Child Exposure to Intimate Partner Violence, Child Maltreatment
Conditions
Brief summary
This study will examine the efficacy of Enhanced First Connections, which is a short-term perinatal home visiting program that includes infant and early childhood mental health consultation. Mothers with a history of adversity or trauma will be the focus of this research. Hypothesized outcomes of Enhanced First Connections include the prevention of child maltreatment (child abuse and neglect), prevention of child exposure to adult intimate partner violence, increases in family engagement in longer-term evidence based home visiting programs, increases in family engagement in specialized support services to address maternal adversity and trauma, reductions in maternal risk factors, and the promotion of positive parenting and the parent-child relationship.
Interventions
BEHAVIORALEnhanced First Connections
Enhanced First Connections is a short-term home visiting program that includes prenatal identification and engagement of women with an adversity or trauma history, and infant and early childhood mental health consultation.
Sponsors
Bradley Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Pregnant women * Recruited in the second or third trimester of pregnancy * At least one self-reported experience of adversity or trauma * English or Spanish speaking
Exclusion criteria
\- Does not meet all inclusion criteria above
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Child Maltreatment Status | 6-months postpartum | Child protection record review |
| Child Exposure to Intimate Partner Violence | 6-months postpartum | Child protection record review |
| Maternal Report of Intimate Partner Violence | 6-months postpartum | Maternal report: Conflict Tactics Scales |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Maternal anxiety symptoms | 6-months postpartum | Maternal report: Generalized Anxiety Disorder 7-item scale |
| Maternal PTSD symptoms | 6-months postpartum | Maternal report: Short Post-Traumatic Stress Disorder Rating Interview |
| Maternal alcohol use | 6-months postpartum | Maternal report: Alcohol Use Disorders Test |
| Maternal substance use | 6-months postpartum | Maternal report: Drug Abuse Screening Test |
| Maternal parenting stress | 6-months postpartum | Maternal report: Parenting Stress Index |
| Family engagement in evidence based home visiting programs | 6-months postpartum | Home visiting record review |
| Maternal hostility | 6-months postpartum | Observation of free play interaction coded using Emotional Availability Scales |
| Maternal non-responsiveness | 6-months postpartum | Maternal report: Maternal Responsiveness Questionnaire |
| Home environment | 6-months postpartum | Home Observation for Measurement of the Environment |
| Mother-infant relationship | 6-months postpartum | Maternal report: Postpartum Bonding Questionnaire |
| Maternal sensitivity | 6-months postpartum | Observation of free play interaction coded using Parent Caregiver Involvement Scales and Emotional Availability Scales |
| Contextual stress exposure | 6-months postpartum | Maternal report: Contextual Stress Interview |
| Maternal depressive symptoms | 6-months postpartum | Maternal report: Patient Health Questionnaire-9 |
Countries
United States
Outcome results
None listed