Sibling-Support for Adolescent Girls (SSAGE): A study protocol for a pilot randomized-controlled trial of a whole-family, gender transformative approach to preventing mental illness among forcibly displaced adolescent girls

Study Title: Sibling-Support for Adolescent Girls (SSAGE)

Objective: Preventing Mental Illness among Forcibly Displaced Adolescent Girls

Forcibly displaced adolescent girls are at higher risk for mental illness, especially due to gender inequity. The study aims to assess the effectiveness of a whole-family, gender transformative intervention called Sibling Support for Adolescent Girls in Emergencies (SSAGE) in preventing mental health disorders among adolescent girls in Colombia who were recently and forcibly displaced from Venezuela.

The study will enroll 180 adolescent girls in a randomized control trial (RCT) to test the program’s effectiveness in preventing mental illness. The program will focus on reducing anxiety, depression, interpersonal sensitivity, and somatization symptoms one month post-intervention. Data will be collected on family attachment, gender-equitable family functioning, self-esteem, and coping strategies to understand the mechanistic pathways. The implementation evaluation will assess the program’s feasibility, acceptability, fidelity, and barriers and facilitators to successful implementation using mixed methods.

The findings can support humanitarian program implementation and inform policy to support adolescent girls’ mental health and prevent disorders resulting from displacement, conflict, and inequitable gender norms.

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