None listed
Conditions
Brief summary
This study aims to assess the effectiveness of counselling and education on mental health, social support, and help seeking behaviours of pregnant women who have a history of domestic violence. A two-arm randomised controlled trial will be done to assess the impact of the intervention among women attending ANC clinic.
Interventions
The intervention will consist of
a. A counselling and education session lasting about 30-40 minutes in the ANC clinic. This one time counselling session will be conducted individually. The session will adhere to the key skills of effective counselling and follow the guidelines provided by the WHO for working with women subjected to DV (WHO 2013, 2014). The researcher is a trained counselor and has previous experience of working with victims of DV. All of the counselling session will be delivere
The intervention will consist of a. A counselling and education session lasting about 30-40 minutes in the ANC clinic. This one time counselling session will be conducted individually. The session will adhere to the key skills of effective counselling and follow the guidelines provided by the WHO for working with women subjected to DV (WHO 2013, 2014). The researcher is a trained counselor and has previous experience of working with victims of DV. All of the counselling session will be delivered by the same person which will contribute to intervention fidelity. The intervention delivery guide has been prepared and it includes instructions for conducting the intervention and sample scripts to facilitate discussion. This is believed to ensure consistency in the intervention delivery. . This guide is not prescriptive, rather indicative and attempts will be made to conduct the session in a natural conversational style responding to the woman’s individual needs. All topics may not be covered in same depth with every single woman as different women may have different needs, however the student researcher will ensure that the key points outlined in intervention delivery guide are covered. b. An information booklet has been prepared for this study after critical analysis of existing literature. The content of the booklet has been adapted from "A clinical handbook" by WHO for working with victims of domestic violence and a guide of "Problem management Plus" which deals with promoting mental health of those in adversity including domestic violence. An information booklet will consist of information about stressful life events, stress and problems managing technique, safety planning, social support, and contact details of emergency and support services. c. Telephone support: Women will be provided with an access to contact the researcher during the study (till child is 6 weeks old) if they need assistance in managing their daily stressors or any advice and support. There is no maximum or minimum number of telephone support sessions. Women can call any time and/or frequency depending on their individual needs
Sponsors
Griffith University
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Blinded (masking used) (Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Women will be included in the study if they i) are aged 18 years or older; ii) are 24-34 weeks pregnant; iii) have an identified history of ever experiencing DV in their life using the Abuse Assessment Screening (AAS) tool (at least one affirmative response in AAS); iv) can read and understand Nepali language; and v) have access to a telephone.
Exclusion criteria
Women will be excluded from the study if they i) are at risk of ending their life; ii) are displaying severe mental health disorders (psychotic disorders and substance dependence); iii) have severe cognitive impairment (severe intellectual disability or dementia); or iv) have hearing impairment.
Outcome results
None listed