Community based sociotherapy for depressive symptomatology of Congolese refugees in Rwanda and Uganda (CoSTAR): a protocol for a cluster randomised controlled trial

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dc.contributor.authorKagabo, Daniel M.
dc.contributor.authorBangirana, Paul
dc.contributor.authorBurnside, Girvan
dc.contributor.authorChiumento, Anna
dc.contributor.authorDuarte, Rui
dc.contributor.authorGishoma, Darius
dc.contributor.authorGirvan, Michelle
dc.contributor.authorJansen, Angela
dc.contributor.authorJansen, Stefan
dc.contributor.authorKasujja, Rosco
dc.contributor.authorLubunga, Rachel
dc.contributor.authorNevitt, Sarah
dc.contributor.authorNzaramba, Lucie
dc.contributor.authorSarabwe, Emmanuel
dc.contributor.authorJackson, Clare
dc.contributor.authorRahman, Atif
dc.contributor.authorRichters, Annemiek
dc.contributor.authorRobinson, Jude
dc.contributor.authorRutayisire, Theoneste
dc.contributor.authorVentevogel, Peter
dc.contributor.authorWhite, Ross G.
dc.date.accessioned2025-06-05T09:59:22Z
dc.date.available2025-06-05T09:59:22Z
dc.date.issued2023-01-20
dc.description.abstractBackground: Conflict in the Democratic Republic of Congo has led to large numbers of refugees fleeing to Uganda and Rwanda. Refugees experience elevated levels of adverse events and daily stressors, which are associated with common mental health difficulties such as depression. The current cluster randomised controlled trial aims to investigate whether an adapted form of Community-based Sociotherapy (aCBS) is effective and cost-effective in reducing depressive symptomatology experienced by Congolese refugees in Uganda and Rwanda. Methods: A two-arm, single-blind cluster randomised controlled trial (cRCT) will be conducted in Kyangwali settlement, Uganda and Gihembe camp, Rwanda. Sixty-four clusters will be recruited and randomly assigned to either aCBS or Enhanced Care As Usual (ECAU). aCBS, a 15-session group-based intervention, will be facilitated by two people drawn from the refugee communities. The primary outcome measure will be self-reported levels of depressive symptomatology (PHQ-9) at 18-weeks post-randomisation. Secondary outcomes will include levels of mental health difficulties, subjective wellbeing, post-displacement stress, perceived social support, social capital, quality of life, and PTSD symptoms at 18-week and 32-week post-randomisation. Cost effectiveness of aCBS will be measured in terms of health care costs (cost per Disability Adjusted Life Year, DALY) compared to ECAU. A process evaluation will be undertaken to investigate the implementation of aCBS. Conclusion: This cRCT will be the first investigating aCBS for mental health difficulties experienced by refugees and will contribute to knowledge about the use of psychosocial interventions for refugees at a time when levels of forced migration are at a record high.
dc.identifier.citationKagabo, D. M., Bangirana, P., Burnside, G., Chiumento, A., Duarte, R., Gishoma, D., ... & White, R. G. (2023). Community based sociotherapy for : Daniel M. Kagabo, Paul Bangirana, Girvan Burnside, Anna Chiumento, Rui Duarte, Darius Gishoma, Michelle Girvan, Angela Jansen, Stefan Jansen, Rosco Kasujja, Rachel Lubunga, Sarah Nevitt, Lucie Nzaramba, Emmanuel Sarabwe, Clare Jackson, Atif Rahman, Annemiek Richters, Jude Robinson, Theoneste Rutayisire, Peter Ventevogel & Ross G. White (2023) Community based sociotherapy for depressive symptomatology of Congolese refugees in Rwanda and Uganda (CoSTAR): a protocol for a cluster randomised controlled trial, European Journal of Psychotraumatology, 14:1, 2151281, DOI: 10.1080/20008066.2022.2151281
dc.identifier.doi10.1080/20008066.2022.2151281
dc.identifier.issn2000-8066
dc.identifier.urihttps://nru.uncst.go.ug/handle/123456789/11845
dc.language.isoen
dc.publisherInforma UK Limited
dc.relation.ispartofEuropean Journal of Psychotraumatology
dc.titleCommunity based sociotherapy for depressive symptomatology of Congolese refugees in Rwanda and Uganda (CoSTAR): a protocol for a cluster randomised controlled trial
dc.typejournal-article
oaire.citation.issue1
oaire.citation.volume14
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