Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Youth and Adult Microfinance to Improve Resilience Outcomes in Democratic Republic of Congo
Brief Summary: The investigators will test the effectiveness of a youth-led animal husbandry microfinance program, Rabbits for Resilience, combined with the adult microfinance, Pigs for Peace (PFP), program on youth, family and community resilience outcomes. The following aims will be completed over the five-year longitudinal, mixed-method, cluster randomized community trial:

Specific Aim 1: Determine the relative effectiveness of a youth-led microfinance combined with the adult microfinance on youth and family resilience outcomes (reduced mental health distress, increased economic stability, improved family functioning) compared to a youth-led microfinance only and adult microfinance only approaches.

* The investigators hypothesize that at six, twelve and 18-months post-baseline youth and adults in households in the youth-led and adult microfinance approach will report improved individual and family resilience outcomes compared to households in the youth-led microfinance only and adult microfinance only approaches.

Specific Aim 2: Determine the relative effectiveness of a youth-led microfinance combined with PFP microfinance on community resilience (e.g. social capital and participation in community groups by youth and adults) compared to youth-led microfinance only and adult microfinance only approaches.

* The investigators hypothesize that at 18-months post baseline in households in the youth-led and adult microfinance will report improved community resilience compared to households in the youth-led microfinance only and adult microfinance only approaches

Specific Aim 3: Determine if changes in youth resilience (caregiving ability, empathy and outlook for the future) mediate the relationship between youth engagement in microfinance and outcomes, as measured by reduced mental health distress, improved family functioning and improved social capital.

Specific Aim 4: Examine youth perspectives on resilience in the context of multiple adversities (war, poverty, loss of family, displacement, victimization). Youth participants (N=50, ages 10-15 years) will be invited (with parent/caregiver consent) to complete at baseline and 18 month post-baseline qualitative interview/group discussion to examine individual, family and community resilience and what that participants perceive as key to buffering the negative health and social consequences of prolonged conflict and other adversities.


Options:
A: Arm Label: Immediate; Type: EXPERIMENTAL; Interventions: Behavioral: eHealth for Covid-19 prevention and support | Arm Label: Waitlist; Type: OTHER; Interventions: Behavioral: eHealth for Covid-19 prevention and support | Intervention Type: BEHAVIORAL; Name: eHealth for Covid-19 prevention and support; Assigned to Arm(s): Immediate, Waitlist
B: Arm Label: OHP and Treatment as usual (TAU); Type: EXPERIMENTAL; Interventions: Behavioral: Optimal Health Program, Other: Treatment as Usual | Arm Label: TAU Alone; Type: OTHER; Interventions: Other: Treatment as Usual | Intervention Type: BEHAVIORAL; Name: Optimal Health Program; Assigned to Arm(s): OHP and Treatment as usual (TAU) | Intervention Type: OTHER; Name: Treatment as Usual; Assigned to Arm(s): OHP and Treatment as usual (TAU), TAU Alone
C: Arm Label: Parenting Program; Type: EXPERIMENTAL; Interventions: Behavioral: Parenting Program | Arm Label: Control Group; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: BEHAVIORAL; Name: Parenting Program; Assigned to Arm(s): Parenting Program
D: Arm Label: Youth microfinance only; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: adult microfinance | Arm Label: youth and adult micro finance; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Youth microfinance only | Arm Label: adult microfinance; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: youth and adult micro finance | Intervention Type: BEHAVIORAL; Name: adult microfinance; Assigned to Arm(s): Youth microfinance only | Intervention Type: BEHAVIORAL; Name: Youth microfinance only; Assigned to Arm(s): youth and adult micro finance | Intervention Type: BEHAVIORAL; Name: youth and adult micro finance; Assigned to Arm(s): adult microfinance

Answer: D