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The goals of the pilot RCT examining the potential effectiveness of the Safe at Home program in DRC are to:
For the pilot RTC, quantitative data will be collected from up to 420 individuals participating in the Safe at Home program in the North Kivu, DRC. The 420 individuals comprising the study population will be 210 couples, of which both the male and female partners will be asked to participate in the study. After baseline data collection is completed, within each of the four sites where the program will occur in North Kivu, DRC, two groups of couples will be formed (n=8 groups total). Each group will be formed based on geographical proximity and will mirror real-life implementation of the program and ensure high fidelity to program design and limit contamination or spillover of Safe at Home to the control groups. Groups will then be randomized to receive Safe at Home in Cycle 1 or be waitlisted to receive Safe at Home in Cycle 2. After randomization is completed the Cycle 1 programming will commence. Following a waiting period of 3 months after the program ends, the endline survey will be administered. Subsequently Cycle 2 cohort will receive programming.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Safe at Home Cycle 1 | Experimental | The experimental arm will receive the Safe at Home program which is a community-based discussion group series aiming to prevent and respond to intimate partner violence and child maltreatment in conflict-affected communities. It includes once weekly, single-sex discussion groups with coupled men and women and once monthly family discussion groups with couples and children. During the weekly sessions men and women reflect critically and engage in dialogue related to gender, power, and privilege, learn about the causes and consequence of violence against women and children and gain skills in stress management, psychosocial support and positive parenting strategies. Family sessions focus on improving relationship quality and shared decision-making among partners and participation of children in family decision-making. |
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| Safe at Home Cycle 2 | No Intervention | During the period of the study, this group will not receive an intervention. Rather, this arm will receive the Safe at Home program after endline data collection is completed for a waitlisted group. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Safe at Home | Behavioral | Discussion-based intervention |
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| Measure | Description | Time Frame |
|---|---|---|
| Family functioning | Mean change in women's reports (primary) and men's reports of family functioning | Three months after intervention completion |
| Measure | Description | Time Frame |
|---|---|---|
| Intimate partner violence | Frequency change of past three month women's report of physical and/or sexual and/or emotional IPV (will also examine separately) | Three months after intervention completion |
| Harsh discipline |
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Inclusion Criteria:
Exclusion criteria includes:
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| Name | Affiliation | Role |
|---|---|---|
| Kathryn Falb | International Rescue Committee | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| International Rescue Committee | New York | New York | 10168 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36878658 | Derived | Falb KL, Asghar K, Blackwell A, Baseme S, Nyanguba M, Roth D, Hategekimana JD. Improving family functioning and reducing violence in the home in North Kivu, Democratic Republic of Congo: a pilot cluster-randomised controlled trial of Safe at Home. BMJ Open. 2023 Mar 6;13(3):e065759. doi: 10.1136/bmjopen-2022-065759. |
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Frequency change of past three month report of men's and women's physical or psychological harsh discipline practices against index child
| Three months after intervention completion |