Comic Intervention for Sexual Violence Prevention and Post-rape Care

NCT04656522 | Completed DMC

• 1 other identifier: gcc_bidibidi
• Study Type: interventional
• Target: 100
• Locations: 2 countries
• Sites: 2

Brief Summary

In humanitarian settings, sexual and gender-based violence disproportionately impacts women and children. However, there continues to be a lack of evidence regarding both sexual violence prevention and post-rape care interventions in low- and middle-income humanitarian contexts, with even less evidence supporting adolescents and youth in these settings. Participatory comics offer a youth-friendly, low-cost, scalable approach for preventing sexual violence and training clinicians in post-rape care in humanitarian settings. This study aims to develop, implement, and evaluate the effectiveness of a comic intervention on preventing sexual violence and improving post-rape care with youth aged 16-24 and health care providers in the Bidi Bidi refugee settlement.

Conditions

Knowledge, Attitudes, Practice; Post-exposure Prophylaxis

Keywords

Digital health intervention; Forcibly displaced youth; Uganda; Post-exposure prophylaxis; Bystander practices; Sexual Violence Stigma; Gender based violence

Outcome Measures

Primary Outcomes (3)

• Changes in PEP Knowledge & Acceptability

  PEP knowledge and acceptability assessed through testing participants on their knowledge of correct PEP use and asked to report on their acceptance towards PEP use and adherence. Scores are binary yes/no.

  Time 1 (0-baseline), Time 2 ( 6 hours follow-up), Time 3 (4 week follow-up)

• Changes in Bystander Practices

  Bystander practices assessed through the Bystander Decision Balance Scale and Slaby Bystander Efficacy Scale (Range 16-64). Higher scores indicate increased bystander practices.

  Time 1 (0-baseline), Time 2 ( 6 hours follow-up), Time 3 (4 week follow-up)

• Changes in Sexual Violence Stigma

  Attitudes and beliefs towards sexual violence will be assessed using the Sexual Violence Stigma scale (Range 17-68). Higher score indicates poorer attitudes and beliefs, and thus greater stigma, towards sexual violence and sexual violence survivors.

  Time 1 (0), Time 2 (5hours), Time 3 (4 weeks post-workshop)

Secondary Outcomes (2)

• Changes in Gender Equitable Norms

  Time 1 (0-baseline), Time 2 ( 6 hours follow-up), Time 3 (4 week follow-up)

• Changes in Depression

  Time 1 (0-baseline), Time 3 (4 week follow-up)

Study Arms (1)

Participatory Comic Intervention

EXPERIMENTAL

This is a pre-test/post-test trial, therefore all participants will participate in the participatory comic intervention.

Behavioral: Participatory Comic Intervention

Interventions

Participatory Comic Intervention BEHAVIORAL

This participatory comic intervention promotes sexual violence prevention and post-rape care with refugee youth and health care providers. In 4-hour workshops, a customized comic book featuring eight sexual violence scenarios will be distributed. Each 1-page scenario speaks to a unique theme of sexual violence experiences among youth or post-rape care preferences. During the workshop participants will explore social, sexual, and psychological needs of youth in Bidi Bidi and practice ways of developing and maintaining healthy relationships (youth) as well as discuss post-rape care responses that attend to the needs and priorities of young refugees in Bidi Bidi who have experienced sexual violence (health care providers). Each workshop will include 20 participants and will be facilitated by trained staff from Real Medicine, Uganda. Further, each workshop will have at least 2 facilitators who are trained in the bystander model.

Participatory Comic Intervention

Eligibility Criteria

• Age: 16 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Resides in Bidi Bidi Refugee Settlement Zone 3
• Identify as a refugee/displaced person
• Aged 16-24 years
• Speak English, Bari or Arabic

You may not qualify if:

• Does not reside in Bidi Bidi Refugee Settlement Zone 3
• Does not identify as a refugee/displaced person
• Is less than age 16 years or older than age 24 years
• Does not speak English, Bari or Arabic
• Provides healthcare services in Bidi Bidi Refugee Settlement and/or Yumbe, Uganda
• Aged greater than or equal to 18 years
• Speak English, Bari or Arabic
• Does not provide healthcare services in Bidi Bidi Refugee Settlement and/or Yumbe, Uganda
• Less than age 18 years
• Does not speak English, Bari or Arabic

Sponsors & Collaborators

• University of Toronto: lead

Study Sites (2)

Factor-Inwentash Faculty of Social Work, University of Toronto

Toronto, Ontario, M5S1V4, Canada

Location

Uganda Refugee and Disaster Management Council

Arua, Uganda

Location

Related Publications (1)

• Logie CH, Okumu M, Loutet M, Berry I, Lukone SO, Kisubi N, Mwima S, Kyambadde P. Mixed-methods findings from the Ngutulu Kagwero (agents of change) participatory comic pilot study on post-rape clinical care and sexual violence prevention with refugee youth in a humanitarian setting in Uganda. Glob Public Health. 2023 Jan;18(1):2092178. doi: 10.1080/17441692.2022.2092178. Epub 2022 Jun 30.

  PMID: 35770702 DERIVED

MeSH Terms

Conditions

Behavior

Study Officials

• Carmen H Logie, PhD

  University of Toronto, Canada

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Model Details: A single-arm, pre-test/post-test trial design will be used to evaluate the effectiveness of a participatory comic intervention on changes in PEP knowledge and acceptability, sexual violence stigma, and bystander beahviour with displaced/refugee youth and health care providers in Bidi Bidi Refugee Settlement, Uganda.

Study Record Dates

• First Submitted: November 13, 2020
• First Posted: December 7, 2020
• Study Start: November 30, 2020
• Primary Completion: April 30, 2021
• Study Completion: April 30, 2021
• Last Updated: December 28, 2021

Record last verified: 2021-12

Locations

CA (1); UG (1)