Effectiveness of a Web-Based Intervention for Guardians of Children Whose One Parent Has Murdered the Other

The recruitment status of this study is unknown because the information has not been verified recently.
Verified April 2009 by National Institute of Mental Health (NIMH).
Recruitment status was  Recruiting
Sponsor:
Information provided by:
National Institute of Mental Health (NIMH)
ClinicalTrials.gov Identifier:
NCT00737035
First received: August 14, 2008
Last updated: April 28, 2009
Last verified: April 2009
  Purpose

This study will determine whether a specialized Web site geared for the guardians of children whose one parent has murdered the other can increase guardian capabilities, reduce guardian stress, and improve child behavior and mental health.


Condition Intervention
Post-Traumatic Stress Disorder
Behavioral: Interactive Healthcare Communication Application
Behavioral: Control Web sites

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Supportive Care
Official Title: Testing an IHCA for Guardians of Survivors of Intraparental Homicide

Resource links provided by NLM:


Further study details as provided by National Institute of Mental Health (NIMH):

Primary Outcome Measures:
  • Family Crisis Oriented Personal Evaluation Scales (F-COPES) [ Time Frame: Measured at 16 weeks ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Parenting Stress Index (PSI) [ Time Frame: Measured at 16 weeks ] [ Designated as safety issue: No ]
  • Child Behavior Checklist (CBCL/6-18) Parent form [ Time Frame: Measured at 16 weeks ] [ Designated as safety issue: No ]
  • Child PTSD Inventory-Parent (CPTSDI-P): [ Time Frame: Measured at 16 weeks ] [ Designated as safety issue: No ]

Estimated Enrollment: 126
Study Start Date: July 2008
Estimated Study Completion Date: June 2010
Estimated Primary Completion Date: March 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: 1-Intervention
For 16 weeks, participants will have access to an interactive healthcare communication application (IHCA).
Behavioral: Interactive Healthcare Communication Application
The IHCA is an Internet-based tool that integrates multiple resources for guardians of survivors of interparental homicide. The IHCA will have six components: (1) an instant library of articles on topics of interest; (2) a resource directory of both national and local support and service organizations; (3) access to a peer communication system; (4) a Frequently Asked Questions section, updated with responses to user generated questions; (5) an "Ask an Expert" system staffed by researchers; and (6) personal stories of others dealing with IPH.
Other Name: IHCA
Active Comparator: 2- Control
For 16 weeks, participants will have access to generally available Internet-based information about parenting, trauma, and child development.
Behavioral: Control Web sites
Only publicly available Web sites on parenting, child development, and trauma will be used.

Detailed Description:

Intraparental homicide (IPH), when one parent kills the other, leaves approximately 4,000 children bereaved each year, adding to a total of 70,000 currently in the United States. Although few studies have focused on this phenomenon, available data indicate children of IPH suffer short- and long-term mental health consequences, including post-traumatic stress disorder (PTSD). Prior research also indicates that guardians, often family members under stress themselves, do not know how to help the children. No interventions directed at guardians of child survivors of IPH are found in scientific and clinical literature. Use of a specialized Web site called an Interactive Healthcare Communication Application (IHCA) has been found effective in treating multiple health conditions, including breast cancer in women and asthma in children. This study aims to refine an IHCA Web site for use by guardians of child survivors of IPH, to determine the safety and effectiveness of this Web site, and to determine how it is used by targeted guardians.

In the first phase of this study researchers will develop the IHCA based on feedback from a small focus group of guardians of child survivors of IPH. Then guardians of survivors of IPH up to 16 years old will be randomly assigned either to receive access to the IHCA created for them or to have access only to generally available Internet information. The IHCA will have six components: (1) an Instant Library of articles on topics of interest; (2) a resource directory of both national and local support and service organizations; (3) access to a peer communication system; (4) a Frequently Asked Questions section, updated with responses to user generated questions; (5) an "Ask an Expert" system staffed by researchers; and (6) personal stories of others dealing with IPH. Participants with access to the IHCA will receive print and phone instructions explaining the Web site and have their usage monitored by tracking software. Those in the control group will be directed to a Web site linking to publically available, pre-existing support Web sites. After 16 weeks of unlimited access to the IHCA or control group Web sites from their home computers, all participants will complete four evaluation reviews: the Family Crisis Oriented Personal Evaluation Scales, the Parenting Stress Index, the Child Behavior Checklist, and the Child PTSD Inventory - Parent.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Able to speak and read English at a 7th grade level
  • Guardian of a child survivor of parental homicide aged 0 to 16 years

Exclusion Criteria:

  • None
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00737035

Contacts
Contact: Kathryn S. Laughon, PhD, RN 434-962-3335 klaughon@virginia.edu

Locations
United States, Virginia
University of Virginia Recruiting
Charlottesville, Virginia, United States, 22908
Contact: Kathryn S. Laughon, PhD, RN    434-962-3335    klaughon@virginia.edu   
Principal Investigator: Kathryn S. Laughon, PhD RN         
Sponsors and Collaborators
Investigators
Principal Investigator: Kathryn S. Laughon, PhD RN University of Virginia School of Nursing
  More Information

Publications:
Responsible Party: Kathryn Laughon, PhD RN, University of Virginia School of Nursing
ClinicalTrials.gov Identifier: NCT00737035     History of Changes
Other Study ID Numbers: R21 MH082197, 1R21MH082197 - 01A1, DDTR B3-PDS
Study First Received: August 14, 2008
Last Updated: April 28, 2009
Health Authority: United States: Federal Government

Keywords provided by National Institute of Mental Health (NIMH):
Intimate Partner Homicide
Parental Homicide
Guardians of Child Survivors of Parental Homicide
Post-Traumatic Stress Disorder
Uxoricide Project

Additional relevant MeSH terms:
Stress Disorders, Post-Traumatic
Stress Disorders, Traumatic
Anxiety Disorders
Mental Disorders

ClinicalTrials.gov processed this record on April 16, 2014