Evidence map›Paper›PMID 31428190›Full record

ArticleConflict and health2019

Developing an integrated intervention to address intimate partner violence and psychological distress in Congolese refugee women in Tanzania.

M Claire Greene, Susan Rees, Samuel Likindikoki, Ann G Bonz, Amy Joscelyne, Debra Kaysen, Reginald D V Nixon, Tasiana Njau, Marian T A Tankink, Agnes Tiwari and 3 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Conflict and health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05102253 (Transcutaneous Electrical Acupoint Stimulation), which is not on this map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
8.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05102253 nacompletednot on this mapstarted 2022, after this paper: background citation

Transcutaneous Electrical Acupoint Stimulation (TEAS) and Dense Cranial Electroacupuncture Stimulation (DCEAS) for Psychiatric Sequelae and Related Biomarkers in Women Victims of Domestic Violence: a Randomized Controlled Trial

TypeinterventionalSponsorThe University of Hong KongRan2022 to 2025Enrolled110ConditionsDepression, Domestic Violence, Psychiatric DisorderArmsDense cranial electroacupuncture stimulation (DCEAS), Transcutaneous electrical acupoint stimulation (TEAS), Wait-list control: Routine care
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 54 citations in OpenAlex.

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  11. Health Beliefs and Barriers to Healthcare of Rohingya Refugees.Journal of racial and ethnic health disparities · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 9 institutions in 5 countries.

M Claire Greene1Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD USA.ORCID 0000-0002-4631-4764
Susan Rees3Psychiatry Research and Teaching Unit, School of Psychiatry, University of New South Wales, Sydney, NSW Australia.
Samuel Likindikoki4Department of Psychiatry, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Ann G Bonz5HIAS, Silver Spring, MD USA.
Amy Joscelyne7Program for Survivors of Torture, Bellevue Hospital/New York University School of Medicine, New York, NY USA.
Debra Kaysen8Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA USA.
Reginald D V Nixon9School of Psychology, Flinders University, Adelaide, Australia.
Tasiana Njau4Department of Psychiatry, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Marian T A TankinkConsultant Anthropological Research & Training on Gender, Violence and Health, Amsterdam, the Netherlands.
Agnes Tiwari11School of Nursing, The University of Hong Kong, Pok Fu Lam, Hong Kong.
Peter Ventevogel12Public Health Section, United Nations High Commissioner for Refugees, Geneva, Switzerland.
Jessie K K Mbwambo4Department of Psychiatry, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Wietse A Tol1Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD USA.
Muhimbili University of Health and Allied Sciences · TZJohns Hopkins University · USBellevue Hospital Center · USFlinders University · AULatino Health Institute (United States) · USOffice of the United Nations High Commissioner for Refugees · CHUniversity of Hong Kong · HKUniversity of Washington · USUNSW Sydney · AU

Funding

Global Mental Health Research Fellowship: Interventions That Make a DifferenceT32MH096724 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI MILTON L WAINBERG · 2012 to 2026
$4.4M
NIMH NIH HHS T32 MH096724
6 · The paper itself

Abstract

backgroundMulti-sectoral, integrated interventions have long been recommended for addressing mental health and its social determinants (e.g., gender-based violence) in settings of ongoing adversity. We developed an integrated health and protection intervention to reduce psychological distress and intimate partner violence (IPV), and tested its delivery by lay facilitators in a low-resource refugee setting.

methodsFormative research to develop the intervention consisted of a structured desk review, consultation with experts and local stakeholders (refugee incentive workers, representatives of humanitarian agencies, and clinical experts), and qualitative interviews (40 free list interviews with refugees, 15 key informant interviews). Given existing efforts by humanitarian agencies to prevent gender-based violence in this particular refugee camp, including with (potential) perpetrators, we focused on a complementary effort to develop an integrated intervention with potential to reduce IPV and associated mental health impacts with female IPV survivors. We enrolled Congolese refugee women with elevated psychological distress and past-year histories of IPV (

resultsWe designed an 8-session intervention, termed Nguvu ('strength'), incorporating brief Cognitive Processing Therapy (focused on helping clients obtaining skills to overcome negative thoughts and self-perceptions and gain control over the impact these have on their lives) and Advocacy Counseling (focused on increasing autonomy, empowerment and strengthening linkages to community supports). On average, participants attended two-thirds of the sessions. In qualitative interviews, participants recommended adaptations to specific intervention components and provided recommendations regarding coordination, retention, safety concerns and intervention participation incentives. Analysis of the performance of outcome instruments overall revealed acceptable reliability and validity.

conclusionsWe found it feasible to develop and implement an integrated, multi-sectoral mental health and IPV intervention in a refugee camp setting. Implementation challenges were identified and may be informative for future implementation and evaluation of multi-sectoral strategies for populations facing ongoing adversity.

trial registrationISRCTN65771265, June 27, 2016.

Indexed as

AdvocacyCognitive processing therapyDemocratic Republic of the CongoEmpowermentIntimate partner violenceMental healthPsychological distressRefugeesTanzania

Identifiers

PMID31428190
PMCPMC6697920
OpenAlexW2968511138

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.