The aim was to assess the effectiveness of a context-specific, prosocial video game-Jesse. ¥! The sample (N = 172) consisted of boys and girls randomly assigned to experimental and control group. ¥! The outcome measure consisted of affective and cognitive responsiveness (empathy) towards victims of IPV. ¥! A randomised controlled trial revealed a significant increase in affective responsiveness after exposure to game.

Appreciation is extended to Graham Gibbs for lending his expertise in the use of NVivo and to Sue Hanson for proof-reading and formatting this report. | P a g e ACKNOWLEDGEMENTSWe wish to thank the EU Delegation of the European Union to the Eastern Caribbean countries, OECS and CARICOM/CARIFORUM for funding the None in Three project and especially HE Ambassador Mikael Barfod for his vision and persistence in championing human rights and in particular, the rights of women and children. We are humbled by the courage of the women who spoke to us, often in fear that to do so might put them in danger and we thank the men and youth for sharing such unique and valuable insights. This was extremely difficult research to carry out and we could not have done so without the support of the agencies and professionals who helped us to reach out to research participants -thank you. We also wish to acknowledge the many national, regional and international organisations supporting the None in Three project:

BackgroundIn high-income countries patients with Huntington disease (HD) typically present to healthcare providers after developing involuntary movements, or for pre-symptomatic genetic testing if at familial risk. A positive family history is a major guide when considering the decision to perform genetic testing for HD, both in affected and unaffected patients. Management of HD is focused upon control of symptoms, whether motor, cognitive, or psychiatric. There is no clear evidence to date of any disease-modifying agents. Referral of families and caregivers for psychological and social support, whether to HD-focused centers, or through virtual communities, is viewed as an important consequence of diagnosis. The experience of healthcare for such progressive neurodegenerative diseases in low- and middle-income nations is in stark contrast with the standard of care in high-income countries.MethodsAn extended family with many members affected with an autosomal dominantly inherited movement disorder came to medical attention when one family member presented following a fall. Apart from one family member who was taking a benzodiazepine for involuntary movements, no other affected family members had sought medical attention. Members of this family live on several resource-limited Caribbean islands. Care of the chronically ill is often the responsibility of the family, and access to specialty care is difficult to obtain, or is unavailable. Computed tomography scan of one patient’s brain revealed severe caudate atrophy and moderate generalized cortical atrophy. Genetic diagnosis of HD was obtained.ResultsThrough family recollection and by direct observation we identified four generations of individuals affected with HD. Outreach programs and collaborations helped to provide medical imaging and genetic diagnosis. Additionally these efforts helped with patient and family support, education, and genetic counseling to many members of this family.ConclusionsAffected members of this family have limited healthcare access, and rely heavily on family support for care. Genetic and clinical diagnosis of these patients was impeded by lack of resources and lack of access to specialty care. Importantly, obtaining a definitive diagnosis has had a positive impact for this family by facilitating genetic counseling, education, community outreach, and dispelling myths regarding this hereditary disease and its progression.Electronic supplementary materialThe online version of this article (doi:10.1186/s40734-017-0050-6) contains supplementary material, which is available to authorized users.

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