Effectiveness of Empowerment Group Sessions for Treating Suicidal African American Women in Abusive Relationships

This study is currently recruiting participants.
Verified March 2009 by Emory University
Sponsor:
Collaborator:
Information provided by (Responsible Party):
Nadine Kaslow, PhD, Emory University
ClinicalTrials.gov Identifier:
NCT00601939
First received: January 15, 2008
Last updated: March 27, 2013
Last verified: March 2009

January 15, 2008
March 27, 2013
March 2008
December 2014   (final data collection date for primary outcome measure)
Beck Scale for Suicidal Ideation; Suicide Attempt Index; Index of Spouse Abuse [ Time Frame: Measured at Week 10 and Months 6 and 12 post-treatment ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT00601939 on ClinicalTrials.gov Archive Site
Beck Depression Inventory - II; Beck Hopelessness Scale; Self Efficacy Scale for Battered Women [ Time Frame: Measured at Week 10 and Months 6 and 12 post-treatment ] [ Designated as safety issue: No ]
Same as current
Not Provided
Not Provided
 
Effectiveness of Empowerment Group Sessions for Treating Suicidal African American Women in Abusive Relationships
Group Interventions for Abused, Suicidal Black Women

This study will evaluate the effectiveness of culturally competent psychoeducational empowerment sessions in treating suicidal African-American women who are in abusive relationships.

Most suicide attempts are a sign of great distress, often originating from depression; physical and sexual abuse; substance abuse; or family history of suicide, violence, or mental disorder. Risk factors for suicidal behavior are diverse, differing with gender, age, and ethnicity. Since the mid-1980s, the number of reported suicides and suicidal thoughts among young black individuals has increased alarmingly. The higher rates may be caused by high stress living situations attributed to poverty, abuse, discrimination, racism, and difficult family life. Therefore, cultural environments, social situations, and intrapersonal influences are important considerations in developing an effective therapy to prevent suicide. This study will evaluate the effect of culturally competent psychoeducational empowerment sessions in treating suicidal African-American women who are in abusive relationships.

The participants in this single-blind study will be randomly placed in one of two treatment groups. One group will receive psychoeducational intervention (PEI) and the other will receive enhanced treatment as usual (ETAU). After screening, eligible participants will complete a 2-hour survey about life events, concerns, and feelings with a research team member. One week later, participants will complete a second 1-hour survey. Participants will then be randomly placed in the treatment groups. Participants in both groups will receive treatment at Grady Health System, but those in the PEI group will also attend 10 weekly, 90-minute group sessions. The PEI empowerment group sessions will incorporate cultural, social, and intrapersonal elements. The ETAU group will be given mental health treatment as usual plus an adherence enhancement protocol. Follow-up surveys will occur at Week 10 (after treatment completion) and at Months 6 and 12 post-treatment.

Interventional
Phase 4
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Investigator)
Primary Purpose: Treatment
  • Battered Women
  • Suicide, Attempted
  • Behavioral: Psychoeducational intervention (PEI)
    PEI consists of 10 culturally competent group empowerment psychoeducational sessions. The sessions are directed by a treatment manual and are co-led by two therapists. The sessions are guided by the theory of triadic influence (TTI) model, which incorporates cultural-environmental influences, social-situational influences, and intrapersonal influences into treatment.
    Other Name: Theory of triadic influence
  • Behavioral: Enhanced treatment as usual (ETAU)
    ETAU contains an adherence protocol plus access to weekly support group and a resource room.
  • Experimental: 1
    Culturally competent group empowerment psychoeducational treatment
    Intervention: Behavioral: Psychoeducational intervention (PEI)
  • Active Comparator: 2
    Enhanced treatment as usual that includes an adherence protocol
    Intervention: Behavioral: Enhanced treatment as usual (ETAU)
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruiting
190
December 2014
December 2014   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Identifies as an African-American female
  • Abusive relationship within the 12 months prior to study entry
  • Suicide attempt within the 12 months prior to study entry
  • Seeks services at Grady Health System

Exclusion Criteria:

  • Score of less than 22 on Mini Mental Status Exam (MMSE)
  • Score of less than 18 on Rapid Estimate of Adult Literacy in Medicine (REALM)
  • Acutely psychotic
Female
18 Years to 64 Years
No
Contact: Nadine J. Kaslow, PhD 404-616-4757 nkaslow@emory.edu
Contact: Barbara D'Orio, MD 404-616-4760 bdorio@emory.edu
United States
 
NCT00601939
R01 MH078002, R01MH078002, DSIR 83-ATP
Yes
Nadine Kaslow, PhD, Emory University
Emory University
National Institute of Mental Health (NIMH)
Principal Investigator: Nadine J. Kaslow, PhD Emory University
Emory University
March 2009

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