Effectiveness of Community-based Approach in Reducing the Intimate Partner Violence (IPV) Exposure and Outcome

NCT06768502 | Completed DMC

• 1 other identifier: CMH
• Study Type: interventional
• Target: 62
• Locations: 1 country
• Sites: 1

Brief Summary

Abstract Background: There is a little known about the effectiveness of Community-Based Approach (CBA) on reduction of intimate partner violence (IPV) exposure, anxiety, depression and PTSD symptoms as outcomes in collectivist and post-genocide societies like Rwanda. This study, therefore, aimed at assessing the effectiveness of Community-Based Approach (CBA) for IPV victimization and perpetration as well as it's associated mental health outcomes in Rwanda. Methods: This is a Randomized Controlled Trial (RCT) study which will be conducted using a sample of 31 couples (MA =36.9, SD=9.9), with 16 couples assigned in treatment group and 15 assigned in control group. Data has to be collected using the Hurt, Insult, Threaten and Screaming (HITS-7) to assess IPV exposure; the Hopkins Symptom Checklist for anxiety and depression (HSCL-25); and the PTSD checklist for DSM-5 (PCL-5). Data will be analyzed using Pearson correlation and mixed ANOVAs to evaluate the effect of CBA over IPV occurrence and mental health outcomes. Key words: IPV, community support, emotions management, anxiety, depression, PTSD, Rwanda

Conditions

Intimate Partner Violence (IPV); Anxiety; Depression; Post-traumatic Stress Disorder (PTSD)

Keywords

IPV; community support; emotions management; anxiety; depression; PTSD; Rwanda

Outcome Measures

Primary Outcomes (4)

• Reduced intimate Partner Violence scores in treatment group as compared to control groups

  Analysis of effectiveness community based approach in reducing the IPV scores. IPV scores were assessed using The Hurt, Insult, Threaten, and Scream scale which has 7 items with a likert scaled response. All items were scored as: 0=never, 1=rarely, 2=sometimes, 3=fairly often, and 4=frequently. The total scores ranged from Score 0 to 24, where higher scores mean worse outcome.

  through study completion, an average of 10 months

• Reduced Anxiety scores in treatment group as compared to control groups

  Analysis of effectiveness community based approach in reducing the anxiety scores. The Hopkins Symptom Check List-25 scale was used to evaluate depression scores. Its first 10 items assess anxiety symptoms. The scale for each item includes four categories of response ("Not at all," "A little," "Quite a bit," "Extremely," rated 1 to 4, respectively). The total scores range from 1 to 40, where higher scores mean worse outcome.

  through study completion, an average of 10 months

• Reduced depression scores in treatment group as compared to control groups

  Analysis of effectiveness community based approach in reducing the depression scores. Its last 15 items assess depression. The scale for each item includes four categories of response ("Not at all," "A little," "Quite a bit," "Extremely," rated 1 to 4, respectively).The total scores range from 1 to 60,where higher scores mean worse outcome.

  through study completion, an average of 10 months

• Reduced post-traumatic stress disorder scores in treatment as compared to control groups

  Analysis of effectiveness community based approach in reducing post-traumatic stress disorder scores.The PTSD Checklist for DSM-5 (PCL-5) is a 20 items self-reported instrument that was used to evaluate the 20 DSM-5 symptoms of post-traumatic stress disorder (Weathers et al., 2013). All items were scored on the Likert scale: 0=Not at all, 1=A little bit, 2=moderately, 3=Quite a bit and 4=extremely. The total score ranged from 0 to 80, where higher scores mean worse outcome.

  through study completion, an average of 10 months

Study Arms (2)

treatment group

EXPERIMENTAL

This arm includes couples selected from a list provided by authorities at the sector level, identifying households with a history of family violence. These couples will receive the Community-Based Approach (CBA) intervention and will be assigned to the treatment group.

Other: Community Based Approach (CBA)

control group

NO INTERVENTION

This arm includes couples selected from a list provided by authorities at the sector level, identifying households with a history of family violence. These couples will not receive the Community-Based Approach (CBA) intervention and will be assigned to the control group.

Interventions

Community Based Approach (CBA) OTHER

The community-based approach on IPV and sexual violence is conceived as a dynamic process where community members willing to recover from life wounds induced by IPV and sexual violence agree to share their lived experiences in order to work on them accordingly and to support each other in this healing journey.

treatment group

Eligibility Criteria

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

You may qualify if:

• Willing to participate
• Attended all session

You may not qualify if:

• Lost the follow up
• Declined the participation

Sponsors & Collaborators

• University of Rwanda: lead

Study Sites (1)

Centre for Mental Health

Kigali, Western, KG 11 Ave, 47, Rwanda

Location

Related Publications (30)

• Ahmadabadi Z, Najman JM, Williams GM, Clavarino AM, d'Abbs P, Tran N. Intimate partner violence and subsequent depression and anxiety disorders. Soc Psychiatry Psychiatr Epidemiol. 2020 May;55(5):611-620. doi: 10.1007/s00127-019-01828-1. Epub 2020 Jan 7.

  PMID: 31912167 BACKGROUND

• Bahati C, Izabayo J, Munezero P, Niyonsenga J, Mutesa L. Trends and correlates of intimate partner violence (IPV) victimization in Rwanda: results from the 2015 and 2020 Rwanda Demographic Health Survey (RDHS 2015 and 2020). BMC Womens Health. 2022 Sep 6;22(1):368. doi: 10.1186/s12905-022-01951-3.

  PMID: 36068627 BACKGROUND

• Bahati C, Rukundo G, Nyirahabimana N, Izabayo J, Niyonsenga J, Sezibera V. The prevalence of mental disorders among intimate partner violence exposed and non-exposed Rwandans: Findings from a national cross-sectional survey. Psychiatry Res. 2022 Apr;310:114465. doi: 10.1016/j.psychres.2022.114465. Epub 2022 Feb 19.

  PMID: 35219265 BACKGROUND

• Bland JM, Altman DG. Cronbach's alpha. BMJ. 1997 Feb 22;314(7080):572. doi: 10.1136/bmj.314.7080.572. No abstract available.

  PMID: 9055718 BACKGROUND

• Bris, T. Le. (2017). The Hopkins symptoms checklist in 25 items : translations in Castilian, Galician, Catalan, French, Greek, Italian, Polish, Bulgarian and Croatian synthesis. Life. Life Science, q-bio, dumas-01537933.

  BACKGROUND

• Bulte, E. (2020). Empowerment and intimate partner violence : Domestic abuse when household income is uncertain. July, 1-15. https://doi.org/10.1111/rode.12715

  BACKGROUND

• Celestin, M., Vincent, S., & C, C. (2022). Determinants of Intergenerational Trauma Transmission: A Case of the Survivors of the 1994 Genocide Against Tutsi in Rwanda. Child Behavioral Health in Sub-Saharan Africa. https://doi.org/10.1007/978-3-030-83707-5_11

  BACKGROUND

• Chatterji, S., & Heise, L. (2021). Examining the bi-directional relationship between intimate partner violence and depression: Findings from a longitudinal study among women and men in rural Rwanda. SSM - Mental Health, 1, 10. https://doi.org/10.1016/j.ssmmh.2021.100038

  BACKGROUND

• Chilanga E, Collin-Vezina D, Khan MN, Riley L. Prevalence and determinants of intimate partner violence against mothers of children under-five years in Central Malawi. BMC Public Health. 2020 Dec 2;20(1):1848. doi: 10.1186/s12889-020-09910-z.

  PMID: 33267864 BACKGROUND

• Clear, T. R. (2007). Imprisoning Communities: How Mass Incarceration Makes Disadvantaged Neighborhoods Worse. https://doi.org/10.1093/acprof:oso/9780195305791.001.0001

  BACKGROUND

• Davoren, M., Kallis, C., González, R. A., Freestone, M., & Coid, J. W. (2017). Anxiety disorders and intimate partner violence: can the association be explained by coexisting conditions or borderline personality traits? The Journal of Forensic Psychiatry & Psychology. https://doi.org/10.1080/14789949.2016.1172659

  BACKGROUND

• DeJonghe ES, Bogat GA, Levendosky AA, von Eye A. Women survivors of intimate partner violence and post-traumatic stress disorder: prediction and prevention. J Postgrad Med. 2008 Oct-Dec;54(4):294-300. doi: 10.4103/0022-3859.41435.

  PMID: 18953149 BACKGROUND

• Dunkle K, Stern E, Chatterji S, Heise L. Effective prevention of intimate partner violence through couples training: a randomised controlled trial of Indashyikirwa in Rwanda. BMJ Glob Health. 2020 Dec;5(12):e002439. doi: 10.1136/bmjgh-2020-002439.

  PMID: 33355268 BACKGROUND

• Dunkle, K., Stern, E., Chatterji, S., Heise, L., Mclean, L., & Chatterji, S. (2019). Indashyikirwa programme to reduce intimate partner violence in Rwanda: Report of findings from a cluster randomized control trial. August, 1-56. https://www.whatworks.co.za/documents/publications/352-indash-evidence-brief-aug-2019/file

  BACKGROUND

• Esie P, Osypuk TL, Schuler SR, Bates LM. Intimate partner violence and depression in rural Bangladesh: Accounting for violence severity in a high prevalence setting. SSM Popul Health. 2019 Jan 28;7:100368. doi: 10.1016/j.ssmph.2019.100368. eCollection 2019 Apr.

  PMID: 30766911 BACKGROUND

• Jabbi A, Ndow B, Senghore T, Sanyang E, Kargbo JC, Bass P. Prevalence and factors associated with intimate partner violence against women in The Gambia: a population-based analysis. Women Health. 2020 Sep;60(8):912-928. doi: 10.1080/03630242.2020.1767264. Epub 2020 May 18.

  PMID: 32419660 BACKGROUND

• Kabakambira JD, Uwera G, Hategeka M, Kayitesi ML, Malu CKK, Hategeka C. Burden of post-traumatic stress disorder acute exacerbations during the commemorations of the genocide against Tutsis in Rwanda: a cross-sectional study. Pan Afr Med J. 2018 Jul 17;30:216. doi: 10.11604/pamj.2018.30.216.15663. eCollection 2018.

  PMID: 30574235 BACKGROUND

• Kapiga S, Harvey S, Muhammad AK, Stockl H, Mshana G, Hashim R, Hansen C, Lees S, Watts C. Prevalence of intimate partner violence and abuse and associated factors among women enrolled into a cluster randomised trial in northwestern Tanzania. BMC Public Health. 2017 Feb 14;17(1):190. doi: 10.1186/s12889-017-4119-9.

  PMID: 28193198 BACKGROUND

• King, R. U. (2019). The true healing is healing together: Healing and rebuilding social relations in postgenocide Rwanda. Peace and Conflict. Journal of Peace Psychology, 25(1), 49-60. https://doi.org/10.1037/pac0000357

  BACKGROUND

• Lovestad S, Love J, Vaez M, Krantz G. Prevalence of intimate partner violence and its association with symptoms of depression; a cross-sectional study based on a female population sample in Sweden. BMC Public Health. 2017 Apr 20;17(1):335. doi: 10.1186/s12889-017-4222-y.

  PMID: 28424072 BACKGROUND

• Musanabaganwa C, Jansen S, Fatumo S, Rutembesa E, Mutabaruka J, Gishoma D, Uwineza A, Kayiteshonga Y, Alachkar A, Wildman D, Uddin M, Mutesa L. Burden of post-traumatic stress disorder in postgenocide Rwandan population following exposure to 1994 genocide against the Tutsi: A meta-analysis. J Affect Disord. 2020 Oct 1;275:7-13. doi: 10.1016/j.jad.2020.06.017. Epub 2020 Jun 23.

  PMID: 32658827 BACKGROUND

• Mutuyimana, C., Sezibera, V., & Cassady, C. (2022). Determinants of Intergenerational Trauma Transmission: A Case of the Survivors of the 1994 Genocide Against Tutsi in Rwanda. In F. M. Ssewamala, O. Sensoy Bahar, & M. M. McKay, Child Behavioral Health in Sub-Saharan Africa Towards Evidence Generation and Policy Development (Vols. 213-233). Springer Nature Switzerland AG, Switzerland.

  BACKGROUND

• Rhodes KV, Houry D, Cerulli C, Straus H, Kaslow NJ, McNutt LA. Intimate partner violence and comorbid mental health conditions among urban male patients. Ann Fam Med. 2009 Jan-Feb;7(1):47-55. doi: 10.1370/afm.936.

  PMID: 19139449 BACKGROUND

• Richie, B. E. (2014). Who Benefits and Who Loses in the Criminalization of IPV : Considering the Logic of Punishment and Impact of Legal Intervention as a Tertiary Prevention Strategy. 1-19.

  BACKGROUND

• Rieder H, Elbert T. Rwanda - lasting imprints of a genocide: trauma, mental health and psychosocial conditions in survivors, former prisoners and their children. Confl Health. 2013 Mar 26;7(1):6. doi: 10.1186/1752-1505-7-6.

  PMID: 23531331 BACKGROUND

• Thomson DR, Bah AB, Rubanzana WG, Mutesa L. Correlates of intimate partner violence against women during a time of rapid social transition in Rwanda: analysis of the 2005 and 2010 demographic and health surveys. BMC Womens Health. 2015 Oct 28;15:96. doi: 10.1186/s12905-015-0257-3.

  PMID: 26511348 BACKGROUND

• Umubyeyi A, Mogren I, Ntaganira J, Krantz G. Intimate partner violence and its contribution to mental disorders in men and women in the post genocide Rwanda: findings from a population based study. BMC Psychiatry. 2014 Nov 18;14:315. doi: 10.1186/s12888-014-0315-7.

  PMID: 25406929 BACKGROUND

• Vindbjerg E, Carlsson J, Mortensen EL, Makransky G, Nielsen T. A Rasch-based validity study of the Harvard Trauma Questionnaire. J Affect Disord. 2020 Dec 1;277:697-705. doi: 10.1016/j.jad.2020.08.071. Epub 2020 Sep 1.

  PMID: 32911220 BACKGROUND

• Weathers, F. W., Litz, B. T., Keane, T. M., Palmieri, P. A., Marx, B. P., & & Schnurr, P. P. (2013). The PTSD Checklist for DSM-5 (PCL-5).Scale available from the National Center for PTSD at. www.ptsd.va.gov.

  BACKGROUND

• Sardinha L, Maheu-Giroux M, Stockl H, Meyer SR, Garcia-Moreno C. Global, regional, and national prevalence estimates of physical or sexual, or both, intimate partner violence against women in 2018. Lancet. 2022 Feb 26;399(10327):803-813. doi: 10.1016/S0140-6736(21)02664-7. Epub 2022 Feb 16.

  PMID: 35182472 BACKGROUND

MeSH Terms

Conditions

Anxiety Disorders; Depression; Stress Disorders, Post-Traumatic

Condition Hierarchy (Ancestors)

Mental Disorders; Behavioral Symptoms; Behavior; Stress Disorders, Traumatic; Trauma and Stressor Related Disorders

Study Officials

• Vincent Sezibera, Professor

  University of Rwanda

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: TRIPLE
• Who Masked: PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer

Model Details: * Arm 1 (Intervention Group): Describe the intervention that this group will receive intervention * Arm 2 (Control Group): Describe what the control group will receive no intervention.

Study Record Dates

• First Submitted: August 18, 2024
• First Posted: January 10, 2025
• Study Start: February 18, 2020
• Primary Completion: March 3, 2020
• Study Completion: December 11, 2020
• Last Updated: January 10, 2025

Record last verified: 2025-01

Locations

RW (1)