Domestic Violence
Conditions
Keywords
Domestic Violence, Spouse Abuse
Brief summary
The purpose of this study is to determine whether the Intimate Partner Violence (IPV) intervention in the context of Nurse-Family Partnership (NFP) program improves women's quality of life and reduces violence relative to the NFP alone using a cluster randomized controlled trial. Our hypothesis is that an IPV intervention can be designed that is acceptable to participants in the NFP, feasible to implement, and that this intervention will improve quality of life for women and reduce exposure to violence.
Interventions
BEHAVIORALNFP + IPV intervention
The intervention focuses on helping women stay safe in a relationship. Strategies for overcoming barriers to using and accessing community resources and services, and community agency interventions for women exposed to IPV is built into the intervention.
Sponsors
Centers for Disease Control and Prevention
Public Health Agency of Canada (PHAC)
Annie E. Casey Foundation
McMaster University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
FEMALE
Age
16 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age 16 years and older * NFP program participants (woman with first live birth and living in poverty) * English speaker
Exclusion criteria
\- Woman who cannot communicate in English
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change from baseline in WHO Quality of Life-BREF at 6, 12, 18, and 24 months | Baseline, 3-, 6-,12-, 18-, and 24-month postpartum |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The Domestic Violence Survivor Assessment (DVSA) | Baseline, 3-, 6-,12-, 18-, and 24-month postpartum | Based on Prochaska's Transtheoretical Model of Behaviour Change (also known as stages of change) and was developed by Dienemann and colleagues to gain a better understanding of battered women's cognitive states during counseling. |
| PRIME-MD Patient Health Questionnaire (PHQ-9) | Baseline, 3-, 6-,12-, 18-, and 24-month postpartum | Depression measure. |
| SPAN (Startle, Physiological arousal, Anger and Numbness) | Baseline, 3-, 6-,12-, 18-, and 24-month postpartum | Post-Traumatic Stress Disorder measure. |
| The SF-12 (v. 2) | Baseline, 3-, 6-,12-, 18-, and 24-month postpartum | Mental and Physical Health |
| The TWEAK | Baseline, 3-, 6-,12-, 18-, and 24-month postpartum | Screening tool for alcohol abuse/dependency. |
| Drug Abuse Screening Tool (DAST) | Baseline, 3-, 6-,12-, 18-, and 24-month postpartum | Prescription and Street Drug Use. |
| The Composite Abuse Scale (CAS) | Baseline, 3-, 6-,12-, 18-, and 24-month postpartum | Validated 30-item research instrument that assesses exposure to physical, sexual and emotional abuse, harassment and combined severe abuse. |
| The Childhood Experiences of Violence Questionnaire Short Form (CEVQ-SF) | 6-month postpartum | Childhood maltreatment |
| The Childhood Trauma Questionnaire (CTQ) | 6-month postpartum | Childhood maltreatment. |
| A modified version of the Health and Social Service Utilization questionnaire | 6-,12-, 18-, and 24-month postpartum | Assessment of service utilization. |
| Child health outcomes | Outcomes 1 and 2 are assessed at infant birth, 3 to 7 will be assessed at 6-, 12-, 18-, 24-month postpartum | Data regarding the following child health outcomes are gathered by maternal interview: 1) birth weight; 2) length of gestation; 3) injuries; 4) emergency department visits (including those that are injury-related); 5) hospitalizations; 6) immunizations; and 7) developmental delay. |
| Child Protection Service records | 24-month postpartum | Number of reports made, cases of confirmed child maltreatment, the type of maltreatment, the duration that cases were open, and whether children were placed in foster care or in custody of another family member. |
| The Public Health Nurses' Responses to Women Who Are Abused | Collected from nurses at baseline, 12 and 24 months | Nurses' readiness to treat IPV. In the 20-item PHNR, nurses respond to one of two scenarios that resemble real-life experiences they would encounter in a postpartum home visit. The instrument measures nurses' thoughts, feeling and actions in response to identifying and responding to IPV. The PHNR has good internal consistency with an overall Cronbach alpha of 0.79. |
| The Intimate Partner Violence Strategies Index (IPV Strategies) | Baseline, 3-, 6-,12-, 18-, and 24-month postpartum | Specific actions women take to cope with violence. |
Countries
United States
Outcome results
None listed