Comic Intervention for Sexual Violence Prevention and Post-rape Care
23. desember 2021 oppdatert av: Carmen Logie, MSW, PhD, University of Toronto
A Participatory Comic Intervention for Sexual Violence Prevention and Post-rape Care With Refugee Adolescents and Youth in a Humanitarian Setting in Uganda
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.
Studieoversikt
Status
Fullført
Intervensjon / Behandling
Detaljert beskrivelse
Uganda is Sub-Saharan Africa's largest refugee host community; with over 250,000 residents, Bidi Bidi is the largest refugee settlement in Uganda and the second largest globally.
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.
Stigma directed toward adolescent sexual practices and engagement in sexual and reproductive health services, such as contraception, HIV testing, and post-exposure prophylaxis (PEP), is also associated with social isolation, violence and mental health challenges.
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.
Participating youth and health care providers will take part in 4-hour peer-facilitated workshops exploring topics of social, sexual, and psychological needs and pro-social interventions (youth) and post-rape care responses and attending to the needs of youth refugees who have experienced sexual violence (health care providers) using comics developed with qualitative data collected from an earlier study phase.
Using a pre-test/post-test design, this study will assess changes in participants' PEP knowledge and acceptance, bystander behaviour, and sexual violence stigma.
Studietype
Intervensjonell
Registrering (Faktiske)
100
Fase
- Ikke aktuelt
Kontakter og plasseringer
Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.
Deltakelseskriterier
Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
16 år og eldre (Barn, Voksen, Eldre voksen)
Tar imot friske frivillige
Ja
Kjønn som er kvalifisert for studier
Alle
Beskrivelse
Inclusion Criteria (Youth):
- Resides in Bidi Bidi Refugee Settlement Zone 3
- Identify as a refugee/displaced person
- Aged 16-24 years
- Speak English, Bari or Arabic
Exclusion Criteria (Youth):
- 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
Inclusion Criteria (Healthcare Provider):
- 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
Exclusion Criteria (Healthcare Provider):
- 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
Studieplan
Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Forebygging
- Tildeling: N/A
- Intervensjonsmodell: Enkeltgruppeoppdrag
- Masking: Ingen (Open Label)
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
|
Eksperimentell: Participatory Comic Intervention
This is a pre-test/post-test trial, therefore all participants will participate in the participatory comic intervention.
|
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.
|
Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Changes in PEP Knowledge & Acceptability
Tidsramme: Time 1 (0-baseline), Time 2 ( 6 hours follow-up), Time 3 (4 week follow-up)
|
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
Tidsramme: Time 1 (0-baseline), Time 2 ( 6 hours follow-up), Time 3 (4 week follow-up)
|
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
Tidsramme: Time 1 (0), Time 2 (5hours), Time 3 (4 weeks post-workshop)
|
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)
|
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Changes in Gender Equitable Norms
Tidsramme: Time 1 (0-baseline), Time 2 ( 6 hours follow-up), Time 3 (4 week follow-up)
|
Gender Equitable Norms will be assessed using the physical violence subscale (Range 6-18) of the gender equitable men (GEM) scale to measure attitudes towards gender equitable norms considering the prevailing norms in the community concerning physical violence.
A higher score indicates positive attitudes towards gender equitable norms.
|
Time 1 (0-baseline), Time 2 ( 6 hours follow-up), Time 3 (4 week follow-up)
|
|
Changes in Depression
Tidsramme: Time 1 (0-baseline), Time 3 (4 week follow-up)
|
Depression outcomes will be assessed using the Patient Health Questionnaire 2-item (PHQ-2) (Range 0-6).
Scores of 3 or above signal major depressive disorder.
|
Time 1 (0-baseline), Time 3 (4 week follow-up)
|
Samarbeidspartnere og etterforskere
Det er her du vil finne personer og organisasjoner som er involvert i denne studien.
Sponsor
Etterforskere
- Hovedetterforsker: Carmen H Logie, PhD, University of Toronto, Canada
Publikasjoner og nyttige lenker
Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.
Studierekorddatoer
Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.
Studer hoveddatoer
Studiestart (Faktiske)
30. november 2020
Primær fullføring (Faktiske)
30. april 2021
Studiet fullført (Faktiske)
30. april 2021
Datoer for studieregistrering
Først innsendt
13. november 2020
Først innsendt som oppfylte QC-kriteriene
30. november 2020
Først lagt ut (Faktiske)
7. desember 2020
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
28. desember 2021
Siste oppdatering sendt inn som oppfylte QC-kriteriene
23. desember 2021
Sist bekreftet
1. desember 2021
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Andre studie-ID-numre
- gcc_bidibidi
Legemiddel- og utstyrsinformasjon, studiedokumenter
Studerer et amerikansk FDA-regulert medikamentprodukt
Nei
Studerer et amerikansk FDA-regulert enhetsprodukt
Nei
Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .