Journey of Life Psychosocial Support Program

The Washington University

Status: Completed

Conditions: Child Development; Psychological; Social Values

Treatments: Behavioral: Journey of Life

Study type: Interventional

Funder types: Other; Other U.S. Federal agency

Identifiers

NCT04817098

202101122

Details and patient eligibility

About

The proposed study evaluates the impact and implementation of the Journey of Life intervention among crisis-affected caregivers living in Western Uganda. In this quasi experimental waitlist control design, participants will be assigned to treatment or waitlist control group based on their geographic location. The intervention will be delivered in X sessions weekly. Assessments will be conducted at baseline and following the intervention period. Assessments will include mental health, functioning, social support, child protection behaviors, parenting attitudes, and experiences of intimate partner violence. The study also aims to examine implementation of the Journey of Life intervention through qualitative assessments of feasibility, acceptability, adaptation, reach, and adoption.

Full description

Aligned with the USAID HEARD (Health Evaluation and Applied Research Development) purpose to leverage global partnerships to generate, synthesize, and use evidence to improve program implementation in low and middle-income countries, the proposed study will examine the impact and implementation of the Journey of Life (JoL) intervention in a humanitarian setting. The JoL intervention aims to provide psychosocial support to adults and galvanize caregivers to develop action plans for child protection in their communities. The proposed research will involve an analysis of effect sizes for mental health, functioning, social support, child protection behaviors, parenting attitudes and behaviors, and experiences of intimate partner violence. The research also aims to interrogate implementation strategies that are useful within humanitarian contexts through qualitative key informant interviews and focus group discussions. Assessments include baseline and follow up data collection to measure effect sizes and assess implementation strategy components. The study aims are to: (1) assess the impact of JoL on child protection indicators, (2) examine the effects of JoL on behavioral health functioning (i.e. mental health, social support, and functioning)

Enrollment: 1,395 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Refugee living in Kiryandongo settlement
• Over the age of 18
• Caregiver for a child under age 18

Exclusion criteria

• Anyone aged 17 and under, unless written consent from the caregiver and assent from the participant is provided
• Anyone unable to provide consent to participate

Trial design

Primary purpose: Prevention

Allocation: Non-Randomized

Interventional model: Sequential Assignment

Masking: None (Open label)

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1,395 participants in 2 patient groups

Journey of Life Intervention Group

Experimental group

Description:

Community members (caregivers, teachers, and community leaders) will participate in group workshops for a period of 6 weeks.

Treatment:

Behavioral: Journey of Life

Waitlist Control Group

Other group

Description:

The waitlist control group will not receive the intervention during the first 6 months of implementation in order to assess the effects of the intervention compared to the control group. However, following intervention completion in the experimental group, the control group will receive 6 months of the intervention.

Treatment:

Behavioral: Journey of Life