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临床试验/NCT04841031
NCT04841031已完成不适用

Psychosocial and Economic Impacts of Narrative Exposure Therapy for Violence Survivors in Eastern DRC

World Bank4 个研究点 分布在 2 个国家目标入组 1,053 人开始时间: 2017年6月29日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
1,053
试验地点
4
主要终点
Post-traumatic Stress Disorder (PTSD) Severity

研究概览

简要总结

The objective of the study is to evaluate the impact of Narrative Exposure Therapy (NET) delivered by local counselors, on the mental health and socio-economic empowerment of survivors of Sexual and Gender Based Violence (SGBV) who suffer Post-Traumatic Stress Disorder (PTSD), in North and South Kivu in Eastern DRC. The counselors will be trained and supervised by clinical experts from the NGO Vivo International. The therapy is expected to reduce the symptoms of PTSD, depression, and anxiety in SGBV survivors. The project is expected to directly impact and improve the beneficiaries' mental health outcomes of interest, and to indirectly impact and enhance their economic empowerment in the medium term and social functioning both in the short and medium term. This proposed impact evaluation will answer the following research questions: 1) What is the impact of NET on survivors' psychosocial wellbeing, economic empowerment and social functioning and participation? 2) Does the impact of NET differ depending on individual and household characteristics as well as context-specific factors?

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Parallel
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
Female
接受健康志愿者

入选标准

  • GBV survivors who are screened for commonly found conditions of mental distress

排除标准

  • More severe cases of mental disorders are ineligible. They are referred to the General Referral Hospitals or specialized mental health clinics to receive immediate treatment.

结局指标

主要结局

Post-traumatic Stress Disorder (PTSD) Severity

时间窗: Baseline, 3 months follow-up, 12 months follow-up

Change in self-report experience of PTSD symptoms, assessed by using the Harvard Trauma Questionnaire (HTQ-16). This indicator will be constructed as the average PTSD severity score taking the average of the 16 items in HTQ-16 with a range from 0 to 3, where higher scores indicate worse symptoms.

Depression and Anxiety

时间窗: Baseline, 3 months follow-up, 12 months follow-up

Change in self-report experience of depression and anxiety symptoms, assessed by using the Hopkins Symptom Checklist-25 (HSCL-25). This indicator will be the average of 16 items, ranging from 0 to 3 where higher score indicates greater severity of depression or anxiety.

次要结局

  • Total Earnings(Baseline, 3 months follow-up, 12 months follow-up)
  • Labor force participation(Baseline, 3 months follow-up, 12 months follow-up)
  • Saving behavior(Baseline, 3 months follow-up, 12 months follow-up)
  • Sharing of housework(Baseline, 3 months follow-up, 12 months follow-up)
  • Respondent and household asset ownership(Baseline and 12 months follow-up)
  • Self-esteem(Baseline, 3 months follow-up, 12 months follow-up)
  • Management of problems(Baseline, 3 months follow-up, 12 months follow-up)
  • Local functioning impairment index(Baseline, 3 months follow-up, 12 months follow-up)
  • Food insecurity(Baseline, 3 months follow-up, 12 months follow-up)
  • Total amount of savings(Baseline, 3 months follow-up, 12 months follow-up)
  • Decision-making power(Baseline, 3 months follow-up, 12 months follow-up)

研究者

发起方
World Bank
申办方类型
Other
责任方
Sponsor

研究点 (4)

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