Reintegrating Children Living at Landfills in Burundi Into Society by Means of a Comprehensive Family Program Addressing Maltreatment and Trauma-related Mental Health Symptoms
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 96
- Locations
- 1
- Primary Endpoint
- Change of number of days spent at the landfill
Study Overview
Brief Summary
Children living at the landfills of Bujumbura are often exposed to maltreatment, including emotional neglect and physical abuse, and traumatic experiences. Furthermore, they grow up in severe poverty. Addressing trauma-related mental health issues and aggressive behaviour by Narrative Exposure Therapy (FORNET), familial communication by family visits, interaction difficulties of children by a group intervention, poverty by financial support and economic training for mothers, medical problems by medical assistance, legal conflicts by legal advice, and providing access to school, we aimed at reintegrating those children within the Burundian school system and improving familial relationships.
The investigators want to provide evidence, that mental health interventions are an integral part of assisting children and families affected by poverty and violence.
Study Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 7 Years to 18 Years (Child, Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Spending days at the landfills of Bujumbura
Exclusion Criteria
- •Psychotic symptoms
Outcomes
Primary Outcomes
Change of number of days spent at the landfill
Time Frame: baseline; 5 months follow-up; 9 months follow-up
during the last 14 days; sum ranges from 0 - 14
Change of number of aggressive acts measured via an adaption of the Domestic and Community Violence Checklist
Time Frame: baseline; 5 months follow-up; 9 months follow-up
32 items; answer categories: yes or no; sum score ranges from 0 - 32
Change of experienced parental maltreatment measured via a shortened version of the Maltreatment and Abuse Chronology of Exposure (MACE)
Time Frame: baseline; 5 months follow-up; 9 months follow-up
total sum score ranges from 0 - 100; sum score of each sub scale ranges from 0 - 10
Change of load of traumatic symptoms measured via the University of California at Los Angeles Posttraumatic Stress Disorder Reaction Index (scale administered by Clinicians)
Time Frame: baseline; 5 months follow-up; 9 months follow-up
27 items assessing PTSD, 4 additional items assessing dissociation on a scale from 0 - 4. Due to scoring rules, total sum score ranges from 0 to 80; sub scale intrusion: 0 - 20; sub scale avoidance: 0 - 8; sub scale negative cognitions: 0 - 28; sub scale hyperarousal: 0 - 24; higher values indicate more severe PTSD symptoms; all items are summed up for the total score
Secondary Outcomes
No secondary outcomes reported
Investigators
Anselm Crombach
Principal investigator
University of Konstanz