Promoting Safety Behaviours in Antenatal Care Using a Video

Oslo Metropolitan University250 enrolled

Overview

This study investigates the effect of a video which teaches 15 safety behaviours for women subject to intimate partner violence (IPV) during pregnancy. Half of the women screening positive for IPV during pregnancy will view the intervention video. The other half will view a control video.

Intimate partner violence (IPV) poses a risk for the health of the woman during pregnancy also for the health of the unborn child. Pregnancy is time when nearly all women have regular contact with the healthcare system. Pregnancy is also a time during which women consider their situation and are open for change. Healthcare staff have the opportunity to ask pregnant women if they experience IPV and need to know how to respond to women experiencing IPV. Healthcare staff can refer to other services. If staff are uncertain if referral is needed or wanted they can teach women how to increase their own safety and prepare for leaving through a number of safety promoting behaviours.The safety behaviours were originally developed in the USA to counsel women who attended a family violence unit and qualified for a protection order. Women do not always disclose the true nature of their IPV to staff. However, they could still benefit from learning about safety promoting behaviours. Using a video for teaching allows for the use of pictures and sound and options for several languages.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

TRIPLE

Enrollment

250

Conditions

Intimate Partner Violence

Interventions

Safety behaviour promoting videoBEHAVIORAL

A 7 min. video which teaches 15 different safety behaviours to reduce violence or the effect of violence

Control videoBEHAVIORAL

A 7 min. video which teaches women about safety regarding food, alcohol, smoking, medication and physical activity during pregnancy

Eligibility

Sex: FEMALEMin age: 18 YearsMax age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: * pregnant women attending antenatal care at the community health center, * 18 years or older, * understanding sufficient Norwegian, Urdu, Somali or English to complete the questionnaire and understand the video. Exclusion Criteria: * women who do not speak or understand the languages provided in the study (English, Urdu, Somali and Norwegian) * women who have never been in an adult intimate relationship * women who are closely attended by male partner * women who do not have the mental of physical capacity to answer the questionnaire. * women who cannot fill out the questionnaire in privacy

Locations (19)

Trøgstad Community Health Center

Askim, Norway

Nordberg

Ås, Norway

Ås Community Health Center

Outcomes

Primary Outcomes

Adoption of safety behaviours

Number of used safety behaviours

Time frame: change from pregnancy to 3 months postpartum

The World Health Organisation Quality of Life Brief (WHOQOL-BREF)

A scale of 26 items assessing four dimensions of quality of life (QOL), physical, psychological, environmental and social. Low score equals low QOL. Mean scores are calculated for each domain.

Time frame: Change from pregnancy to 3 months postpartum

Secondary Outcomes

Prevalence of Intimate Partner Violence (IPV) measured using Composite Abuse Scale (revised) - Short Form (CAS R SF)

CAS(R)-SF is a 15-item instrument capturing physical, sexual and psychological abuse and overall IPV. Total score ranges from 0 to 75. Low score indicates less violence. Mean total score is calculated and compared.

Time frame: change from pregnancy to 3 months postpartum

Symptoms of depression

Edinburgh Depression Scale -5 (short version)

Time frame: Change from pregnancy to 3 months postpartum. Minimum score is 0, maximum score is 15. The lower the score the fewer symptoms of depression the person has. A cut-off of 7 or more is used to indicate symptoms of depression.

Data from ClinicalTrials.gov

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