The longitudinal impact of an evidence-based multiple family group intervention (Amaka Amasanyufu) on family cohesion among children in Uganda: Analysis of the cluster randomized SMART Africa-Uganda scale-up study (2016-2022)

Authors: William Byansi, Ozge Sensoy Bahar, Latoya Small, Phionah Namatovu, Josephine Nabayinda, Joshua Kiyingi, Abel Mwebembezi, Gertrude Nakigozi, Kimberly Hoagwood, Mary M McKay, Fred M Ssewamala

This study analyzed data from the SMART Africa-Uganda study to assess the impact of the Amaka Amasanyufu family-strengthening intervention on family cohesion among children with behavioral challenges. Participants from 26 primary schools were divided into control and intervention groups. Results showed that both intervention groups, whether delivered by parent peers or community health workers, had significantly higher odds of improved family cohesion compared to the control group at various time points. These findings support the effectiveness of the Amaka Amasanyufu intervention in enhancing family cohesion in families with children facing behavioral challenges in sub-Saharan Africa.