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Pathway-Matched Resilience-Oriented Therapy in Rwanda
Sponsor: Alexandros Lordos, PhD
Summary
This pragmatic, pathway-stratified, cluster-randomized waitlist-controlled trial evaluated Resilience-Oriented Therapy (RoT), a culturally adapted group-based psychosocial intervention for post-genocide Rwanda. Community screening assigned eligible adults to one of three RoT variant pathways based on presenting profile: emotion regulation, identity development, or behavioural self-management. Within each pathway, local clusters were randomized to immediate RoT or waitlist control. The baseline cohort included 427 participants across 52 clusters in five Rwandan districts. Outcomes were assessed at baseline and immediate post-intervention endline from April to September 2023.
Official title: A Pragmatic, Pathway-Stratified Cluster-Randomized Waitlist-Controlled Trial of Three Variants of Resilience-Oriented Therapy in Rwanda
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
427
Start Date
2023-04-28
Completion Date
2023-09-15
Last Updated
2026-06-02
Healthy Volunteers
No
Conditions
Interventions
Resilience-Oriented Therapy - Emotion-Regulation Variant
RoT-ER is a culturally adapted, group-based psychosocial intervention variant focused on internalizing distress. Sessions emphasize psychoeducation, emotion regulation, distress tolerance, self-care and resilience practices, hope and agency, and group-based social support.
Resilience-Oriented Therapy - Identity-Development Variant
RoT-ID is a culturally adapted, group-based psychosocial intervention variant focused on alienation, shame, emptiness, identity disturbance, and belonging-related difficulties. Sessions emphasize coherent self-understanding, constructive social identity, relational repair, and resilience practices.
Resilience-Oriented Therapy - Behavioural Self-Management Variant
RoT-BSM is a culturally adapted, group-based psychosocial intervention variant focused on aggression, alcohol or substance misuse, impulse regulation, accountability, and interpersonal responsibility. Sessions emphasize self-management, responsible relationships, and reintegration into family and community life.
Locations (5)
Community and Health-Centre Settings, Ngoma District
Ngoma, Eastern Province, Rwanda
Community and Health-Centre Settings, Nyagatare District
Nyagatare, Eastern Province, Rwanda
Community and Health-Centre Settings, Musanze District
Ruhengeri, Northern Province, Rwanda
Community and Health-Centre Settings, Nyamagabe District
Nyamagabe, Southern Province, Rwanda
Community and Health-Centre Settings, Nyabihu District
Nyabihu, Western Province, Rwanda