Evaluation of an integrated intervention to reduce psychological distress and intimate partner violence in refugees: Results from the Nguvu cluster randomized feasibility trial.

<h4>Introduction</h4>The complex relationship between intimate partner violence and psychological distress warrants an integrated intervention approach. In this study we examined the relevance, acceptability, and feasibility of evaluating a multi-sectoral integrated violence- and mental...

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Autores principales:	M Claire Greene, Samuel Likindikoki, Susan Rees, Annie Bonz, Debra Kaysen, Lusia Misinzo, Tasiana Njau, Shangwe Kiluwa, Rachael Turner, Peter Ventevogel, Jessie K K Mbwambo, Wietse A Tol
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/33ce36e4fe304b2e9f2b940e38ebe7f1
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spelling	oai:doaj.org-article:33ce36e4fe304b2e9f2b940e38ebe7f12021-12-02T20:07:06ZEvaluation of an integrated intervention to reduce psychological distress and intimate partner violence in refugees: Results from the Nguvu cluster randomized feasibility trial.1932-620310.1371/journal.pone.0252982https://doaj.org/article/33ce36e4fe304b2e9f2b940e38ebe7f12021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0252982https://doaj.org/toc/1932-6203<h4>Introduction</h4>The complex relationship between intimate partner violence and psychological distress warrants an integrated intervention approach. In this study we examined the relevance, acceptability, and feasibility of evaluating a multi-sectoral integrated violence- and mental health-focused intervention (Nguvu).<h4>Methods</h4>We enrolled 311 Congolese refugee women from Nyarugusu refugee camp in Tanzania with past-year intimate partner violence and elevated psychological distress in a feasibility cluster randomized trial. Women were recruited from local women's groups that were randomized to the Nguvu intervention or usual care. Participants from women's groups randomized to Nguvu received 8 weekly sessions delivered by lay refugee incentive workers. Psychological distress, intimate partner violence, other wellbeing, and process indicators were assessed at baseline and 9-weeks post-enrollment to evaluate relevance, acceptability, and feasibility of implementing and evaluating Nguvu in refugee contexts.<h4>Results</h4>We found that Nguvu was relevant to the needs of refugee women affected by intimate partner violence. We found reductions in some indicators of psychological distress, but did not identify sizeable changes in partner violence over time. Overall, we found that Nguvu was acceptable and feasible. However, challenges to the research protocol included baseline imbalances between study conditions, differential intervention completion related to intimate partner violence histories, differences between Nguvu groups and facilitators, and some indication that Nguvu may be less beneficial for participants with more severe intimate partner violence profiles.<h4>Conclusions</h4>We found evidence supporting the relevance of Nguvu to refugee women affected by partner violence and psychological distress and moderate evidence supporting the acceptability and feasibility of evaluating and implementing this intervention in a complex refugee setting. A definitive cluster randomized trial requires further adaptations for recruitment and eligibility screening, randomization, and retention.<h4>Trial registration</h4>ISRCTN65771265, June 27, 2016.M Claire GreeneSamuel LikindikokiSusan ReesAnnie BonzDebra KaysenLusia MisinzoTasiana NjauShangwe KiluwaRachael TurnerPeter VentevogelJessie K K MbwamboWietse A TolPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 6, p e0252982 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q M Claire Greene Samuel Likindikoki Susan Rees Annie Bonz Debra Kaysen Lusia Misinzo Tasiana Njau Shangwe Kiluwa Rachael Turner Peter Ventevogel Jessie K K Mbwambo Wietse A Tol Evaluation of an integrated intervention to reduce psychological distress and intimate partner violence in refugees: Results from the Nguvu cluster randomized feasibility trial.
description	<h4>Introduction</h4>The complex relationship between intimate partner violence and psychological distress warrants an integrated intervention approach. In this study we examined the relevance, acceptability, and feasibility of evaluating a multi-sectoral integrated violence- and mental health-focused intervention (Nguvu).<h4>Methods</h4>We enrolled 311 Congolese refugee women from Nyarugusu refugee camp in Tanzania with past-year intimate partner violence and elevated psychological distress in a feasibility cluster randomized trial. Women were recruited from local women's groups that were randomized to the Nguvu intervention or usual care. Participants from women's groups randomized to Nguvu received 8 weekly sessions delivered by lay refugee incentive workers. Psychological distress, intimate partner violence, other wellbeing, and process indicators were assessed at baseline and 9-weeks post-enrollment to evaluate relevance, acceptability, and feasibility of implementing and evaluating Nguvu in refugee contexts.<h4>Results</h4>We found that Nguvu was relevant to the needs of refugee women affected by intimate partner violence. We found reductions in some indicators of psychological distress, but did not identify sizeable changes in partner violence over time. Overall, we found that Nguvu was acceptable and feasible. However, challenges to the research protocol included baseline imbalances between study conditions, differential intervention completion related to intimate partner violence histories, differences between Nguvu groups and facilitators, and some indication that Nguvu may be less beneficial for participants with more severe intimate partner violence profiles.<h4>Conclusions</h4>We found evidence supporting the relevance of Nguvu to refugee women affected by partner violence and psychological distress and moderate evidence supporting the acceptability and feasibility of evaluating and implementing this intervention in a complex refugee setting. A definitive cluster randomized trial requires further adaptations for recruitment and eligibility screening, randomization, and retention.<h4>Trial registration</h4>ISRCTN65771265, June 27, 2016.
format	article
author	M Claire Greene Samuel Likindikoki Susan Rees Annie Bonz Debra Kaysen Lusia Misinzo Tasiana Njau Shangwe Kiluwa Rachael Turner Peter Ventevogel Jessie K K Mbwambo Wietse A Tol
author_facet	M Claire Greene Samuel Likindikoki Susan Rees Annie Bonz Debra Kaysen Lusia Misinzo Tasiana Njau Shangwe Kiluwa Rachael Turner Peter Ventevogel Jessie K K Mbwambo Wietse A Tol
author_sort	M Claire Greene
title	Evaluation of an integrated intervention to reduce psychological distress and intimate partner violence in refugees: Results from the Nguvu cluster randomized feasibility trial.
title_short	Evaluation of an integrated intervention to reduce psychological distress and intimate partner violence in refugees: Results from the Nguvu cluster randomized feasibility trial.
title_full	Evaluation of an integrated intervention to reduce psychological distress and intimate partner violence in refugees: Results from the Nguvu cluster randomized feasibility trial.
title_fullStr	Evaluation of an integrated intervention to reduce psychological distress and intimate partner violence in refugees: Results from the Nguvu cluster randomized feasibility trial.
title_full_unstemmed	Evaluation of an integrated intervention to reduce psychological distress and intimate partner violence in refugees: Results from the Nguvu cluster randomized feasibility trial.
title_sort	evaluation of an integrated intervention to reduce psychological distress and intimate partner violence in refugees: results from the nguvu cluster randomized feasibility trial.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/33ce36e4fe304b2e9f2b940e38ebe7f1
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Evaluation of an integrated intervention to reduce psychological distress and intimate partner violence in refugees: Results from the Nguvu cluster randomized feasibility trial.

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