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Comic Intervention for Sexual Violence Prevention and Post-rape Care

NCT ID: NCT04656522

Last Updated: 2021-12-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-11-30

Study Completion Date

2021-04-30

Brief Summary

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In humanitarian settings, sexual and gender-based violence disproportionately impacts women and children. However, there continues to be a lack of evidence regarding both sexual violence prevention and post-rape care interventions in low- and middle-income humanitarian contexts, with even less evidence supporting adolescents and youth in these settings. Participatory comics offer a youth-friendly, low-cost, scalable approach for preventing sexual violence and training clinicians in post-rape care in humanitarian settings. This study aims to develop, implement, and evaluate the effectiveness of a comic intervention on preventing sexual violence and improving post-rape care with youth aged 16-24 and health care providers in the Bidi Bidi refugee settlement.

Detailed Description

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Uganda is Sub-Saharan Africa's largest refugee host community; with over 250,000 residents, Bidi Bidi is the largest refugee settlement in Uganda and the second largest globally. In humanitarian settings, sexual and gender-based violence disproportionately impacts women and children. However, there continues to be a lack of evidence regarding both sexual violence prevention and post-rape care interventions in low- and middle-income humanitarian contexts, with even less evidence supporting adolescents and youth in these settings. Stigma directed toward adolescent sexual practices and engagement in sexual and reproductive health services, such as contraception, HIV testing, and post-exposure prophylaxis (PEP), is also associated with social isolation, violence and mental health challenges. Participatory comics offer a youth-friendly, low-cost, scalable approach for preventing sexual violence and training clinicians in post-rape care in humanitarian settings. This study aims to develop, implement, and evaluate the effectiveness of a comic intervention on preventing sexual violence and improving post-rape care with youth aged 16-24 and health care providers in the Bidi Bidi refugee settlement. Participating youth and health care providers will take part in 4-hour peer-facilitated workshops exploring topics of social, sexual, and psychological needs and pro-social interventions (youth) and post-rape care responses and attending to the needs of youth refugees who have experienced sexual violence (health care providers) using comics developed with qualitative data collected from an earlier study phase. Using a pre-test/post-test design, this study will assess changes in participants' PEP knowledge and acceptance, bystander behaviour, and sexual violence stigma.

Conditions

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Knowledge, Attitudes, Practice Post-exposure Prophylaxis

Keywords

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Digital health intervention Forcibly displaced youth Uganda Post-exposure prophylaxis Bystander practices Sexual Violence Stigma Gender based violence

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

A single-arm, pre-test/post-test trial design will be used to evaluate the effectiveness of a participatory comic intervention on changes in PEP knowledge and acceptability, sexual violence stigma, and bystander beahviour with displaced/refugee youth and health care providers in Bidi Bidi Refugee Settlement, Uganda.
Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Participatory Comic Intervention

This is a pre-test/post-test trial, therefore all participants will participate in the participatory comic intervention.

Group Type EXPERIMENTAL

Participatory Comic Intervention

Intervention Type BEHAVIORAL

This participatory comic intervention promotes sexual violence prevention and post-rape care with refugee youth and health care providers. In 4-hour workshops, a customized comic book featuring eight sexual violence scenarios will be distributed. Each 1-page scenario speaks to a unique theme of sexual violence experiences among youth or post-rape care preferences. During the workshop participants will explore social, sexual, and psychological needs of youth in Bidi Bidi and practice ways of developing and maintaining healthy relationships (youth) as well as discuss post-rape care responses that attend to the needs and priorities of young refugees in Bidi Bidi who have experienced sexual violence (health care providers). Each workshop will include 20 participants and will be facilitated by trained staff from Real Medicine, Uganda. Further, each workshop will have at least 2 facilitators who are trained in the bystander model.

Interventions

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Participatory Comic Intervention

This participatory comic intervention promotes sexual violence prevention and post-rape care with refugee youth and health care providers. In 4-hour workshops, a customized comic book featuring eight sexual violence scenarios will be distributed. Each 1-page scenario speaks to a unique theme of sexual violence experiences among youth or post-rape care preferences. During the workshop participants will explore social, sexual, and psychological needs of youth in Bidi Bidi and practice ways of developing and maintaining healthy relationships (youth) as well as discuss post-rape care responses that attend to the needs and priorities of young refugees in Bidi Bidi who have experienced sexual violence (health care providers). Each workshop will include 20 participants and will be facilitated by trained staff from Real Medicine, Uganda. Further, each workshop will have at least 2 facilitators who are trained in the bystander model.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Resides in Bidi Bidi Refugee Settlement Zone 3
* Identify as a refugee/displaced person
* Aged 16-24 years
* Speak English, Bari or Arabic


* Provides healthcare services in Bidi Bidi Refugee Settlement and/or Yumbe, Uganda
* Aged greater than or equal to 18 years
* Speak English, Bari or Arabic

Exclusion Criteria

* Does not reside in Bidi Bidi Refugee Settlement Zone 3
* Does not identify as a refugee/displaced person
* Is less than age 16 years or older than age 24 years
* Does not speak English, Bari or Arabic


* Does not provide healthcare services in Bidi Bidi Refugee Settlement and/or Yumbe, Uganda
* Less than age 18 years
* Does not speak English, Bari or Arabic
Minimum Eligible Age

16 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of Toronto

OTHER

Sponsor Role lead

Responsible Party

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Carmen Logie, MSW, PhD

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Carmen H Logie, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Toronto, Canada

Locations

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Factor-Inwentash Faculty of Social Work, University of Toronto

Toronto, Ontario, Canada

Site Status

Uganda Refugee and Disaster Management Council

Arua, , Uganda

Site Status

Countries

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Canada Uganda

References

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Logie CH, Okumu M, Loutet M, Berry I, Lukone SO, Kisubi N, Mwima S, Kyambadde P. Mixed-methods findings from the Ngutulu Kagwero (agents of change) participatory comic pilot study on post-rape clinical care and sexual violence prevention with refugee youth in a humanitarian setting in Uganda. Glob Public Health. 2023 Jan;18(1):2092178. doi: 10.1080/17441692.2022.2092178. Epub 2022 Jun 30.

Reference Type DERIVED
PMID: 35770702 (View on PubMed)

Other Identifiers

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gcc_bidibidi

Identifier Type: -

Identifier Source: org_study_id