Clinical trial NCT04841031: Psychosocial and Economic Impacts of Narrative Exposure Therapy for Violence Survivors in Eastern DRC
Official title: Psychosocial and Economic Impacts of Narrative Exposure Therapy for Violence Survivors in Eastern DRC
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Mental Health Disorder
PTSD
Depression Anxiety Disorder
Gender-based Violence
Lead sponsor: World Bank
Sponsor class: OTHER
Collaborators: name: Fonds Social de la République Démocratique du Congo
name: Vivo international e.V.
First posted: 2021-04-12
Enrollment: 1053
Sex: FEMALE
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: 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?


Eligibility criteria: Inclusion Criteria:

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

Exclusion Criteria:

* 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.

Primary outcomes:
measure: Post-traumatic Stress Disorder (PTSD) Severity
timeFrame: Baseline, 3 months follow-up, 12 months follow-up
measure: Depression and Anxiety
timeFrame: Baseline, 3 months follow-up, 12 months follow-up
Secondary outcomes:
measure: Self-esteem
timeFrame: Baseline, 3 months follow-up, 12 months follow-up
measure: Management of problems
timeFrame: Baseline, 3 months follow-up, 12 months follow-up
measure: Local functioning impairment index
timeFrame: Baseline, 3 months follow-up, 12 months follow-up
measure: Labor force participation
timeFrame: Baseline, 3 months follow-up, 12 months follow-up
measure: Total Earnings
timeFrame: Baseline, 3 months follow-up, 12 months follow-up
measure: Saving behavior
timeFrame: Baseline, 3 months follow-up, 12 months follow-up
measure: Total amount of savings
timeFrame: Baseline, 3 months follow-up, 12 months follow-up
measure: Decision-making power
timeFrame: Baseline, 3 months follow-up, 12 months follow-up
measure: Food insecurity
timeFrame: Baseline, 3 months follow-up, 12 months follow-up
measure: Sharing of housework
timeFrame: Baseline, 3 months follow-up, 12 months follow-up
measure: Respondent and household asset ownership
timeFrame: Baseline and 12 months follow-up
Other outcomes:
Locations:
city: Bukavu
country: Congo, The Democratic Republic of the
facility: South Kivu
city: Goma
country: Congo, The Democratic Republic of the
facility: North Kivu
Study officials:
affiliation: World Bank
name: Julia Vaillant, PhD
role: PRINCIPAL_INVESTIGATOR
References: