Youth and Adult Microfinance to Improve Resilience Outcomes in Democratic Republic of Congo

This study is currently recruiting participants. (see Contacts and Locations)
Verified December 2013 by Johns Hopkins University
Sponsor:
Collaborator:
Information provided by (Responsible Party):
Nancy Glass, Johns Hopkins University
ClinicalTrials.gov Identifier:
NCT02008695
First received: October 7, 2013
Last updated: December 6, 2013
Last verified: December 2013
  Purpose

The investigators will test the effectiveness of a youth-led animal husbandry microfinance program, Rabbits for Resilience, combined with the adult microfinance, Pigs for Peace (PFP), program on youth, family and community resilience outcomes. The following aims will be completed over the five-year longitudinal, mixed-method, cluster randomized community trial:

Specific Aim 1: Determine the relative effectiveness of a youth-led microfinance combined with the adult microfinance on youth and family resilience outcomes (reduced mental health distress, increased economic stability, improved family functioning) compared to a youth-led microfinance only and adult microfinance only approaches.

  • We hypothesize that at six, twelve and 18-months post-baseline youth and adults in households in the youth-led and adult microfinance approach will report improved individual and family resilience outcomes compared to households in the youth-led microfinance only and adult microfinance only approaches.

Specific Aim 2: Determine the relative effectiveness of a youth-led microfinance combined with PFP microfinance on community resilience (e.g. social capital and participation in community groups by youth and adults) compared to youth-led microfinance only and adult microfinance only approaches.

  • We hypothesize that at 18-months post baseline in households in the youth-led and adult microfinance will report improved community resilience compared to households in the youth-led microfinance only and adult microfinance only approaches

Specific Aim 3: Determine if changes in youth resilience (caregiving ability, empathy and outlook for the future) mediate the relationship between youth engagement in microfinance and outcomes, as measured by reduced mental health distress, improved family functioning and improved social capital.

Specific Aim 4: Examine youth perspectives on resilience in the context of multiple adversities (war, poverty, loss of family, displacement, victimization). Youth participants (N=50, ages 10-15 years) will be invited (with parent/caregiver consent) to complete at baseline and 18 month post-baseline qualitative interview/group discussion to examine individual, family and community resilience and what that they perceive as key to buffering the negative health and social consequences of prolonged conflict and other adversities.


Condition Intervention
Mental Health Disorders
Behavioral: adult microfinance
Behavioral: Youth microfinance only
Behavioral: youth and adult micro finance

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Official Title: Youth and Adult Microfinance to Improve Resilience Outcomes in Democratic Republic of Congo

Resource links provided by NLM:


Further study details as provided by Johns Hopkins University:

Primary Outcome Measures:
  • Change in baseline Mental health distress at 18 months [ Time Frame: Baseline to 18 months post baseline ] [ Designated as safety issue: Yes ]
    The outcome will be collected from multiple sources: 1) one randomly selected program eligible youth; and 2) one parent/caregiver in participating household


Estimated Enrollment: 984
Study Start Date: August 2012
Estimated Study Completion Date: May 2018
Estimated Primary Completion Date: May 2017 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: Youth microfinance only
Youth receive loan
Behavioral: adult microfinance
Female piglet provided to household member. Participants agrees to repay their "loan" by giving two piglets (one to repay the loan and one for the interest on the loan) to the association from the first litter of piglets (on average 6-12 piglets). These piglets are then given to other village member households
Active Comparator: youth and adult micro finance
youth and adult receive loan
Behavioral: Youth microfinance only
One child (10-15 years) receive rabbits loan. The child is mentored by microfinance and community mentors. The child repays the loan to program and other children in the family and community are provided a loan from the repayment.
Active Comparator: adult microfinance
adults receive loan
Behavioral: youth and adult micro finance
One child and adult member of household receive animal loan. The child and adult are mentored and repayment of the loan to the program is provided and the repayment animal is provided to other members of the community

Detailed Description:

Congolese youth, families and communities have survived the 16 years of conflict and are now faced with significant challenges for rebuilding their futures. Developing, implementing and evaluating microfinance programs that combine youth and adults is an innovative strategy to assist households and community efforts by focusing on existing strengths. The study will advance knowledge for youth, families and communities impacted by armed conflicts in six critical areas:

  • 1) increase our knowledge of youth and adult resilience (mental and physical health, family functioning, social capital) in context of multiple adversities;
  • 2) measurement of resilience from a social ecological and longitudinal, mixed-method perspective;
  • 3) expand our understanding of resilience to develop prevention interventions for youth in early adolescence (ages 10-15 years), an important time to develop healthy transitions to young adulthood (ages 15-10 years);
  • 4) test a youth-led microfinance program combined with an existing and successful adult microfinance program, Pigs For Peace (PFP), that is sustainable and appropriate to the context of a war-affected population;
  • 5) detail resources and infrastructure needed for conducting research in challenging field settings with diverse cultures and languages as well as with limited resources, such as access to mental health professionals;
  • 6) provide guidelines for the ethical conduct of research in settings where participants of diverse ages and backgrounds may have limited knowledge of human rights and ethical research concepts, such as informed consent and assent.
  Eligibility

Ages Eligible for Study:   10 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • girls/boys (ages 10-15 years) and women/men head of households (ages 16 years and older)
  • Resident in participating 10 village in Walungu Territory in DRC

Exclusion Criteria:

  • girls/boys under 10 years of age
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT02008695

Contacts
Contact: Nancy Glass, PhD 410-614-2849 nglass1@jhu.edu

Locations
Congo
PAIDEK, Congo Recruiting
Bukavu, Congo, 2375
Contact: Mtima Mpanano, MS    00243 09 98 61 16 39    paidek@hotmail.com   
Sub-Investigator: Mtima Remy, Masters         
Sponsors and Collaborators
Johns Hopkins University
Investigators
Principal Investigator: Nancy E Glass, PhD Johns Hopkins University
  More Information

No publications provided

Responsible Party: Nancy Glass, Professor, Johns Hopkins University
ClinicalTrials.gov Identifier: NCT02008695     History of Changes
Other Study ID Numbers: R01HD071958, R01HD071958
Study First Received: October 7, 2013
Last Updated: December 6, 2013
Health Authority: United States: Institutional Review Board

Keywords provided by Johns Hopkins University:
Health
Youth
Microfinance

Additional relevant MeSH terms:
Mental Disorders

ClinicalTrials.gov processed this record on August 18, 2014