Trial reportBMJ open2023
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.
Trial report in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04163549 (Evaluating the Effectiveness of the Safe at Home Program), which is not on this map. Cited by 14 papers.
What it found
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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.
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.
Evaluating the Effectiveness of the Safe at Home Program
Who cites it
14 citing papers in PubMed.
- Impacts of an abbreviated personal agency training with refugee women and their male partners on economic empowerment, gender-based violence, and mental health: a randomized controlled trial in Rwanda.BMC public health · 2024Trial
- Article
- Mental health and psychosocial support interventions for individuals affected by gender-based violence in fragile contexts: A systematic review.Global mental health (Cambridge, England) · 2026Review
- Examining the profile of couples attending a violence prevention intervention: A dyadic latent profile analysis.International health trends and perspectives · 2025Article
- Article
- Integrating mental health care to reduce intimate partner violence in complex humanitarian emergencies.The Lancet. Global health · 2025Review
- A Digital Parenting Intervention With Intimate Partner Violence Prevention Content: Quantitative Pre-Post Pilot Study.JMIR formative research · 2025Article
- Violence against children in sub-Saharan Africa: a call for action.Frontiers in public health · 2025Article
- Strategies for men's engagement and its effectiveness in improving child health and immunization-a rapid review.Frontiers in public health · 2025Review
- Five recommendations to advance implementation science for humanitarian settings: the next frontier of humanitarian research.Conflict and health · 2024Article
- Drivers of men's use of intimate partner violence in conflict-affected settings: learnings from the Democratic Republic of Congo.Conflict and health · 2024Article
- Community-informed perspectives of implementing interpersonal psychotherapy for couples to reduce situational intimate partner violence and improve common mental disorders in Mozambique.Global mental health (Cambridge, England) · 2024Article
- Effectiveness of a family violence prevention program on mental health outcomes for adult men and women in North Kivu, Democratic Republic of Congo: Insights from a pilot trial.Global mental health (Cambridge, England) · 2024Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
objectiveTo test the effectiveness of the Safe at Home programme which was developed to improve family well-being and prevent multiple forms of violence in the home.
designWaitlisted pilot cluster randomised controlled trial.
settingNorth Kivu, Democratic Republic of Congo.
participants202 heterosexual couples.
interventionThe Safe at Home programme. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome was family functioning, with secondary outcomes of past-3 month co-occurring violence, intimate partner violence (IPV) and harsh discipline. Pathway mechanisms assessed included attitudes related to acceptance of harsh discipline, gender equitable attitudes, positive parenting skills and power sharing within the couple.
resultsNo significant improvements in family functioning were documented for women (β=1.49; 95% CI: -2.75 to 5.74; p=0.49) and men (β=1.09; 95% CI: -3.13 to 4.74; p=0.69). However, women in Safe at Home reported a OR=0.15 (p=0.000), OR=0.23 (p=0.001) and OR=0.29 (p=0.013) change in co-occurring IPV and harsh discipline; physical/sexual/emotional IPV by their partner and use of physical and/or emotional harsh discipline against their child, respectively, as compared with women in the waitlisted group. Men participating in Safe at Home reported a OR=0.23 (p=0.005) change in perpetration of co-occurring violence, OR=0.26 (p=0.003) change in any form of IPV perpetration and OR=0.56 (p=0.19) change in use of harsh discipline against their child as compared with the waitlist arm. Positive changes were also noted in pathway variables around attitudes, skills and behaviours within couples.
conclusionThis pilot trial demonstrated the Safe at Home programme to be highly effective in preventing multiple forms of violence in the home and improving equitable attitudes and skills in couples. Future research should assess longitudinal impact and implementation at scale. TRIAL REGISTRATION NUMBER: NCT04163549.
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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.