Trauma-informed Cognitive Behavioural Therapy (TiCBT) to Aid Reintegration of Repentant Terrorists and Their Families in Nigeria: A Pilot Study

Study Overview
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Brief Summary
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The aim of the study is to describe the feasibility, cultural appropriateness, and acceptability of Trauma-informed Cognitive Behaviour Therapy (TiCBT) to promote community healing and encourage the reintegration of repentant terrorists and their families to avoid reoffending.

Detailed Description
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The study will adopt a mixed-method single-arm experimental design. Approximately 24 participants will be recruited for the intervention. The Trauma-informed Cognitive Behaviour Therapy (TiCBT) is an 8-session intervention lasting approximately 1 hour each and designed to address trauma, dispel negative attitudes and encourage positive behaviour towards repentant terrorists. Measurement will be collected at baseline pre-intervention, end of intervention and three months post-intervention to determine its feasibility and effectiveness. Interviews will also be conducted post-intervention. Repeated-measures univariate analyses of variance (ANOVA) will be performed to examine differences between the pre- and post-intervention stages. Interviews will be analysed using thematic analysis.

Official Title
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Trauma-informed Cognitive Behavioural Therapy (TiCBT) to Aid Reintegration of Repentant Terrorists and Their Families in Nigeria: A Pilot Study

Conditions
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Trauma, Psychological

Intervention / Treatment
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* Behavioral: Trauma-informed Cognitive Behaviour Therapy (TiCBT)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: community members who are victims of Boko Haram terrorism and had previous experiences of trauma/depression, score five and above for the culturally-adapted Trauma Screening Questionnaire (Brewinn et al., 2002) aged 18+ years, able to give informed consent, speak English are residents or from areas within Nigeria including Maiduguri, Adamawa, and Plateau environs. Exclusion Criteria: less than 18 or above 85 years unable to give consent clinically diagnosed with severe PTSD/suicidal ideations or undergoing treatment temporary or non-residents who are unlikely to be available for follow up

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Trauma-infomed Cognitive Behavioural Therapy<br>Experimental (n=24 participants) will receive the TiCBT which consists of a total of 8-group integrated sessions lasting approximately 60 minutes per session every 3 days interval with 24 persons in the single group. | Behavioral: Trauma-informed Cognitive Behaviour Therapy (TiCBT)<br>* Group: Experimental (n=24 participants) will receive the TiCBT which consists of a total of 8-group integrated sessions lasting approximately 60 minutes per session every 3 days interval with 24 persons in the single group.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Trauma Screening Questionnaire | Change in traumatic experience is being assessed | Change is being assessed at baseline, at 12 weeks end of intervention, at 3-months post-intervention | 
| Patient Health Questionnaire | Change in depression is being assessed | Change is being assessed at baseline, at 12 weeks end of intervention, at 3-months post-intervention | 
| Attitude Towards Repentant Terrorists and their Reintegration Scale | Change in of attitude towards repentant terrorists is being assessed | Change is being assessed at baseline, at 12 weeks end of intervention, at 3-months post-intervention | 
| brief Verona Service Satisfaction Scale | Change in service satisfaction is being assessed | Change is being assessed at baseline, at 12 weeks end of intervention, at 3-months post-intervention |