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Intimate Partner Violence (IPV)Screening in Health Care Clinics in Rural South Carolina

This study has been completed.
Sponsor:
Collaborators:
University of South Carolina
The University of Texas Health Science Center, Houston
University of North Carolina, Chapel Hill
Pee Dee Coalition
Care South, Inc.
Information provided by:
Centers for Disease Control and Prevention
ClinicalTrials.gov Identifier:
NCT00164567
First received: September 12, 2005
Last updated: October 22, 2009
Last verified: October 2009
  Purpose

The purpose of this study is to implement universal screening for intimate partner violence (IPV) and to test two clinic-based interventions for women who screen positive for current or recent IPV. The study population will be implemented in Pee Dee region of the state of South Carolina and will include primarily low-income women who seek care at selected primary health care clinics in the region.

In this study, all women 18 and older receiving care at selected primary care clinics will be offered screening for IPV annually. Clinicians will use a structured screening tool to assess physical, sexual, and psychological IPV in a current relationship (IPV+) or IPV experienced by the woman in the past five years (Recent IPV). Clinics will be randomly assigned to implement a clinic-based intervention for women who screen positive for current or recent IPV. Two interventions will be implemented using a factorial design. In the Empowerment-Focused Patient Education Intervention, clinicians will conduct a 7-session intervention focusing on the health and well-being of the woman and attempt to link women's IPV experience with their health. In the IPV Services Intervention, IPV Specialists who are trained advocates from the Pee Dee Coalition Against Domestic and Sexual Assault (PDC) will be based in the clinic to (a) counsel women about IPV including safety planning, (b) provide linkages to PDC services, and (c) link women to clinic-based support groups developed specifically for this project.

We hypothesize the intervention(s) will change (a) clinician screening, referral, and IPV documentation patterns, (b) clinician IPV knowledge and perceived skills in working with women who have experienced IPV and their children (c) women's help-seeking behaviors, risk of poor mental and physical health, and (d) women's risk of subsequent IPV victimization. To evaluate these outcomes, we will survey clinicians and prospectively follow a group of consenting IPV+ women (N=300 in each intervention arm) to assess changes in their help-seeking, health behavior and status, IPV experience over two-years of follow-up.


Condition Intervention Phase
Partner Abuse
Behavioral: Onsite IPV specialist
Behavioral: Empowerment focused intervention
Phase 2

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Factorial Assignment
Masking: Open Label
Primary Purpose: Prevention
Official Title: IPV Screening in Health Care Clinics in Rural South Carolina

Resource links provided by NLM:


Further study details as provided by Centers for Disease Control and Prevention:

Primary Outcome Measures:
  • help-seeking
  • physical health
  • Psychological health

Secondary Outcome Measures:
  • revictimization from partner violence
  • child behaviors

Estimated Enrollment: 1200
  Eligibility

Ages Eligible for Study:   18 Years to 65 Years
Genders Eligible for Study:   Female
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • female
  • 18 - 65 years
  • must screen positive for partner abuse
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00164567

Locations
United States, South Carolina
Care South clinics (Various)
Hartsville, South Carolina, United States, 29551
Sponsors and Collaborators
University of South Carolina
The University of Texas Health Science Center, Houston
University of North Carolina, Chapel Hill
Pee Dee Coalition
Care South, Inc.
Investigators
Principal Investigator: Ann Coker, PhD University of Kentucky
  More Information

No publications provided

ClinicalTrials.gov Identifier: NCT00164567     History of Changes
Other Study ID Numbers: CDC-NCIPC-3142, US4/CCU419014
Study First Received: September 12, 2005
Last Updated: October 22, 2009
Health Authority: United States: Federal Government

Keywords provided by Centers for Disease Control and Prevention:
partner abuse
screening
intimate partner violence

ClinicalTrials.gov processed this record on November 24, 2014