Evidence map›Paper›PMID 39550586›Full record

ArticleTrials2024

Evaluating effects of community-based social healing model on Ubuntu, mental health and psychosocial functioning in post-genocide Rwanda: protocol for cluster randomized control trial.

Stefan Jansen, Jean Bosco Niyonzima, Patricia Gerbarg, Richard P Brown, Alice Nsengiyumva, Japhet Niyonsenga, Epaphrodite Nsabimana

Abstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
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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

7 authors.

Stefan JansenMental Health & Behavior Research Group, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Jean Bosco NiyonzimaUbuntu Centre for Peace, Kigali, Rwanda.
Patricia GerbargDepartment of Psychiatry and Behavioral Sciences, New York Medical College, Valhalla, NY, USA.
Richard P BrownDepartment of Psychiatry, Columbia University College of Physicians and Surgeons, New York, NY, USA.
Alice NsengiyumvaMental Health & Behavior Research Group, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Japhet NiyonsengaMental Health & Behavior Research Group, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda. niyonsengajaphet74@gmail.com.ORCID http://orcid.org/0000-0002-2429-2330
Epaphrodite NsabimanaMental Health & Behavior Research Group, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe community-based social healing (CBSH) model, developed by Ubuntu Centre for Peace, aims to support individuals with traumatic experiences and mental health challenges in achieving better mental health. CBSH combines BREATH-BODY-MIND™ (BBM) practices with collective narrative and rituals, facilitated by Community Healing Assistants in therapeutic groups. A previous pilot study involving 1889 Rwandan CBSH participants showed significant mental health improvements, including reductions in depression, anxiety, and PTSD, along with enhanced work productivity, and decreased intimate partner violence. The trial investigates the CBSH model's impact on Ubuntu and mental health. Ubuntu, a concept that encompasses humanness, compassion, and interconnectedness, is deeply rooted in the African philosophy. METHODS/

designThis cluster randomized controlled trial will involve 54 villages randomly selected in the Kirehe district, with 1080 participants randomly allocated equally to the CBSH intervention or a wait-list control group. While the trial will be conducted at the village (cluster) level, both primary and secondary outcomes will be measured individually for participants within each cluster. The Primary outcome "Ubuntu" will be measured using a context-adapted Ubuntu measurement scale. Secondary outcomes include psychosocial indicators which will be assessed through standardized tools such as the Patient Health Questionnaire for depression (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), Posttraumatic Stress Disorder Checklist for DSM-5 (PCL-5), Warwick-Edinburgh Mental Wellbeing scale (WEMWS), Connor-Davidson Resilience scale (CD-RISK-10), Somatic Symptom Severity Scale (PHQ-15), Revised Conflict Tactics scale (CTS2S), and Adapted Social Capital Assessment Tool (SASCAT).

conclusionThis trial aims to evaluate the CBSH model's impacts on Ubuntu, mental health, and social functioning among trauma-affected Rwandans, including those impacted by the 1994 Genocide against the Tutsi, mass killings, sexual abuse, and domestic violence. The findings could be of value to the Ubuntu Centre for Peace, policymakers, healthcare practitioners, and other stakeholders, by highlighting the significance of promoting Ubuntu as a foundation for addressing mental health challenges and the consequences of psychosocial trauma.

trial registrationISRCTN ISRCTN17659369. Registered on February 09, 2024.

Indexed as

GenocideMental HealthPsychosocial FunctioningStress Disorders, Post-TraumaticAdultFemaleHumansMaleRandomized Controlled Trials as TopicRwandaTime FactorsTreatment OutcomeAfricaBreath-basedCommunity-basedGenocideMental healthMind–bodyPost-traumatic stressSocial healingUbuntu

Identifiers

PMID39550586
PMCPMC11568552

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.