Viewing Study NCT02368808



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Study NCT ID: NCT02368808
Status: COMPLETED
Last Update Posted: 2017-03-13
First Post: 2015-02-09

Brief Title: Adolescent Bereavement Initiative in the Free State South Africa
Sponsor: Tulane University School of Social Work
Organization: Tulane University

Study Overview

Official Title: Coping With Loss A Bereavement Initiative for Adolescent Girls in the Free State South Africa
Status: COMPLETED
Status Verified Date: 2017-03
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: Coping with Loss is a randomized controlled trial to assess the effectiveness of a bereavement intervention targeting female adolescents who have experienced the death of someone important in their lives Adolescents aged 12 and older in the Free State province of South Africa will be invited to participate in an 8-session school-based peer support group focused on coping with loss Interventions will be implemented by Social Workers from Child Welfare Bloemfontein and Childline Free State CWBFN CLFS that have provided support services for orphans and vulnerable children OVC in the Free State Province since 2013 The study population will be identified through the CWBFN CLFS intake process and consist of bereaved female adolescents from up to 11 participating schools Eligible adolescents will be randomly assigned to receive the intervention in 2015 or wait-listed for enrollment following the study period Survey data will be collected from adolescents and caregivers before and two months following the completion of the interventions Data will be analyzed to assess for pre- and post-test differences between the intervention and wait-listed group on key psychosocial outcomes including measures of grief resilience mental health social support academic competence and adolescent-caregiver interactions
Detailed Description: The HIVAIDS epidemic accidental injuries and violence have gradually increased the mortality rate among prime age adults in South Africa since 1997 Statistics South Africa 2006 leading to an increase in the number of children experiencing bereavement Of the approximately four million orphans in South Africa in 2012 over half 625 are due to parental death from AIDS UNICEF 2013 Studies have found that parental loss in childhood and adolescence is associated with a range of immediate and later life outcomes including problems at school depression criminality early sexual activity and unemployment Aynsley-Green 2012 However support counselling for bereaved children and adolescents is virtually nonexistent in South Africa Collingwood 2014 and children are often not encouraged to express grief or participate in mourning rituals for the deceased A randomized controlled trial of AIDS orphans in Uganda found that school-based peer support groups reduced the symptoms of anxiety depression and anger compared to a control group that did not participate in the peer support groups Kumakech 2009 This base of evidence demonstrates both the unmet need and potential impact of a bereavement initiative that will be offered by CWBFN CLFS in Free State This research will contribute to the evidence base for effective programming for bereaved adolescents in South Africa as well as other high HIV prevalence populations

The aim of this study is to assess the effectiveness of time-limited adolescent grief counseling peer groups in improving the psychosocial wellbeing of bereaved female adolescents Results from the study will be used to develop evidence-based youth bereavement counselling programs to be implemented in additional areas of South Africa The results will be presented to South African OVC social service organizations as well as submitted to peer-reviewed scientific journals for wider dissemination

Note that the original study design included a family componentsessions for caregivers that was not able to be realized by the program implementers

Study Oversight

Has Oversight DMC: None
Is a FDA Regulated Drug?: None
Is a FDA Regulated Device?: None
Is an Unapproved Device?: None
Is a PPSD?: None
Is a US Export?: None
Is an FDA AA801 Violation?: None