Intervention to Support the Reintegration of Former Combatants and Soldiers

This study is enrolling participants by invitation only.
Sponsor:
Collaborator:
World Bank
Information provided by (Responsible Party):
Susanne Schaal, University of Konstanz
ClinicalTrials.gov Identifier:
NCT01624987
First received: June 19, 2012
Last updated: July 29, 2013
Last verified: July 2013
  Purpose

The project aims to investigate if trauma-related disorders and appetitive aggression can be reduced in former ex-combatants in DR Congo when a specific intervention (Narrative Exposure Therapy for Forensic Offender Rehabilitation, FORNET) is delivered by trained local personnel (phase 1). In a second step, the project aims to investigates the treatment success if this specific therapy is carried out by local personnel who have been trained by other local personnel ("train the trainer", phase 2) under the supervision of experts of the University of Konstanz.


Condition Intervention Phase
Appetitive Aggression
Post-traumatic Stress Disorder
Behavioral: NET for Forensic Offender Rehabilitation (FORNET): a variant of Narrative Exposure Therapy
Other: Control group
Phase 2
Phase 3

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Treatment

Resource links provided by NLM:


Further study details as provided by University of Konstanz:

Primary Outcome Measures:
  • Appetitive Aggression (Appetitive Aggression Scale) [ Time Frame: 6 months ] [ Designated as safety issue: No ]
  • Symptoms of post-traumatic stress disorder (Post-traumatic Diagnostic Scale, PDS) [ Time Frame: 6 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Symptoms of depression (Patient Health Questionnaire (PHQ-9) [ Time Frame: 6 months ] [ Designated as safety issue: No ]
  • Functionality (Work and Social Adjustment Scale) [ Time Frame: 6 months ] [ Designated as safety issue: No ]
  • Substance abuse [ Time Frame: 6 months ] [ Designated as safety issue: No ]
  • Re-integration questionnaire [ Time Frame: 6 months ] [ Designated as safety issue: No ]

Estimated Enrollment: 100
Study Start Date: June 2012
Estimated Study Completion Date: February 2014
Estimated Primary Completion Date: February 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: NET for Forensic Offender Rehabilitation
Narrative Exposure Therapy for Forensic Offender Rehabilitation (FORNET)
Behavioral: NET for Forensic Offender Rehabilitation (FORNET): a variant of Narrative Exposure Therapy
During the proposed therapy, the client constructs a chronological narrative of his or her whole life which includes all traumatic experiences and perpetrated violent acts. All emotions, cognitions, sensory information, and physiological reactions are activated and linked to the autobiographical context.In five sessions the trained therapist and the client try to go through all important traumatic experiences and perpetrated violent acts. The sixth session is a group session with four to five clients. The group session is oriented on Interpersonal Psychotherapy and focuses on the role change from soldier to civilian.
Other: Control group
The control group receives no intervention.

Detailed Description:

The reintegration of former child soldiers and ex-combatants is a big challenge in war-torn countries. Former child soldiers and ex-combatants often suffer from mental health problems and show enhanced levels of aggression. The present study focuses on the reduction of appetitive aggression and the improvement of mental health in former child soldiers and ex-combatants in DR Congo.

The project consists of four steps:

  1. Training of selected DDRRR personnel(first generation)in FORNET (a variant of Narrative Exposure Therapy to treat trauma-related disorders and to reduce appetitive aggression)by experts from the University of Konstanz.
  2. Treatment phase 1: Intervention will be carried out by therapists of the first generation. The trained therapists of the first generation will be supervised from the experts of the University of Konstanz.
  3. Training of a second generation of DDRRR personnel in FORNET by the therapists of the first generation.
  4. Treatment phase 2: Intervention will be carried out by therapists of the second generation. The trained therapists of the second generation will be supervised from the therapists of the first generation.

The study is conceived as a randomized controlled study. In phase 1 and in phase 2, study participants will be randomized allocated to the intervention group (FORNET) and the control group (no intervention). The treatment effect will be measured by pre-post and 6-months follow-up evaluations.

  Eligibility

Ages Eligible for Study:   16 Years to 70 Years
Genders Eligible for Study:   Male
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Ex-combatants who live in a transit camp in Goma, Congo.

Exclusion Criteria:

  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01624987

Locations
Congo
Transit Camp for ex-combatants/Reintegration camp for ex-combatants (ETN)
Goma, Congo
Sponsors and Collaborators
University of Konstanz
World Bank
Investigators
Study Director: Thomas Elbert, Prof. Dr. University of Konstanz
  More Information

No publications provided

Responsible Party: Susanne Schaal, University of Konstanz
ClinicalTrials.gov Identifier: NCT01624987     History of Changes
Other Study ID Numbers: WB_2012
Study First Received: June 19, 2012
Last Updated: July 29, 2013
Health Authority: Germany: Ethic Commission

Keywords provided by University of Konstanz:
Treatment of ex-combatants
FORNET for ex-combatants
Appetitive Aggression
Post-traumatic Stress Disorder

Additional relevant MeSH terms:
Stress Disorders, Traumatic
Stress Disorders, Post-Traumatic
Aggression
Anxiety Disorders
Mental Disorders
Behavioral Symptoms

ClinicalTrials.gov processed this record on September 22, 2014