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RCT of the Effectiveness of the WfWI Intervention in Afghanistan

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ClinicalTrials.gov Identifier: NCT03236948
Recruitment Status : Unknown
Verified July 2017 by Rachel Jewkes, Medical Research Council, South Africa.
Recruitment status was:  Active, not recruiting
First Posted : August 2, 2017
Last Update Posted : August 2, 2017
Sponsor:
Collaborator:
Women for Women International (WfWI)
Information provided by (Responsible Party):
Rachel Jewkes, Medical Research Council, South Africa

Brief Summary:
This is an individually randomised control trial to assess the effectiveness of a livelihoods and social empowerment intervention, delivered by Women for Women International, on married women's experiences of intimate partner violence in Afghanistan. It has a 22 month follow up.

Condition or disease Intervention/treatment Phase
Domestic Violence Depressive Symptoms Livelihoods Behavioral: Women for Women International Intervention Phase 3

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 1461 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Intervention Model Description: Individual level randomised trial, with intervention and control group
Masking: None (Open Label)
Primary Purpose: Prevention
Official Title: Individually Randomised Control Trial Evaluation of the Effectiveness of the Women for Women International (WfWI) Intervention in Afghanistan for Intimate Partner Violence Prevention Among Married Women
Actual Study Start Date : October 2016
Estimated Primary Completion Date : November 2018
Estimated Study Completion Date : November 2018

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: WfWI Intervention
Women receive the WfWI intervention. This comprises of three main components. First, a social empowerment and health intervention. Second a livelihood strengthening intervention, including numeracy training, and vocational training. Third, a cash transfer conditional on attendance at the intervention to cover costs of attendance and provide start-up capital. The intervention is delivered over 12 months.
Behavioral: Women for Women International Intervention
No Intervention: Control



Primary Outcome Measures :
  1. Any past year physical intimate partner violence experienced amongst currently married women [ Time Frame: 22 months post baseline ]
    Physical intimate partner violence is assessed using five items based on the WHO VAW scale. A positive response to any item leads to a person being classified as experiencing in the past year.

  2. Past year severe physical intimate partner violence experience amongst currently married women [ Time Frame: 22 months post baseline ]
    Severe physical intimate partner violence experience is assessed using 5 items. Past year severe physical IPV is assessed as positive if a person responds to two (or more) items as once, or one item as few (or more), essentially creating a more than once categorization.

  3. Depressive symptomology [ Time Frame: 22 months post baseline ]
    Past week depressive symptomology is assessed by the Centre for Epidemiological Studies Depression (CESD) scale, with the full twenty items. A mean score will be calculated.


Secondary Outcome Measures :
  1. Household food insecurity in past four weeks [ Time Frame: 22 months post baseline ]
    Three items ask about household level food insecurity in the past 4 weeks. A mean score is calculated.

  2. Financial shock resilience [ Time Frame: 22 months post baseline ]
    One item assesses ability to mobilise cash in an emergency.

  3. Monthly earnings [ Time Frame: 22 months post baseline ]
    A single item assesses women's past month earnings

  4. Total savings [ Time Frame: 22 months post baseline ]
    A single item assesses women's total savings

  5. Life satisfaction [ Time Frame: 22 months post baseline ]
    Life satisfaction is assessed using four-items derived from the Satisfaction With Life Scale. A mean score is produced.

  6. Suicidal ideation in past 4 weeks [ Time Frame: 22 months post baseline ]
    A single item assesses thoughts about suicide in past week.

  7. Gender attitudes [ Time Frame: 22 months post baseline ]
    11 questions assess women's gender attitudes. A mean score is created.

  8. Married women's participation in household decision-making [ Time Frame: 22 months post baseline ]
    Five items are asked about women's ability to participate in household decisions. A mean score is created.

  9. Any emotional abuse in the past year amongst currently married women [ Time Frame: 22 months post baseline ]
    Seven items assess emotional abuse in the past year. A mean score is calculated.

  10. Perceptions of husband cruelty amongst currently married women [ Time Frame: 22 months post baseline ]
    Five items ask about married women's perceptions of her husband and his attitudes and relationship towards her. A mean score is created

  11. Mother-in-law or abuse in the past 12 months amongst currently married women [ Time Frame: 22 months post baseline ]
    A single item assesses whether mother-in-laws have hit the woman in the past 12 months and another item assesses whether siblings have hit the woman in the past 12 months, an affirmative response to either item would indicate abuse.

  12. Perceptions of mother-in-law cruelty amongst currently married women [ Time Frame: 22 months post baseline ]
    For married women, six items ask about their relationship and the mother-in-laws attitudes towards her



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 45 Years   (Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Women should be in the lowest economic level (earning less than US$1.25/day)
  • Unemployed
  • No in education/school
  • Not involved in a similar programme
  • Able to provide informed consent

Exclusion Criteria:

  • Not mentally incapacitated, so as unable to provide informed consent
  • Already been part of the WfWI intervention previously

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03236948


Sponsors and Collaborators
Medical Research Council, South Africa
Women for Women International (WfWI)
Investigators
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Principal Investigator: Rachel Jewkes, PhD Director Gender and Health Research Unit

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Rachel Jewkes, Director Gender and Health Research Unit, Medical Research Council, South Africa
ClinicalTrials.gov Identifier: NCT03236948     History of Changes
Other Study ID Numbers: EC034-11-2015
First Posted: August 2, 2017    Key Record Dates
Last Update Posted: August 2, 2017
Last Verified: July 2017
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
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Depression
Behavioral Symptoms