Pathway-Matched Resilience-Oriented Therapy in Rwanda

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.

NCT Number	NCT07621731
Lead Sponsor	Alexandros Lordos, PhD Collaborators: Centre for Sustainable Peace and Democratic Development, University of Rwanda, Interpeace
Conditions	Mental Health, Psychological Trauma, Stress Disorders, Post-Traumatic, Depression, Anxiety, Aggression, Substance-related Disorders, Psychosocial Functioning
Enrollment	427 participants
Start Date	2023-04-28
Primary Completion	2023-09-15 (estimated)
Study Completion	2023-09-15 (estimated)
Updated on ClinicalTrials.gov	2026-06-02