Short-term impact of a combination intervention on family cohesion: Results from a pilot cluster-randomized clinical trial in Northern Ghana

J Res Adolesc. 2024 Sep;34(3):957-968. doi: 10.1111/jora.12977. Epub 2024 Jun 2.

Abstract

Child labor remains a concern in sub-Saharan Africa. Yet, evidence-based preventive efforts are limited. We analyzed longitudinal data from Ghanaian adolescent girls in a pilot randomized clinical trial testing the preliminary impact of a combination intervention on family cohesion as a protective factor against child labor and school dropout. While there was no statistical difference between the control and intervention groups at 9 months, the results show that family cohesion scores improved significantly from baseline to 9 months for the ANZANSI intervention group. Qualitative results indicated improved family cohesion in the intervention group. Hence, future studies should further examine this promising social work intervention.

Keywords: Ghana; adolescent girls; child labor; child unaccompanied migration; family cohesion; mixed methods.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adolescent
  • Child
  • Family Relations* / psychology
  • Female
  • Ghana / epidemiology
  • Humans
  • Longitudinal Studies
  • Pilot Projects