GBV, Primary Trauma & Trauma Resilience & Understanding Self-help Therapy Utilization in Uganda

NCT06073964 | Completed DMC

• 1 other identifier: KIU-2022-173
• Study Type: interventional
• Target: 284
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this community-based interventional study was to determine the effectiveness of the 'Trauma Resilience \& Understanding Self-help Therapy' (TRUST) in managing domestic violence \& primary trauma among formerly Internally Displaced Persons (fIDPs) in northern Uganda. The main questions it aimed to answer were:

• What was the level of utilization and short-term effects of the TRUST intervention on the experiences of domestic violence and high levels of primary trauma among fIDPs living in northern Uganda who would have been using TRUST within their communities after completing the training in the community-based TRUST utilization?
• What were the clinical indications of the TRUST intervention and psychological operators among fIDPs living in northern Uganda who would have been using TRUST within their communities to manage their experiences of domestic violence and high levels of primary trauma? Participants found to have experienced domestic violence in the last one year and were having high levels of primary trauma were randomly assigned to the intervention group that was trained in the utilization of the TRUST within their communities and then followed up for 12 weeks (TRUST group). The investigators then compared the results obtained from the TRUST group with those attained from an age and gender cross-matched control group of fIDPs who were not trained in the utilization of the TRUST within their communities (Control group). This was done to see if the community-based utilization of the TRUST intervention changed the levels of primary trauma \& experiences of domestic violence among its users (TRUST group) when compared to the non-users (Control group).

Conditions

Domestic Violence; Psychological Distress; Post-Traumatic Stress Disorder; Suicidality

Keywords

formerly Internally Displaced Persons; Gender Based Violence; Trauma Resilience & Understanding Self-help Therapy; Uganda

Outcome Measures

Primary Outcomes (4)

• Rate of Domestic Violence Experiences

  Change in frequency of experiences assessed using the Assessment Screen to Identify Survivors' Toolkit for Gender Based Violence Scale.

  Pilot Study, Baseline/Pre-TRUST Training (After 1 month from the pilot study), Post-TRUST Training (After 6 weeks) & Post-TRUST Utilization (After 12 weeks)

• Prevalence of Psychological Distress

  Change in severity of symptoms assessed using the Refugee Health Sceener-15 Scale.

  Pilot Study, Baseline/Pre-TRUST Training (After 1 month from the pilot study), Post-TRUST Training (After 6 weeks) & Post-TRUST Utilization (After 12 weeks)

• Prevalence of Post-Traumatic Stress Disorder

  Change in severity of symptoms assessed using the Impact of Events Scale-Shorter Revised Scale \& the Mini International Neuropsychiatric Interview guide module H for Post-Traumatic Stress Disorder.

  Pilot Study, Baseline/Pre-TRUST Training (After 1 month from the pilot study), Post-TRUST Training (After 6 weeks) & Post-TRUST Utilization (After 12 weeks)

• Prevalence of Suicidality Risk

  Change in levels of risk assessed using the Mini International Neuropsychiatric Interview guide module B for Suicidality Risk.

  Pilot Study, Baseline/Pre-TRUST Training (After 1 month from the pilot study), Post-TRUST Training (After 6 weeks) & Post-TRUST Utilization (After 12 weeks)

Secondary Outcomes (1)

• Prevalence of Poor Social Economic Resilience Levels

  Pilot Study, Baseline/Pre-TRUST Training (After 1 month from the pilot study), Post-TRUST Training (After 6 weeks) & Post-TRUST Utilization (After 12 weeks)

Other Outcomes (1)

• Percentage of Participants with impaired Psychological Indicators

  Pilot Study, Baseline/Pre-TRUST Training (After 1 month from the pilot study), Post-TRUST Training (After 6 weeks) & Post-TRUST Utilization (After 12 weeks)

Study Arms (2)

TRUST Intervention group

EXPERIMENTAL

Formerly Internally Displaced Persons living in Lira district, northern Uganda afflicted with primary trauma and experiencing domestic violence will be trained in the community-based utilization of the 'Trauma Resilience \& Understanding Self-help Therapy'.

Behavioral: Trauma Resilience & Understanding Self-help Therapy

Control group

NO INTERVENTION

Age and gender cross-matched formerly Internally Displaced Persons living in Lira district, northern Uganda afflicted with primary trauma and experiencing domestic violence will not be trained in the community-based utilization of the 'Trauma Resilience \& Understanding Self-help Therapy'.

Interventions

Trauma Resilience & Understanding Self-help Therapy BEHAVIORAL

A self-help psychosocial therapeutic intervention requiring one to undergo a basic training in its community-based utilization.

TRUST Intervention group

Eligibility Criteria

• Age: 18 Years - 100 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• All formerly Internally Displaced Persons who will be 18 years or older and who will be residing in the sub-counties of Agweng, Barr and Ogur in Lira district, northern Uganda at the time of data collection.
• All formerly Internally Displaced Persons who will be residing in Agweng and Ogur sub-counties at the time of data collection and who previously participated in the study that culminated in the development of the TRUST intervention in Lira district, northern Uganda.
• All formerly Internally Displaced Persons who will be residing in Agweng, Barr and Ogur sub-counties in Lira district, northern Uganda at the time of data collection and who will screen positive for domestic violence, psychological distress and PTSD.

You may not qualify if:

• All formerly Internally Displaced Persons who will be residing in the sub-counties of Agweng, Barr and Ogur in Lira district, northern Uganda and who will have clinically significant or overt baseline signs and symptoms of physical illnesses or other psychiatric disorders which are unrelated to primary trauma or domestic violence.
• All formerly Internally Displaced Persons who will be residing in the sub-counties of Agweng, Barr and Ogur in Lira district, northern Uganda at the time of data collection and who will have significantly severe hearing and speech impediments.

Sponsors & Collaborators

• Kampala International University: lead
• Dutch Research Council (WOTRO Impact and Innovation Grants-2020), The Netherlands: collaborator
• Leiden University: collaborator
• Globalization Accessibility Innovation and Care Research Collaborative Network: collaborator

Study Sites (1)

Kampala International University

Bushenyi, Southwestern, 71, Uganda

Location

Related Publications (1)

• Forry, J. B., Kirabira, J., Akimana, B., Nakawuki, M., Gumisiriza, N., Ssebuufu, R., & Ashaba, S. (2022). Gender-based violence and its determinants during the COVID-19 lockdown in a low-income country: a cross-sectional survey. Journal of gender-based violence, 1-19.

  RESULT

Related Links

• Background Peer-reviewed Published Article

MeSH Terms

Conditions

Stress Disorders, Post-Traumatic; Suicidal Ideation

Condition Hierarchy (Ancestors)

Stress Disorders, Traumatic; Trauma and Stressor Related Disorders; Mental Disorders; Suicide; Self-Injurious Behavior; Behavioral Symptoms; Behavior

Study Officials

• Jimmy B Forry, MMed Psych

  Kampala International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: September 26, 2023
• First Posted: October 10, 2023
• Study Start: November 23, 2022
• Primary Completion: March 31, 2023
• Study Completion: March 31, 2023
• Last Updated: October 10, 2023

Record last verified: 2023-10

Data Sharing

• IPD Sharing: Will not share

Locations

UG (1)