PovertyNCT01703936
Ex-combatant Reintegration in Liberia
A study testing Agricultural and life skills training program in people with Poverty and Social Instability, run by Columbia University at 2 sites in Liberia.
Trial summary
This project is an evaluation of an agricultural training and resettlement program for high-risk young adults in Liberia, especially poorly integrated male ex-combatants. The primary aim is to see to what extent an intensive economic and life skills intervention can rehabilitate high-risk individuals and reduce… Read more about this study
- Who is it for?
- Ages 18 years and olderHealthy volunteers can take part
- Conditions the study is for
- Poverty, Social Instability
- What is being tested?
- Agricultural and life skills training program
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 1,330 participants
- Where
- 2 sitesLiberia
- Study dates
- May 2009to Jul 2011
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- ex-combatant
- not served by previous reintegration programs
- engaged in illicit activities such as mining and rubber tapping
Who cannot join
- pregnant women
- individuals deemed physically incapable of agriculture
- foreigners unwilling to settle in Liberia
Trial locations and contacts
2 sites in 1 country.
Liberia2 sites
Sinoe Agricultural Training Program
Panama, Sinoe County
Tumutu Agricultural Training Program
Salala, Bong County
About this study
Official title: Evaluating a Landmine Action Ex-combatant Reintegration Program in Liberia
This project is an evaluation of an agricultural training and resettlement program for high-risk young adults in Liberia, especially poorly integrated male ex-combatants. The primary aim is to see to what extent an intensive economic and life skills intervention can rehabilitate high-risk individuals and reduce aggression and armed violence.
Read the detailed description
Poor and unemployed youth are widely considered a threat to political stability, often blamed for everything from fights to crime, riots and revolutions. Ex-combatants cause special worry. Not only do they have professional experience in warfare, and hence some comparative advantage in violence, but their social networks may also be dense with potential recruiters. War may also have left them poorer or more traumatized than their peers. Each of these factors could elevate the risk of rebellion, crime, or other aggression, risks greatest in weak states and uncertain economic climates like that of Liberia.
In response, policymakers commonly turn to employment and other poverty alleviation programs, including cash grants, vocational training, small business development, and microfinance. Underlying these programs is the belief that with economic opportunities come stability. When dealing with organized populations, such as former combatants, gang members, or criminal organizations, policymakers are also anxious to break down risky social networks, especially the links between commanders and foot soldiers. Interventions often go beyond simple employment programs, and seek to relocate, resettle, or otherwise remove high-risk individuals from risky networks.
This project evaluates a rehabilitation program for ex-combatants and other high-risk youth in Liberia, a unique case where it was both politically and practically feasible to establish and follow a random control group. The program we study, which was designed and implemented by the international non-governmental organization (NGO) Action on Armed Violence, is among the best of its class. The program is targeted towards ex-combatants and other high-risk populations in resource enclaves and other "hotspots" around the country. It provides extensive agricultural skills training and inputs alongside life skills training and resettlement assistance. Its objective is to reduce the risk of violence and aggression by providing an alternative, stable livelihood in civilian communities to youth otherwise engaged in illicit activities or thought to be easily mobilized into crime or violence. After observing two highly promising courses and classes of graduates, the researchers collaborated with the NGO to randomly evaluate their next round of classes at two training sites.
The program implementers confirmed that the number of youth eligible for the program exceeded program capacity by a factor of at least two. The sample size was limited to 2.5 times the number of spots in the program, for a total of 1500. In order to give all eligible youth an equal opportunity to participate, the program implementers determined entry into the program using a computerized randomization of eligible youth. Respondents were assigned to treatment and control using a randomization program coded in Stata. The sample was stratified by gender, "commander status," and community of registration.
The study has two principal rounds of data collection among both treatment and control groups: a baseline prior to the intervention and a follow-up survey approximately one year following completion of the program.
- Conditions
- Poverty, Social Instability
- Being tested
- Agricultural and life skills training program
- Keywords
- economic intervention, ex-combatant, agriculture, life skills
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Agricultural and life skills training programOther
Also called Tumutu Agricultural Training Program (TATP), Sinoe Agricultural Training Program (SATP)
| Study group | Role | What they receive |
|---|---|---|
| agricultural training program | Experimental | Three to four month residential agriculture and life skills training program. Receives: Other: Agricultural and life skills training program |
| Control group | No intervention | Not described |
What is being measured
The primary outcome is the main question the study is designed to answer.
Potential for Social Instability
This outcome includes engagement in illicit activities, ease of mobilization, political attitudes, violence and aggression, how settled they are, integration into mainstream society, and mental health symptoms.
Measured: 1 year after completion of program
Economic Stability
This outcome includes employment and poverty level.
Measured: 1 year after completion of program
Preferences
This outcome includes risk and time preferences.
Measured: 1 year after completion of program
Interest in Agriculture
This outcome measures level of interest in agriculture, attempts to engage in agriculture, perceptions of agriculture, and level of willingness to invest in agriculture.
Measured: 1 year after completion of the program
Secondary outcomes (3)
Level of Social Support and Quality of Social Relations
The outcome includes aggregate level of social support, quality of relationship with family and elders, advising, and peer groups.
Measured: 1 year after completion of the study
Aspirations and Future Planning
This outcome measures aspirations for the future and thinking about the future.
Measured: 1 year after completion of the program
Empowerment
The outcome includes locus of control and making their own decisions.
Measured: 1 year after completion of the study
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Oct 2012 (estimated)
- Study startMay 2009
- Primary completionMar 2010
- Study completionJul 2011
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for PovertyStudies of the same condition, open and under way.
- More trials run by Columbia UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 1,330 participants (actual)
Sponsor and investigators
- Lead sponsor
- Columbia University
- Sponsor type
- University, hospital or other
- Collaborators
- United Nations, World Bank
- Responsible party
- Principal investigator, Christopher J. Blattman, Columbia University
- Investigators
- Jeannie Annan, Ph.D., Principal investigator, International Rescue CommitteeChristopher Blattman, Ph.D., Principal investigator, Columbia University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01703936
- Sponsor's protocol ID
- AAAK6203
- Status last verified
- Oct 2012
- First submitted
- 8 Oct 2012
- Last updated
- 11 Oct 2012
- Results posted
- No
- Data monitoring committee
- No
Study at a glance
From the registry record, last updated by the sponsor on 11 Oct 2012. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Evaluating a Landmine Action Ex-combatant Reintegration Program in Liberia
- ClinicalTrials.gov ID
- NCT01703936
- Acronym / sponsor ID
- AAAK6203
- Conditions
- Poverty, Social Instability
- Keywords
- economic intervention, ex-combatant, agriculture, life skills
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,330 participants (actual)
- Lead sponsor
- Columbia UniversityUniversity, hospital or other
- Collaborators
- United Nations, World Bank
- Study start
- May 2009
- Primary completion
- Mar 2010 (actual)
- Study completion
- Jul 2011 (actual)
- First posted
- 11 Oct 2012 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This project is an evaluation of an agricultural training and resettlement program for high-risk young adults in Liberia, especially poorly integrated male ex-combatants. The primary aim is to see to what extent an intensive economic and life skills intervention can rehabilitate high-risk individuals and reduce aggression and armed violence.
Detailed description
Poor and unemployed youth are widely considered a threat to political stability, often blamed for everything from fights to crime, riots and revolutions. Ex-combatants cause special worry. Not only do they have professional experience in warfare, and hence some comparative advantage in violence, but their social networks may also be dense with potential recruiters. War may also have left them poorer or more traumatized than their peers. Each of these factors could elevate the risk of rebellion, crime, or other aggression, risks greatest in weak states and uncertain economic climates like that of Liberia.
In response, policymakers commonly turn to employment and other poverty alleviation programs, including cash grants, vocational training, small business development, and microfinance. Underlying these programs is the belief that with economic opportunities come stability. When dealing with organized populations, such as former combatants, gang members, or criminal organizations, policymakers are also anxious to break down risky social networks, especially the links between commanders and foot soldiers. Interventions often go beyond simple employment programs, and seek to relocate, resettle, or otherwise remove high-risk individuals from risky networks.
This project evaluates a rehabilitation program for ex-combatants and other high-risk youth in Liberia, a unique case where it was both politically and practically feasible to establish and follow a random control group. The program we study, which was designed and implemented by the international non-governmental organization (NGO) Action on Armed Violence, is among the best of its class. The program is targeted towards ex-combatants and other high-risk populations in resource enclaves and other "hotspots" around the country. It provides extensive agricultural skills training and inputs alongside life skills training and resettlement assistance. Its objective is to reduce the risk of violence and aggression by providing an alternative, stable livelihood in civilian communities to youth otherwise engaged in illicit activities or thought to be easily mobilized into crime or violence. After observing two highly promising courses and classes of graduates, the researchers collaborated with the NGO to randomly evaluate their next round of classes at two training sites.
The program implementers confirmed that the number of youth eligible for the program exceeded program capacity by a factor of at least two. The sample size was limited to 2.5 times the number of spots in the program, for a total of 1500. In order to give all eligible youth an equal opportunity to participate, the program implementers determined entry into the program using a computerized randomization of eligible youth. Respondents were assigned to treatment and control using a randomization program coded in Stata. The sample was stratified by gender, "commander status," and community of registration.
The study has two principal rounds of data collection among both treatment and control groups: a baseline prior to the intervention and a follow-up survey approximately one year following completion of the program.
Study design
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| agricultural training program | Experimental | Other: Agricultural and life skills training programThree to four month residential agriculture and life skills training program. |
| Control group | No intervention | – |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (3 listed)
- ex-combatant
- not served by previous reintegration programs
- engaged in illicit activities such as mining and rubber tapping
Key exclusion criteria (3 listed)
- pregnant women
- individuals deemed physically incapable of agriculture
- foreigners unwilling to settle in Liberia
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Agricultural and life skills training programAlso: Tumutu Agricultural Training Program (TATP), Sinoe Agricultural Training Program (SATP) | Other | agricultural training program |
Primary outcome
Potential for Social Instability
Time frame: 1 year after completion of program
This outcome includes engagement in illicit activities, ease of mobilization, political attitudes, violence and aggression, how settled they are, integration into mainstream society, and mental health symptoms.
Economic Stability
Time frame: 1 year after completion of program
This outcome includes employment and poverty level.
Preferences
Time frame: 1 year after completion of program
This outcome includes risk and time preferences.
Interest in Agriculture
Time frame: 1 year after completion of the program
This outcome measures level of interest in agriculture, attempts to engage in agriculture, perceptions of agriculture, and level of willingness to invest in agriculture.
3 secondary outcomes
Level of Social Support and Quality of Social Relations
Time frame: 1 year after completion of the study
Aspirations and Future Planning
Time frame: 1 year after completion of the program
Empowerment
Time frame: 1 year after completion of the study
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 11 Oct 2012.
- Related InfoLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Jeannie Annan, Ph.D. principal investigator
International Rescue Committee
Christopher Blattman, Ph.D. principal investigator
Columbia University
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Agricultural and life skills training program in people with Poverty and Social Instability, run by Columbia University at 2 sites in Liberia.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 11 Oct 2012. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in Liberia. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Potential for Social Instability (time frame: 1 year after completion of program). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Oct 2012.