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Family RelationsMFHS-CRTNCT07621705

Multifamily Healing Spaces for Family Resilience in Rwanda

A study testing Multifamily Healing Spaces in people with Family Relations and Psychological Trauma, run by Alexandros Lordos, PhD at 5 sites in Rwanda.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This cluster-randomized waitlist-control trial evaluated Multifamily Healing Spaces (MFHS), a culturally adapted behavioral family intervention for genocide-affected communities in Rwanda. Community members across five districts were screened through a staged triage process. Read more about this study

Who is it for?
Ages 12 years and older
What is being tested?
Multifamily Healing Spaces
Could I receive a placebo?
No, everyone receives an active treatment
How many people
319 participants
Where
5 sitesRwanda
Study dates
28 Apr 2023to 15 Sep 2023
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 12 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Member of a family living in or connected to a selected MFHS-eligible cluster/cell in one of the five study districts in Rwanda.
  • Aged 12 years or older.
  • Family invited because at least one screened family member met the staged MFHS criterion for family communication difficulties after higher-priority clinical and individual mental-health triage.
  • Able and willing to participate in baseline assessment and, if allocated to MFHS, family/group sessions.
  • Written informed consent, assent, and/or caregiver permission obtained according to age and local ethics requirements.

Who cannot join

  • Individuals with suicidality, psychosis, or severe substance-use flags were routed for clinical interview or hospital referral rather than MFHS as first-line allocation.
  • Individuals meeting higher-priority individual mental-health criteria were routed to Resilience-Oriented Therapy before the MFHS screening stage.
  • Individuals or families unable to provide consent/assent or safely participate in group family sessions were not enrolled.
  • Remaining individuals with social-conflict indicators after earlier stages were routed to sociotherapy rather than MFHS.

Trial locations and contacts

5 sites in 1 country.

5 sites in 1 country

Rwanda5 sites
  • Community and Health-Centre Settings, Ngoma District

    Ngoma, Eastern Province

  • Community and Health-Centre Settings, Nyabihu District

    Nyabihu, Western Province

  • Community and Health-Centre Settings, Nyagatare District

    Nyagatare, Eastern Province

  • Community and Health-Centre Settings, Nyamagabe District

    Nyamagabe, Southern Province

  • Community and Health-Centre Settings, Musanze District

    Ruhengeri, Northern Province

Other trials in Rwanda

About this study

Official title: The Effectiveness of Multi-Family Healing Spaces on Family Resilience and Mental Health Outcomes: A Multi-Site Cluster-Randomized Waitlist-Control Trial in Rwanda

This cluster-randomized waitlist-control trial evaluated Multifamily Healing Spaces (MFHS), a culturally adapted behavioral family intervention for genocide-affected communities in Rwanda. Community members across five districts were screened through a staged triage process. Individuals with acute or severe clinical concerns were routed to clinical referral, those with individual mental-health needs were prioritized for Resilience-Oriented Therapy, and families were invited to MFHS when at least one screened family member met criteria for family communication difficulties. Twenty eligible clusters were randomly selected and then allocated to MFHS or waitlist control. The baseline cohort included 319 family members aged 12 years or older. The trial tested whether MFHS improved family resilience, parenting, couple and youth family-system outcomes, and secondary mental health, psychosocial, community, and livelihood outcomes from baseline to immediate post-intervention endline.

Read the detailed description

MFHS is a group-based, trauma-informed, family-systems intervention developed for post-genocide Rwanda. It combines psychoeducation, structured dialogue, family communication and problem-solving exercises, parenting and couple-relational work, and youth voice and identity activities. The intervention was delivered in intergenerational, whole-family, parent-only, and youth-only formats. MFHS comprised 18 core 3-hour meeting occasions, with parent-only and youth-only sessions delivered in parallel, plus four planned follow-up sessions where relevant.

Participants were identified through a broader Rwanda societal-healing screening process. Screening was conducted at the individual level, but MFHS invitation occurred at the family level: if any screened individual met the MFHS family-communication criterion, that person's family was invited. The audited screening workbook contained 4,214 adult/community screening records. After referral/triage for severe clinical flags and other staged interventions, 839 screened individuals were staged to MFHS. At the cell level, 56 eligible cells had enough staged MFHS-screened individuals to form a group; those cells contained 794 staged MFHS-screened individuals. Twenty trial clusters were randomly selected from the eligible cells and then allocated to MFHS or waitlist control. The final baseline cohort included 319 family members in 20 clusters: 167 in MFHS clusters and 152 in waitlist-control clusters.

The primary manuscript analysis is a baseline-cohort intention-to-treat analysis. All baseline-assessed participants were retained in their final fielded cluster allocation. Missing endline outcomes for 36 participants were handled through multiple imputation. Effects were estimated with baseline-adjusted cluster-level Analysis of Covariance (ANCOVA) weighted by baseline cluster size, with complete-case and unweighted analyses retained as sensitivity checks.

Being tested
Multifamily Healing Spaces
Keywords
Rwanda, post-genocide, societal healing, family resilience, family systems, multifamily therapy, cluster randomized trial, intergenerational trauma
Medical subject headings
Psychological Trauma, Stress Disorders, Post-Traumatic, Historical Trauma

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Multifamily Healing SpacesBehavioural

    MFHS is a culturally adapted, group-based family intervention for genocide-affected communities in Rwanda. It includes 18 core 3-hour meeting occasions in intergenerational, whole-family, parent-only, and youth-only formats. Sessions focus on trauma-informed psychoeducation, family communication and problem solving, shared meaning-making, parenting, couple relationships, youth voice, and family and community resilience. Groups were facilitated by trained facilitators, including a therapist and community volunteer, with facilitator training and supervision.

Study groups in NCT07621705
Study groupRoleWhat they receive
Multifamily Healing SpacesExperimentalClusters allocated to Multifamily Healing Spaces (MFHS) received the behavioral family intervention during the trial evaluation period. MFHS was delivered to families in group formats using intergenerational, whole-family, parent-only, and youth-only sessions.
Receives: Behavioral: Multifamily Healing Spaces
Waitlist ControlNo interventionClusters allocated to waitlist control did not receive MFHS during the baseline-to-endline evaluation period. Families were invited to receive MFHS after the evaluation period.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Family Resilience

    Family resilience was measured with the Walsh Family Resilience Questionnaire. The local version included 32 items forming belief systems, organization patterns, and communication/problem solving subscales. Subscale scores range from 1 to 5, with higher scores indicating stronger family resilience processes.

    Measured: Baseline to immediate post-intervention endline, up to 5 months

  2. Change in Parenting Practices

    Parenting practices were measured with the Parenting Practices Questionnaire. The local version included 20 items forming authoritative warmth/involvement, authoritative democratic participation, and authoritarian verbal hostility subscales. Subscale scores range from 1 to 5, with higher scores indicating more of the named parenting behavior.

    Measured: Baseline to immediate post-intervention endline, up to 5 months

  3. Change in Parent Couple Functioning

    Parent couple functioning was measured with parent-only measures of dyadic adjustment, dyadic happiness, sexual relationship decision-making power, and preference for boys over girls. Dyadic adjustment domains range from 0 to 3 and dyadic happiness ranges from 1 to 5, with higher scores indicating better couple functioning. Sexual relationship decision-making power ranges from 1 to 3, with higher scores indicating more respondent decision-making authority. Preference for boys over girls ranges from 1 to 4, with higher scores indicating stronger preference for boys over girls.

    Measured: Baseline to immediate post-intervention endline, up to 5 months

  4. Change in Youth Family-System Functioning

    Youth family-system functioning was measured with youth-only family enmeshment and personal accountability scores. Family enmeshment was measured with seven items ranging from 1 to 5, with higher scores indicating greater over-involvement or lower differentiation. Personal accountability was measured with eight items ranging from 1 to 4, with higher scores indicating greater youth responsibility and accountability.

    Measured: Baseline to immediate post-intervention endline, up to 5 months

Secondary outcomes (6)
  1. Change in Post-Traumatic Stress Symptoms

    Post-traumatic stress symptoms were measured with four genocide-adapted items from the Posttraumatic Stress Disorder Checklist for the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Items were rated from 0 to 4, with higher scores indicating greater post-traumatic stress symptoms.

    Measured: Baseline to immediate post-intervention endline, up to 5 months.

  2. Change in Borderline Traits

    Borderline traits were measured with the McLean Screening Instrument for Borderline Personality Disorder. The 10 yes/no items are summed to a total score ranging from 0 to 10, with higher scores indicating more borderline-personality features.

    Measured: Baseline to immediate post-intervention endline, up to 5 months.

  3. Change in Aggression

    Aggression was measured with physical and verbal aggression items from the Aggression Questionnaire. Items were averaged to scores ranging from 1 to 5, with higher scores indicating greater aggression.

    Measured: Baseline to immediate post-intervention endline, up to 5 months.

  4. Change in Forgiveness and Community Relations

    Forgiveness and community relations were measured with forgiveness of others, social cohesion, perceived community threat, and intergenerational harmony scores. Forgiveness of others used retained items derived from the Heartland Forgiveness Scale and ranges from 1 to 4, with higher scores indicating greater forgiveness. Social cohesion ranges from 1 to 4, with higher scores indicating greater social cohesion. Perceived community threat ranges from 1 to 4, with higher scores indicating greater perceived threat. Intergenerational harmony ranges from 1 to 4, with higher scores indicating stronger intergenerational harmony.

    Measured: Baseline to immediate post-intervention endline, up to 5 months.

  5. Change in Socioemotional Skills

    Socioemotional skills were measured with locally developed emotional wellbeing, collaboration, and self-management subscales. Subscale scores range from 1 to 4. In the scoring, higher scores indicate greater socioemotional difficulty, so lower scores indicate improvement.

    Measured: Baseline to immediate post-intervention endline, up to 5 months.

  6. Change in Livelihood and Household Economic Functioning

    Livelihood and household economic functioning were measured with parent-only economic security, partner economic support, and food-insecurity indicators. Economic security and partner economic support scores range from 0 to 3, with higher scores indicating greater economic security or partner support. Short-term Food Security Consumption Coping Strategy Index scores range from 0 to 84 and long-term scores range from 0 to 12, with higher scores indicating worse food insecurity.

    Measured: Baseline to immediate post-intervention endline, up to 5 months.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted2 Jun 2026
  2. Study start28 Apr 2023
  3. Primary completion15 Sep 2023
  4. Study completion15 Sep 2023

Resources

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
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Model description
Cluster-randomized parallel-group waitlist-control trial. Twenty eligible community/cell clusters were randomly selected from 56 MFHS-eligible cells and then randomly allocated to MFHS or waitlist control. Outcomes were assessed at baseline and immediate post-intervention endline.
Masking
None (open label)
Enrolment
319 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07621705
Sponsor's protocol ID
MFHS-CRT-RWA-2023
Other IDs
122/RNEC/2023
Acronym
MFHS-CRT
Status last verified
May 2026
First submitted
20 May 2026
Last updated
2 Jun 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: De-identified participant-level data underlying the manuscript analyses may be shared with qualified researchers on reasonable request to the first author, subject to ethics, data-protection, and partner-organization approvals.

Publications

  • Lordos, A., Interayamahanga, R., Kayitare, F., Dukuzumuremyi, E., Mahoro, M., Mwiza, J., & Mbanda, J. (2026). Establishing multi-stakeholder alliances to promote societal healing and resilience in post-genocide Rwanda. In S. Clarke-Habibi & C. Reimann (Eds.), The Routledge International Handbook of Trauma-Responsive Peacebuilding (pp. 411-424). Routledge. https://doi.org/10.4324/9781003536970-33

  • Nikolaou, K., Lordos, A., Rutembesa, E., Ioannou, M., Dukuzumuremyi, E., Christou, G., Meade, A., Karayianni, E., Anastasiou, E., Guest, A., Sezibera, V., Panayiotou, O., Throstur, B., & Kayitare, F. (2025). Multifamily Healing Spaces: Development of a family-based intervention for recovery and resilience in Rwanda. Intervention, 23(1), 52-62. https://doi.org/10.4103/intv.intv_16_24

Questions about this trial

What is this clinical trial studying?

A study testing Multifamily Healing Spaces in people with Family Relations and Psychological Trauma, run by Alexandros Lordos, PhD at 5 sites in Rwanda.

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 5 inclusion and 4 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 2 Jun 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 5 sites in Rwanda. 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?

Change in Family Resilience (time frame: Baseline to immediate post-intervention endline, up to 5 months). 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?

On the ClinicalTrials.gov record for NCT07621705, which also lists 2 linked publications.

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 2 Jun 2026.

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