Intervention to Support the Reintegration of Former Combatants and Soldiers

This study is enrolling participants by invitation only.
Sponsor:
Collaborator:
World Bank
Information provided by (Responsible Party):
Susanne Schaal, University of Konstanz
ClinicalTrials.gov Identifier:
NCT01624987
First received: June 19, 2012
Last updated: July 29, 2013
Last verified: July 2013

June 19, 2012
July 29, 2013
June 2012
February 2014   (final data collection date for primary outcome measure)
  • Appetitive Aggression (Appetitive Aggression Scale) [ Time Frame: 6 months ] [ Designated as safety issue: No ]
  • Symptoms of post-traumatic stress disorder (Post-traumatic Diagnostic Scale, PDS) [ Time Frame: 6 months ] [ Designated as safety issue: No ]
  • Appetitive Aggression (Appetitive Aggression Scale) [ Time Frame: 3 months ] [ Designated as safety issue: No ]
  • Symptoms of posttraumatic stress disorder (Posttraumatic Diagnostic Scale, PDS) [ Time Frame: 3 months ] [ Designated as safety issue: No ]
Complete list of historical versions of study NCT01624987 on ClinicalTrials.gov Archive Site
  • Symptoms of depression (Patient Health Questionnaire (PHQ-9) [ Time Frame: 6 months ] [ Designated as safety issue: No ]
  • Functionality (Work and Social Adjustment Scale) [ Time Frame: 6 months ] [ Designated as safety issue: No ]
  • Substance abuse [ Time Frame: 6 months ] [ Designated as safety issue: No ]
  • Re-integration questionnaire [ Time Frame: 6 months ] [ Designated as safety issue: No ]
  • Symtoms of depression (Patient Health Questionnaire (PHQ-9) [ Time Frame: 3 months ] [ Designated as safety issue: No ]
  • Functionality (Work and Social Adjustment Scale) [ Time Frame: 3 months ] [ Designated as safety issue: No ]
  • Substance abuse [ Time Frame: 3 months ] [ Designated as safety issue: No ]
Not Provided
Not Provided
 
Intervention to Support the Reintegration of Former Combatants and Soldiers
Not Provided

The project aims to investigate if trauma-related disorders and appetitive aggression can be reduced in former ex-combatants in DR Congo when a specific intervention (Narrative Exposure Therapy for Forensic Offender Rehabilitation, FORNET) is delivered by trained local personnel (phase 1). In a second step, the project aims to investigates the treatment success if this specific therapy is carried out by local personnel who have been trained by other local personnel ("train the trainer", phase 2) under the supervision of experts of the University of Konstanz.

The reintegration of former child soldiers and ex-combatants is a big challenge in war-torn countries. Former child soldiers and ex-combatants often suffer from mental health problems and show enhanced levels of aggression. The present study focuses on the reduction of appetitive aggression and the improvement of mental health in former child soldiers and ex-combatants in DR Congo.

The project consists of four steps:

  1. Training of selected DDRRR personnel(first generation)in FORNET (a variant of Narrative Exposure Therapy to treat trauma-related disorders and to reduce appetitive aggression)by experts from the University of Konstanz.
  2. Treatment phase 1: Intervention will be carried out by therapists of the first generation. The trained therapists of the first generation will be supervised from the experts of the University of Konstanz.
  3. Training of a second generation of DDRRR personnel in FORNET by the therapists of the first generation.
  4. Treatment phase 2: Intervention will be carried out by therapists of the second generation. The trained therapists of the second generation will be supervised from the therapists of the first generation.

The study is conceived as a randomized controlled study. In phase 1 and in phase 2, study participants will be randomized allocated to the intervention group (FORNET) and the control group (no intervention). The treatment effect will be measured by pre-post and 6-months follow-up evaluations.

Interventional
Phase 2
Phase 3
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Treatment
  • Appetitive Aggression
  • Post-traumatic Stress Disorder
  • Behavioral: NET for Forensic Offender Rehabilitation (FORNET): a variant of Narrative Exposure Therapy
    During the proposed therapy, the client constructs a chronological narrative of his or her whole life which includes all traumatic experiences and perpetrated violent acts. All emotions, cognitions, sensory information, and physiological reactions are activated and linked to the autobiographical context.In five sessions the trained therapist and the client try to go through all important traumatic experiences and perpetrated violent acts. The sixth session is a group session with four to five clients. The group session is oriented on Interpersonal Psychotherapy and focuses on the role change from soldier to civilian.
  • Other: Control group
    The control group receives no intervention.
Experimental: NET for Forensic Offender Rehabilitation
Narrative Exposure Therapy for Forensic Offender Rehabilitation (FORNET)
Interventions:
  • Behavioral: NET for Forensic Offender Rehabilitation (FORNET): a variant of Narrative Exposure Therapy
  • Other: Control group
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Enrolling by invitation
100
February 2014
February 2014   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Ex-combatants who live in a transit camp in Goma, Congo.

Exclusion Criteria:

Male
16 Years to 70 Years
Yes
Contact information is only displayed when the study is recruiting subjects
Congo
 
NCT01624987
WB_2012
No
Susanne Schaal, University of Konstanz
University of Konstanz
World Bank
Study Director: Thomas Elbert, Prof. Dr. University of Konstanz
University of Konstanz
July 2013

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP