NCT02008695

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.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
988

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Aug 2012

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

August 1, 2012

Completed
1.2 years until next milestone

First Submitted

Initial submission to the registry

October 7, 2013

Completed
2 months until next milestone

First Posted

Study publicly available on registry

December 11, 2013

Completed
4.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 23, 2018

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 23, 2018

Completed
Last Updated

August 14, 2019

Status Verified

August 1, 2019

Enrollment Period

5.8 years

First QC Date

October 7, 2013

Last Update Submit

August 12, 2019

Conditions

Mental Health Disorders

Keywords

HealthYouthMicrofinance

Outcome Measures

Primary Outcomes (1)

  • Change in baseline Mental health distress at 18 months

    The outcome will be collected from multiple sources: 1) one randomly selected program eligible youth; and 2) one parent/caregiver in participating household

    Baseline to 18 months post baseline

Study Arms (3)

Youth microfinance only

ACTIVE COMPARATOR

Youth receive loan

Behavioral: adult microfinance

youth and adult micro finance

ACTIVE COMPARATOR

youth and adult receive loan

Behavioral: Youth microfinance only

adult microfinance

ACTIVE COMPARATOR

adults receive loan

Behavioral: youth and adult micro finance

Interventions

adult microfinanceBEHAVIORAL

Female piglet provided to household member. Participants agrees to repay participants' "loan" by giving two piglets (one to repay the loan and one for the interest on the loan) to the association from the first litter of piglets (on average 6-12 piglets). These piglets are then given to other village member households

Youth microfinance only
Youth microfinance onlyBEHAVIORAL

One child (10-15 years) receive rabbits loan. The child is mentored by microfinance and community mentors. The child repays the loan to program and other children in the family and community are provided a loan from the repayment.

youth and adult micro finance
youth and adult micro financeBEHAVIORAL

One child and adult member of household receive animal loan. The child and adult are mentored and repayment of the loan to the program is provided and the repayment animal is provided to other members of the community

adult microfinance

Eligibility Criteria

Age10 Years+
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • girls/boys (ages 10-15 years) and women/men head of households (ages 16 years and older)
  • Resident in participating 10 village in Walungu Territory in Democratic Republic of Congo

You may not qualify if:

  • girls/boys under 10 years of age

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

PAIDEK, Congo

Bukavu, 2375, Republic of the Congo

Location

Related Publications (2)

  • Glass N, Remy MM, Mayo-Wilson LJ, Kohli A, Sommer M, Turner R, Perrin N. Comparative effectiveness of an economic empowerment program on adolescent economic assets, education and health in a humanitarian setting. BMC Public Health. 2020 Feb 4;20(1):170. doi: 10.1186/s12889-020-8219-6.

    PMID: 32019539DERIVED

  • Kohli A, Perrin NA, Remy MM, Alfred MB, Arsene KB, Nadine MB, Heri BJ, Clovis MM, Glass N. Adult and adolescent livestock productive asset transfer programmes to improve mental health, economic stability and family and community relationships in rural South Kivu Province, Democratic Republic of Congo: a protocol of a randomised controlled trial. BMJ Open. 2017 Mar 14;7(3):e013612. doi: 10.1136/bmjopen-2016-013612.

    PMID: 28292764DERIVED

Study Officials

  • Nancy E Glass, PhD

    Johns Hopkins University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
OTHER
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

October 7, 2013

First Posted

December 11, 2013

Study Start

August 1, 2012

Primary Completion

May 23, 2018

Study Completion

May 23, 2018

Last Updated

August 14, 2019

Record last verified: 2019-08

Locations

RE(1)