa V, Tumwine JK. "I feel good when I drink"-detecting childhood-onset alcohol abuse and dependence in a Ugandan community trial cohort. Child Adolesc Psychiatry Ment Health. 2020 Oct 24;14:42. doi: 10.1186/s13034-020-00349-z. eCollection 2020. | |
| 30455964 |
| Label | URL |
|---|---|
| University home page | View source |
| ID | Type | URL | Comment |
|---|---|---|---|
| 285489 | Study Protocol | View IPD |
Depending on consent for sharing by study participants
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| ID | Term |
|---|---|
| D000437 | Alcoholism |
| D000428 | Alcohol Drinking |
| D015362 | Child Nutrition Disorders |
| D065886 | Neurodevelopmental Disorders |
| ID | Term |
|---|---|
| D019973 | Alcohol-Related Disorders |
| D019966 | Substance-Related Disorders |
| D064419 | Chemically-Induced Disorders |
| D001523 | Mental Disorders |
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Urine from 3594 children 3594 carer-child pairs
| 2020-2021 |
| Parenting: Conflict Tactic Scale (Original: Straus, 1979, we use: Murray 1995) Version: PARENT-CHILD CONFLICT TACTICS SCALES, FORM CTSPC-CA | Parent score: 0=no, 1=yes Parent form: Min= 0, max= 22 High score indicates high level of conflict and violence. Child score: 0 = it has not happened in the past year
Included subscales: Psychological aggression (5 qs), severe assault (4 qs), and very severe assault (4 qs), problems with taking care of child (5 qs) Child form: Min = 0, max = 88 High score indicates high level of conflict and violence. | 2020-2021 |
| Child trauma: Child and Adolescent Trauma Screen (CATS) | Scored yes (1) or no (0). 16 questions, yes/no Min: 0 Max: 16 The total score is calculated by adding together the score for each of the items where a higher score indicates more traumatic events. | 2020-2021 |
| Adult trauma: Stressful Life Events Screening Questionnaire (SLESQ) | Scored yes (1) or no (0). 14 questions Min: 0 Max 14 The total score is calculated by adding together the score for each of the items where a higher score indicates more stressful live events. | 2020-2021 |
| Post traumatic stress disease (PTSD) 2-item checklist | 2 questions on clinical and psychological symptoms recorded as: 0=Not at all
| 2020-2021 |
| Child mental health: Pediatric symptom checklist (PSC) - child and adolescent version 35 Mental health measures using Pediatric symptom checklist | PSC (Pediatric symptom checklist) 35 questions. It is scored from 2 (often), 1 (sometimes), to 0 (never). Minimum score= 0, maximum score = 70 The total score is calculated by adding together the score for each of the items where a higher score indicates more impairment. | 2020-2021 |
| Carer mental health: Self Reporting questionnaire (SRQ) Mental health measures using Pediatric symptom checklist - child version | 20 questions. Scored yes (1) or no (0). The total score is calculated by adding together the score for each of the items where a higher score indicates more symptoms of mental illness. Min: 0, max: 20 | 2020-2021 |
| Carer substance use: The alcohol use disorder identification test (AUDIT) | 10 questions, most reported as increasing frequency. The higher score the more vulnerability to having an alcohol drinking problem. Min: 0, max: 20 | 2020-2021 |
| Dietary diversity- 24 hour recall, food categories as specified by food and agriculture organization 2010 (ISBN 978-92-5-106749-9) | A higher score means higher diversity | 2020-2021 |
| Food frequency questionnaire | the most common food items captured as: 0 = No/never,
| 2020-2021 |
| Household food security-HIFAS | 6 questions on food security recorded as: 0 = No/never
| 2020-2021 |
Continuous
| 2020-2021 |
| Weight, in kg, 0.1 nearest kg | Continuous | 2020-21 |
| Mid upper arm circumference, cm 0.1 nearest cm | Continuous | 2020-21 |
| Urine Etg | Contionuous | 2020-21 |
| Standard U-stix: U-blood, protein, glucose, ketones, nitritt, leukocytes, Ph | Qualitative reading, positive or negative | 2020-21 |
| Akol A, Makumbi F, Babirye JN, Nalugya JS, Nshemereirwe S, Engebretsen IMS. Does mhGAP training of primary health care providers improve the identification of child- and adolescent mental, neurological or substance use disorders? Results from a randomized controlled trial in Uganda. Glob Ment Health (Camb). 2018 Sep 10;5:e29. doi: 10.1017/gmh.2018.18. eCollection 2018. |
| 28855962 | Result | Akol A, Nalugya J, Nshemereirwe S, Babirye JN, Engebretsen IMS. Does child and adolescent mental health in-service training result in equivalent knowledge gain among cadres of non-specialist health workers in Uganda? A pre-test post-test study. Int J Ment Health Syst. 2017 Aug 24;11:50. doi: 10.1186/s13033-017-0158-y. eCollection 2017. |
| 34345718 | Derived | Skylstad V, Aber H, Bakken V, Dierkes J, Iversen SA, Kisaakye E, Kuhl MJ, Nalugya JS, Rayamajhi D, Sebuwufu D, Skar AS, Skokauskas N, Valeckaite N, Wamani H, S Engebretsen IM, Babirye JN; TREAT C-AUD consortium. Child alcohol use disorder in Eastern Uganda: screening, diagnostics, risk factors and management of children drinking alcohol in Uganda (TREAT C-AUD): a mixed-methods research protocol. BMJ Paediatr Open. 2021 Jul 28;5(1):e001214. doi: 10.1136/bmjpo-2021-001214. eCollection 2021. |
IPD will be shared on reasonable request and the official DMP is archived with NFR |
| D004327 | Drinking Behavior |
| D001519 | Behavior |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |