- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04817098
Journey of Life Psychosocial Support Program
February 16, 2022 updated by: Washington University School of Medicine
Journey of Life Psychosocial Support for Conflict-Affected Populations in Uganda
The proposed study evaluates the impact and implementation of the Journey of Life intervention among crisis-affected caregivers living in Western Uganda.
In this quasi experimental waitlist control design, participants will be assigned to treatment or waitlist control group based on their geographic location.
The intervention will be delivered in X sessions weekly.
Assessments will be conducted at baseline and following the intervention period.
Assessments will include mental health, functioning, social support, child protection behaviors, parenting attitudes, and experiences of intimate partner violence.
The study also aims to examine implementation of the Journey of Life intervention through qualitative assessments of feasibility, acceptability, adaptation, reach, and adoption.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
Aligned with the USAID HEARD (Health Evaluation and Applied Research Development) purpose to leverage global partnerships to generate, synthesize, and use evidence to improve program implementation in low and middle-income countries, the proposed study will examine the impact and implementation of the Journey of Life (JoL) intervention in a humanitarian setting.
The JoL intervention aims to provide psychosocial support to adults and galvanize caregivers to develop action plans for child protection in their communities.
The proposed research will involve an analysis of effect sizes for mental health, functioning, social support, child protection behaviors, parenting attitudes and behaviors, and experiences of intimate partner violence.
The research also aims to interrogate implementation strategies that are useful within humanitarian contexts through qualitative key informant interviews and focus group discussions.
Assessments include baseline and follow up data collection to measure effect sizes and assess implementation strategy components.
The study aims are to: (1) assess the impact of JoL on child protection indicators, (2) examine the effects of JoL on behavioral health functioning (i.e.
mental health, social support, and functioning)
Study Type
Interventional
Enrollment (Actual)
1395
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
-
Bweyale, Uganda
- TPO Uganda
-
Kiryandongo, Uganda
- TPO Uganda
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Refugee living in Kiryandongo settlement
- Over the age of 18
- Caregiver for a child under age 18
Exclusion Criteria:
- Anyone aged 17 and under, unless written consent from the caregiver and assent from the participant is provided
- Anyone unable to provide consent to participate
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Non-Randomized
- Interventional Model: Sequential Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Journey of Life Intervention Group
Community members (caregivers, teachers, and community leaders) will participate in group workshops for a period of 6 weeks.
|
The concept underlying the JoL intervention is that caregivers and community members can support each other and their children through reflection, dialogue, and action.
JoL addresses children's and adolescents' ecologies by working with caregivers, educators, and community members to understand the importance of their support in protecting children.
|
Other: Waitlist Control Group
The waitlist control group will not receive the intervention during the first 6 months of implementation in order to assess the effects of the intervention compared to the control group.
However, following intervention completion in the experimental group, the control group will receive 6 months of the intervention.
|
The concept underlying the JoL intervention is that caregivers and community members can support each other and their children through reflection, dialogue, and action.
JoL addresses children's and adolescents' ecologies by working with caregivers, educators, and community members to understand the importance of their support in protecting children.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Mental health
Time Frame: 6 months
|
Changes in mental health symptoms according to the Kessler-6 from baseline to follow up assessments.
The structure of the survey asks participants how frequently they have experienced certain symptoms in the past thirty days and presents a consistent scale of responses ranging from "1 - All of the time" to "5 - None of the time"
|
6 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Functioning
Time Frame: 6 months
|
Changes in functioning according to the World Health Organization Disability Assessment Schedule (WHODAS) from baseline to follow up.
The WHODAS uses a 12-item scale with a range of scores from 12 to 60, where higher scores indicate higher disability or loss of function.
|
6 months
|
Social support
Time Frame: 6 months
|
Changes in social supports according to the Medical Outcomes Study Social Supports 8-item survey from baseline to follow up.
The survey is scored using an average of scores for each item and transferring them to a 0-100 score where a higher score for an individual indicates more support.
|
6 months
|
Child protection attitudes
Time Frame: 6 months
|
Changes in the adoption of positive child protective behaviors from baseline to follow-up assessments according to the adapted Child Protection Index (CPI).
The CPI is a 12-item instrument that assesses attitudes towards child protection with a scoring range of 0-12 wherein a higher number indicates more permissible attitudes towards beating children.
|
6 months
|
Parenting behaviors
Time Frame: 6 months
|
Changes in the adoption of positive parenting behaviors from baseline to follow-up assessments according to the Parenting Acceptance and Rejection Questionnaire (PARQ).
This 12-item subscale has a scoring range of 0-48 wherein higher scores indicate more acceptance of children.
|
6 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
April 19, 2021
Primary Completion (Actual)
November 30, 2021
Study Completion (Actual)
November 30, 2021
Study Registration Dates
First Submitted
February 12, 2021
First Submitted That Met QC Criteria
March 24, 2021
First Posted (Actual)
March 25, 2021
Study Record Updates
Last Update Posted (Actual)
February 18, 2022
Last Update Submitted That Met QC Criteria
February 16, 2022
Last Verified
February 1, 2022
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- 202101122
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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