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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
492
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.
600 S. Commonwealth Ave., #800
Los Angeles, California, United States
Change from baseline in WHO Quality of Life-BREF at 6, 12, 18, and 24 months
Time frame: Baseline, 3-, 6-,12-, 18-, and 24-month postpartum
The Composite Abuse Scale (CAS)
Validated 30-item research instrument that assesses exposure to physical, sexual and emotional abuse, harassment and combined severe abuse.
Time frame: Baseline, 3-, 6-,12-, 18-, and 24-month postpartum
The Domestic Violence Survivor Assessment (DVSA)
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.
Time frame: Baseline, 3-, 6-,12-, 18-, and 24-month postpartum
PRIME-MD Patient Health Questionnaire (PHQ-9)
Depression measure.
Time frame: Baseline, 3-, 6-,12-, 18-, and 24-month postpartum
SPAN (Startle, Physiological arousal, Anger and Numbness)
Post-Traumatic Stress Disorder measure.
Time frame: Baseline, 3-, 6-,12-, 18-, and 24-month postpartum
The SF-12 (v. 2)
Mental and Physical Health
Time frame: Baseline, 3-, 6-,12-, 18-, and 24-month postpartum
The TWEAK
Screening tool for alcohol abuse/dependency.
Time frame: Baseline, 3-, 6-,12-, 18-, and 24-month postpartum
Drug Abuse Screening Tool (DAST)
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Prescription and Street Drug Use.
Time frame: Baseline, 3-, 6-,12-, 18-, and 24-month postpartum
The Intimate Partner Violence Strategies Index (IPV Strategies)
Specific actions women take to cope with violence.
Time frame: Baseline, 3-, 6-,12-, 18-, and 24-month postpartum
The Childhood Experiences of Violence Questionnaire Short Form (CEVQ-SF)
Childhood maltreatment
Time frame: 6-month postpartum
The Childhood Trauma Questionnaire (CTQ)
Childhood maltreatment.
Time frame: 6-month postpartum
A modified version of the Health and Social Service Utilization questionnaire
Assessment of service utilization.
Time frame: 6-,12-, 18-, and 24-month postpartum
Child health outcomes
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.
Time frame: Outcomes 1 and 2 are assessed at infant birth, 3 to 7 will be assessed at 6-, 12-, 18-, 24-month postpartum
Child Protection Service records
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.
Time frame: 24-month postpartum
The Public Health Nurses' Responses to Women Who Are Abused
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.
Time frame: Collected from nurses at baseline, 12 and 24 months