None listed
Conditions
Brief summary
MOSAIC is a community randomised trial which examines whether mentor mothers can reduce partner abuse and depression, and strengthen health, wellbeing and mother-child bonds in women who are pregnant or have children under 5, attending upskilled and supported Maternal and Child Health (MCH) nurses or GPs. Mentor mothers (MMs) are para-professional trusted community women with additional training in domestic violence and parenting skills, who provide home-visiting, empowerment, advocacy and support to women pregnant or with children under 5, identified as abused or symptomatic of abuse by their GP or nurse. AIMS: The study’s primary aims are: • to reduce partner abuse or depression by 16% among women pregnant or with children under 5 whom GPs or MCH nurses identify as abused or at risk Its secondary aims are: • to strengthen infrastructure support for GP and nurse management of partner abuse, by enhancing effective inter-sectoral collaboration between general practice, MCH nurse teams and community-based family violence networks • to enhance health professional case management of family members living with partner abuse
Interventions
All referring health care professionals (GPs and maternal and child health (MCH)nurses) are trained for 6 hours to identify and refer pregnant and recent mothers at risk of partner violence. They are subsequently randomised by cluster (GP clinic or MCH nurse team).
Women in the intervention arm are offered the weekly visit, outing or phone call support of a mentor mother for up to twelve months. We aim for 1-2 hour contact.
MOSAIC mentors are community mothers trained initially for five days i
All referring health care professionals (GPs and maternal and child health (MCH)nurses) are trained for 6 hours to identify and refer pregnant and recent mothers at risk of partner violence. They are subsequently randomised by cluster (GP clinic or MCH nurse team). Women in the intervention arm are offered the weekly visit, outing or phone call support of a mentor mother for up to twelve months. We aim for 1-2 hour contact. MOSAIC mentors are community mothers trained initially for five days in domestic violence advocacy, support for depressed mothers, parenting support and other empowerment strategies. This supportive friendship is regularly supervised in groups and individually by MOSAIC coordination staff. Mentors are offered regular upskilling opportunities. Research staff give all referred women a handout which includes family violence services.
Sponsors
Mother and Child Health Research, La Trobe University
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
16 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Pregnant women or those who have a child under five years of age aged 18 and over who are psychosocially distressed (depressed and at risk of, or experiencing, partner abuse).
Exclusion criteria
Childless women or those with older children or women with active psychotic illness. We are conducting a Vietnamese sub-study (bilingual staff and translated materials/resources) so except for Vietnamese women, exclude women whose English is insufficient to give informed consent.
Outcome results
None listed