Telephone Intervention to Increase Safety in Abused Women

This study has been completed.
Sponsor:
Information provided by:
Johns Hopkins University
ClinicalTrials.gov Identifier:
NCT00457522
First received: April 5, 2007
Last updated: NA
Last verified: September 2006
History: No changes posted

April 5, 2007
April 5, 2007
April 2006
Not Provided
  • Number of safety promotion behaviors at initiation and completion of intervention
  • Number of community resources accessed at initiation and completion of intervention
Same as current
No Changes Posted
  • Stage of readiness for change at initiaion and completion of intervention
  • Severity of pain, fatigue, depressive and PTSD symptoms at initiation and completion of intervention
Same as current
Not Provided
Not Provided
 
Telephone Intervention to Increase Safety in Abused Women
Phone Intervention to Increase Safety in Abused Women: Pilot

Although abuse by an intimate partner is very common and has serious negative effects on women's health, few studies have been done to test ways to increase safety for women in abusive relationships. This study will test a telephone intervention for women who report physical, emotional, and/or sexual abuse within the past 12 months, to see if

  • women use more safety behaviors and access more community resources
  • chronic pain, fatigue, depressive, and post-traumatic stress disorder (PTSD) symptoms affect a women’s ability to use safety behaviors and access community resources.

Women who experience intimate partner violence (IPV) are at increased risk for serious long term negative health sequelae, injury, and death. Compared to non-abused women, intimately abused women suffer significantly greater prevalence of depression and post-traumatic stress disorder (PTSD), as well as a host of nonspecific physical symptoms including chronic pain and fatigue (Campbell, 2002; Golding, 1999; Asmundson, Coons, Taylor, & Katz, 2002; Ehlert, Gaab, & Heinrichs, 2001; Green, Baker, Sato, Washington, & Smith, 2003; Woods, 2004). These increased negative health problems contribute to a greater prevalence of IPV among primary care patients, with current (past year) IPV rates of 15 – 28%, compared to 1.5% to 3% in epidemiologic surveys (Bauer, Rodruguez, Perez-Stable, 2000; Coker, et al., 2000; Collins, et al.,1998; Kramer, Lorenzon, Mueller, 2004; Richardson, et al., 2002; Tjaden & Thoennes, 2000). In spite of this high prevalence and serious negative health sequelae, a recent review of interventions for IPV concluded that there is a serious lack of evidence-based approaches in the primary care setting. No studies were identified that examined the effect of physical and mental health symptoms on the ability to access resources or to increase safety promoting behaviors. This intervention pilot study will speak to this gap in the research. Utilizing a randomized controlled clinical trial design, we will follow women who screen positive for current (past year) IPV at a primary care clinic in Baltimore, MD. Women in the control group will receive usual care consisting of a list of community resources for IPV. Women in the a nurse-managed/community health worker intervention group will receive usual care augmented by an individualized counseling session followed by a series of 6 telephone calls over 10 weeks. A woman’s stage of readiness for change as well as symptoms of pain, fatigue, depression, and PTSD will be evaluated as barriers to resource access and safety behavior initiation.

Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Treatment
Intimate Partner Violence
Behavioral: Nurse/community health worker telephone intervention
Not Provided
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
40
December 2006
Not Provided

Inclusion Criteria:

  • female
  • 18 years of age or older
  • speaks English
  • reports physical, emotional, and/or sexual abuse by an intimate partner within past 12 months

Exclusion Criteria:

  • non-English speaking
  • currently pregnant
Female
18 Years and older
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00457522
P30 NR08995
Not Provided
Not Provided
Johns Hopkins University
Not Provided
Principal Investigator: Anne B Woods, PhD, CNM Johns Hopkins University School of Nursing
Johns Hopkins University
September 2006

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP