Stress, Psychological Clinical Trial
— YRIOfficial title:
A Feasibility Trial of the Youth Readiness Intervention: A Group Psychosocial Intervention for War-affected Youth in Sierra Leone
Verified date | May 2018 |
Source | Boston College |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The research will first examine data obtained from YRI participants to investigate effects of
the group sessions on psychosocial and functioning outcomes in youth.
In pursuit of this aim, this research will investigate the following hypothesis:
Participation in the Youth Readiness Intervention will reduce symptoms of internalizing,
externalizing, trauma-related symptoms, and improve prosocial skills and functioning among
war-affected 15-24 year olds in Sierra Leone.
The research also intends to examine whether youth enrolled in a psychosocial "Youth
Readiness Intervention" (YRI) and a complementary education program fare better than an
education-only control group, a psychosocial-only control group, and a waitlist control
group.
In pursuit of this second aim, this research will investigate the following hypothesis: A
combined psychosocial-education program is an effective paradigm for improving psychosocial,
functional, educational, and economic self-sufficiency outcomes among war-affected youth.
Status | Completed |
Enrollment | 443 |
Est. completion date | December 2014 |
Est. primary completion date | December 2014 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 15 Years to 24 Years |
Eligibility |
Once youth are referred to the study, a screening tool will be administered to determine
whether or not they meet eligibility requirements as described below. The screening tool contains four sections; 1. Consent and Age: assures that participants meet the age requirements 2. Oxford Refugees Psychosocial Adjustment Scale: assesses depression, anxiety and hostility 3. Functioning: assesses the participant's ability to carry out activities of daily living 4. Psychological Analysis: clinician's assessment of the psychological state of the participant. Inclusion Criteria: - Participants must be between 15-24 years of age; - Participants must prefer to have the opportunity to join an educational program but not currently be enrolled in school; - A participant's total score on the Oxford scale must equal or exceed 30 AND - Participants must display at least one non-zero score on the functioning questions. Exclusion Criteria: - Participant does not plan to reside in the Freetown urban area for the duration of the study (9 months from start date); - Participant fails to meet age requirements; - Participant is currently enrolled in school; - Participant is not in favor of joining an educational program; - Participant fails to meet Oxford psychosocial or functioning thresholds; - Participant is judged by clinical staff as: - Needing mental health treatment beyond the scope of the YRI - Otherwise not suitable for a group treatment setting - Participant displays the following: - Cognitive delays - Active suicidality - Psychosis - Risk of harm to themselves or others Participants at risk of harm to themselves or others, as well as those requiring treatment beyond the scope of the YRI, will be referred to local mental health or social work treatment facilities as appropriate. |
Country | Name | City | State |
---|---|---|---|
Sierra Leone | CARITAS Freetown | Freetown |
Lead Sponsor | Collaborator |
---|---|
Boston College | Caritas Freetown, Harvard Medical School, International Rescue Committee, The City College of New York, Yale University |
Sierra Leone,
Betancourt TS, Agnew-Blais J, Gilman SE, Williams DR, Ellis BH. Past horrors, present struggles: the role of stigma in the association between war experiences and psychosocial adjustment among former child soldiers in Sierra Leone. Soc Sci Med. 2010 Jan;70(1):17-26. doi: 10.1016/j.socscimed.2009.09.038. Epub 2009 Oct 28. — View Citation
Betancourt TS, Bass J, Borisova I, Neugebauer R, Speelman L, Onyango G, Bolton P. Assessing local instrument reliability and validity: a field-based example from northern Uganda. Soc Psychiatry Psychiatr Epidemiol. 2009 Aug;44(8):685-92. doi: 10.1007/s00127-008-0475-1. Epub 2009 Jan 22. — View Citation
Betancourt TS, Borisova II, de la Soudière M, Williamson J. Sierra Leone's child soldiers: war exposures and mental health problems by gender. J Adolesc Health. 2011 Jul;49(1):21-8. doi: 10.1016/j.jadohealth.2010.09.021. Epub 2010 Dec 24. — View Citation
Betancourt TS, Borisova II, Williams TP, Brennan RT, Whitfield TH, de la Soudiere M, Williamson J, Gilman SE. Sierra Leone's former child soldiers: a follow-up study of psychosocial adjustment and community reintegration. Child Dev. 2010 Jul-Aug;81(4):1077-95. doi: 10.1111/j.1467-8624.2010.01455.x. — View Citation
Betancourt TS, Brennan RT, Rubin-Smith J, Fitzmaurice GM, Gilman SE. Sierra Leone's former child soldiers: a longitudinal study of risk, protective factors, and mental health. J Am Acad Child Adolesc Psychiatry. 2010 Jun;49(6):606-15. doi: 10.1016/j.jaac.2010.03.008. Epub 2010 May 1. — View Citation
Betancourt TS, Khan KT. The mental health of children affected by armed conflict: protective processes and pathways to resilience. Int Rev Psychiatry. 2008 Jun;20(3):317-28. doi: 10.1080/09540260802090363. Review. — View Citation
Betancourt TS, Simmons S, Borisova I, Brewer SE, Iweala U, Soudière MD. High Hopes, Grim Reality: Reintegration and the Education of Former Child Soldiers in Sierra Leone. Comp Educ Rev. 2008 Nov 1;52(4):565-587. — View Citation
Betancourt TS, Speelman L, Onyango G, Bolton P. A qualitative study of mental health problems among children displaced by war in northern Uganda. Transcult Psychiatry. 2009 Jun;46(2):238-56. doi: 10.1177/1363461509105815. — View Citation
Betancourt TS, Williams T. Building an evidence base on mental health interventions for children affected by armed conflict. Intervention (Amstelveen). 2008;6(1):39-56. — View Citation
Betancourt TS. Attending to the mental health of war-affected children: the need for longitudinal and developmental research perspectives. J Am Acad Child Adolesc Psychiatry. 2011 Apr;50(4):323-5. doi: 10.1016/j.jaac.2011.01.008. — View Citation
Betancourt TS. Child soldiers: reintegration, pathways to recovery, and reflections from the field. J Dev Behav Pediatr. 2008 Apr;29(2):138-41. doi: 10.1097/DBP.0b013e31816be946. — View Citation
Bolton P, Bass J, Betancourt T, Speelman L, Onyango G, Clougherty KF, Neugebauer R, Murray L, Verdeli H. Interventions for depression symptoms among adolescent survivors of war and displacement in northern Uganda: a randomized controlled trial. JAMA. 2007 Aug 1;298(5):519-27. — View Citation
Verdeli H, Clougherty K, Onyango G, Lewandowski E, Speelman L, Betancourt TS, Neugebauer R, Stein TR, Bolton P. Group Interpersonal Psychotherapy for depressed youth in IDP camps in Northern Uganda: adaptation and training. Child Adolesc Psychiatr Clin N Am. 2008 Jul;17(3):605-24, ix. doi: 10.1016/j.chc.2008.03.002. — View Citation
* Note: There are 13 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in scores on the Oxford Measure of Psychosocial Adjustment & World Health Organization Disability Assessment Schedule, 2.0 (WHODAS 2.0) | Primary outcomes of interest include changes in depression, anxiety, hostility, confidence, and pro-social behaviors. These constructs will be measured by the Oxford Refugee Studies Psychosocial Adjustment Scale. An additional primary outcome, daily functioning, will be assessed by the World Health Organization Disability Assessment Schedule, 2.0 (WHODAS 2.0). Both measures are incorporated within the study's comprehensive Youth Assessment Battery. | Administered at 4 timepoints: (1) baseline; (2) within 15 days of YRI completion; (3) 6 months post-YRI; (4) 12 months post-YRI | |
Secondary | Change in scores on the Youth Assessment Battery | Secondary outcomes include the participant's interpersonal and community relations, experience of daily hardships, coping skills, post-traumatic stress, emotion regulation, health, risk behaviors, and other constructs as they relate to the YRI intervention areas. | Administered at 4 timepoints: (1) baseline; (2) within 15 days of YRI completion; (3) 6 months post-YRI; (4) 12 months post-YRI |
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