Reintegrating Children Living at Landfills in Burundi Into Society by Means of a Comprehensive Family Program Addressing Maltreatment and Mental Health Symptoms
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|ClinicalTrials.gov Identifier: NCT03846154|
Recruitment Status : Active, not recruiting
First Posted : February 19, 2019
Last Update Posted : March 8, 2019
Children living at the landfills of Bujumbura are often exposed to maltreatment, including emotional neglect and physical abuse, and traumatic experiences. Furthermore, they grow up in severe poverty. Addressing trauma-related mental health issues and aggressive behaviour by Narrative Exposure Therapy (FORNET), familial communication by family visits, interaction difficulties of children by a group intervention, poverty by financial support and economic training for mothers, medical problems by medical assistance, legal conflicts by legal advice, and providing access to school, we aimed at reintegrating those children within the Burundian school system and improving familial relationships.
The investigators want to provide evidence, that mental health interventions are an integral part of assisting children and families affected by poverty and violence.
|Condition or disease||Intervention/treatment||Phase|
|Posttraumatic Stress Disorder Aggressive Behaviour Parental Maltreatment Days Spent at the Landfill||Behavioral: Comprehensive family intervention including individual sessions of FORNET||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||96 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||None (Open Label)|
|Official Title:||Reintegrating Children Living at Landfills in Burundi Into Society by Means of a Comprehensive Family Program Addressing Maltreatment and Trauma-related Mental Health Symptoms|
|Actual Study Start Date :||March 1, 2018|
|Estimated Primary Completion Date :||March 30, 2019|
|Estimated Study Completion Date :||March 30, 2019|
Experimental: Intervention group
Children and adolescents in the intervention group received:
Behavioral: Comprehensive family intervention including individual sessions of FORNET
No Intervention: Control group
The control group was invited to participate in three interviews getting small amounts of money (~2,5 €) as decompensation of their time.
- Change of load of traumatic symptoms measured via the University of California at Los Angeles Posttraumatic Stress Disorder Reaction Index (scale administered by Clinicians) [ Time Frame: baseline; 5 months follow-up; 9 months follow-up ]27 items assessing PTSD, 4 additional items assessing dissociation on a scale from 0 - 4. Due to scoring rules, total sum score ranges from 0 to 80; sub scale intrusion: 0 - 20; sub scale avoidance: 0 - 8; sub scale negative cognitions: 0 - 28; sub scale hyperarousal: 0 - 24; higher values indicate more severe PTSD symptoms; all items are summed up for the total score
- Change of number of aggressive acts measured via an adaption of the Domestic and Community Violence Checklist [ Time Frame: baseline; 5 months follow-up; 9 months follow-up ]32 items; answer categories: yes or no; sum score ranges from 0 - 32
- Change of experienced parental maltreatment measured via a shortened version of the Maltreatment and Abuse Chronology of Exposure (MACE) [ Time Frame: baseline; 5 months follow-up; 9 months follow-up ]total sum score ranges from 0 - 100; sum score of each sub scale ranges from 0 - 10
- Change of number of days spent at the landfill [ Time Frame: baseline; 5 months follow-up; 9 months follow-up ]during the last 14 days; sum ranges from 0 - 14
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): NCT03846154
|vivo international & Psychologues sans Frontières mental health center|
|Bujumbura, Bujumbura Mairie, Burundi|