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Completed

NCT Number: NCT04442152

Impact of COVID-19 on Family Dynamics on Bandebereho Study Participants

This proposed study will assess how COVID-19 and the associated 'stay at home' orders are affecting low-income Rwandan couples' relationships and family dynamics. The study builds on an existing randomized controlled trial of the Bandebereho fathers/couples intervention (NCT02694627), which will allow us to assess not only the current conditions in households, but also whether or how the significant impacts of the intervention are sustained under extreme stress.

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Key information

Conditions

Gender Relations Behavior COVID-19 Coitus Coronaviridae Infections Coronavirus Infections Couple Conflict Division of Carework Infections Lung Diseases Nidovirales Infections Partner Communication Pneumonia Pneumonia, Viral RNA Virus Infections Respiratory Tract Diseases Respiratory Tract Infections Sexual Behavior Stress Virus Diseases

Age range

26 year–40 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Rwanda Men's Resource Centre (Rwamrec)

Kigali, Rwanda

About this study

This proposed study will assess how COVID-19 and the associated 'stay at home' orders are affecting low-income Rwandan couples' relationships and family dynamics. It will contribute to documenting whether and how this disruptive moment might be changing or influencing relationship dynamics, conflict, and the distribution of care-work. We will build on an existing randomized controlled trial of the Bandebereho fathers/couples intervention, which will allow us to assess not only the current conditions in households, but also whether or how the significant impacts of the intervention are sustained under extreme stress. The Bandebereho fathers/couples intervention was implemented by the Rwanda Men's Resource Center (RWAMREC) and Promundo-US, in collaboration with the Rwanda Ministry of Health and local authorities in Karongi, Musanze, Nyaruguru and Rwamagana districts from 2013-2015. Results from a randomized controlled study of Bandebereho, a gender transformative intervention for expectant couples originally implemented in 4 districts in 2015, showed positive results across multiple outcomes after 21 months.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Original inclusion criteria in the original RCT study included, for men: being between the ages of 21-35, expecting a child or having one or more children under the age of five, living in a stable partnership, and residing in the study site. For women, the criteria were simply being the partner of one of the men selected for the study.

Inclusion criteria

for this study include previous participation in the RCT, and that the respondent indicated they or their partner owned a telephone/phone in the 21-month follow up that was conducted in November/December 2016. Based on data from the 21-month followup, approximately 80% of respondents reported a cell phone owned by them or their partner.

Treatment and study plan

MenCare+/Bandebereho fathers'/couples' group education

Behavioral

MenCare+/Bandebereho is a 3 year project to engage men in maternal, newborn and child health (MNCH) and in sexual and reproductive health in Rwanda. A core component of the project is fathers'/couples' group education. The target participants were first-time parents or parents of young children living in 16 rural and semi-urban sectors selected by the implementing partner in collaboration with local authorities. The MenCare+/Bandebereho fathers'/couples' group education engages men in 15 weekly sessions of group discussion, critical reflection and interactive activities led by a trained facilitator using a curriculum developed by RWAMREC and Promundo and approved by the Rwandan Ministry of Health, adapted from the Program P Manual. Men's partners participate in 6-8 sessions. The sessions focus on men's role in MNCH, family planning, sharing household responsibilities, intimate partner violence, conflict resolution, family budgeting, and gender equality.

Other names: Program P

Primary outcomes

  1. Gender division of caregiving/domestic tasks

    Time frame: ~5 years post intervention

    Question about how caregiving is distributed in the wake of Covid-19

  2. Couple communication

    Time frame: ~5 years post intervention

    Frequency of couple communication in the wake of Covid-19

  3. Couple conflict

    Time frame: ~5 years post intervention

    Frequency of couple quarreling in the wake of Covid-19

  4. Men's alcohol use

    Time frame: ~5 years post intervention

    Frequency of men's alcohol use in the wake of Covid-19

  5. Household economic situation

    Time frame: ~5 years post intervention

    Changes in household economic situation in the wake of Covid-19

  6. Stress and frustration

    Time frame: ~5 years post intervention

    Feelings of stress and frustration in the wake of Covid-19

Sponsors and collaborators

Lead sponsor

Promundo, United States

Other

Collaborators

  • Ministry of Health/Rwanda Biomedical Center
  • Rwanda Men's Resource Center (Rwamrec)

Registry information

Official study title

Phone Survey for Understanding the Impact of COVID-19 on Caregiving and Family Dynamics on Bandebereho Study Participants

Important dates

Study start
2020
Primary completion
2020
Study completion
2020
First posted
Jun 22, 2020
Registry last updated
Mar 15, 2022

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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