Nurse-family Partnership (NFP) Curriculum Study
|ClinicalTrials.gov Identifier: NCT01372098|
Recruitment Status : Completed
First Posted : June 13, 2011
Last Update Posted : June 9, 2015
|Condition or disease||Intervention/treatment||Phase|
|Domestic Violence||Behavioral: NFP + IPV intervention||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||492 participants|
|Intervention Model:||Parallel Assignment|
|Official Title:||Development and Evaluation of an Intervention for Intimate Partner Violence in the Context of Nurse Home Visits|
|Study Start Date :||May 2011|
|Actual Primary Completion Date :||May 2015|
|Actual Study Completion Date :||May 2015|
Experimental: NFP + IPV intervention
The protocol for number and timing of visits will be the same for both NFP+IPVI and Standard Care, as follows: weekly for the first four visits, every other week for the remainder of the pregnancy, every week for six weeks in the postpartum and every other week until the infant is 21 months old after which it is once a month for the last three months. We recognize that the intervention might prompt the nurse and mother to alter the regular visit schedule if IPV is present.
Behavioral: NFP + IPV intervention
The intervention focuses on helping women stay safe in a relationship. Strategies for overcoming barriers to using and accessing community resources and services, and community agency interventions for women exposed to IPV is built into the intervention.
No Intervention: NFP (standard care)
The NFP nurses currently receive some training regarding IPV, but it is minimal. Between intake and when the child is 3 months and 12 months old, there is a brief instruction that the nurse assess for IPV. If the client acknowledges current abuse when completing the Abuse Assessment Screen, the nurse should "assist her to evaluate threats to personal safety and make referrals as needed". There is a prompt to be mindful of client safety, and to make referrals as needed.
- Change from baseline in WHO Quality of Life-BREF at 6, 12, 18, and 24 months [ Time Frame: Baseline, 3-, 6-,12-, 18-, and 24-month postpartum ]
- The Composite Abuse Scale (CAS) [ Time Frame: Baseline, 3-, 6-,12-, 18-, and 24-month postpartum ]Validated 30-item research instrument that assesses exposure to physical, sexual and emotional abuse, harassment and combined severe abuse.
- The Domestic Violence Survivor Assessment (DVSA) [ Time Frame: Baseline, 3-, 6-,12-, 18-, and 24-month postpartum ]Based on Prochaska's Transtheoretical Model of Behaviour Change (also known as "stages of change") and was developed by Dienemann and colleagues to gain a better understanding of battered women's cognitive states during counseling.
- PRIME-MD Patient Health Questionnaire (PHQ-9) [ Time Frame: Baseline, 3-, 6-,12-, 18-, and 24-month postpartum ]Depression measure.
- SPAN (Startle, Physiological arousal, Anger and Numbness) [ Time Frame: Baseline, 3-, 6-,12-, 18-, and 24-month postpartum ]Post-Traumatic Stress Disorder measure.
- The SF-12 (v. 2) [ Time Frame: Baseline, 3-, 6-,12-, 18-, and 24-month postpartum ]Mental and Physical Health
- The TWEAK [ Time Frame: Baseline, 3-, 6-,12-, 18-, and 24-month postpartum ]Screening tool for alcohol abuse/dependency.
- Drug Abuse Screening Tool (DAST) [ Time Frame: Baseline, 3-, 6-,12-, 18-, and 24-month postpartum ]Prescription and Street Drug Use.
- The Intimate Partner Violence Strategies Index (IPV Strategies) [ Time Frame: Baseline, 3-, 6-,12-, 18-, and 24-month postpartum ]Specific actions women take to cope with violence.
- The Childhood Experiences of Violence Questionnaire Short Form (CEVQ-SF) [ Time Frame: 6-month postpartum ]Childhood maltreatment
- The Childhood Trauma Questionnaire (CTQ) [ Time Frame: 6-month postpartum ]Childhood maltreatment.
- A modified version of the Health and Social Service Utilization questionnaire [ Time Frame: 6-,12-, 18-, and 24-month postpartum ]Assessment of service utilization.
- Child health outcomes [ Time Frame: Outcomes 1 and 2 are assessed at infant birth, 3 to 7 will be assessed at 6-, 12-, 18-, 24-month postpartum ]Data regarding the following child health outcomes are gathered by maternal interview: 1) birth weight; 2) length of gestation; 3) injuries; 4) emergency department visits (including those that are injury-related); 5) hospitalizations; 6) immunizations; and 7) developmental delay.
- Child Protection Service records [ Time Frame: 24-month postpartum ]Number of reports made, cases of confirmed child maltreatment, the type of maltreatment, the duration that cases were open, and whether children were placed in foster care or in custody of another family member.
- The Public Health Nurses' Responses to Women Who Are Abused [ Time Frame: Collected from nurses at baseline, 12 and 24 months ]Nurses' readiness to treat IPV. In the 20-item PHNR, nurses respond to one of two scenarios that resemble real-life experiences they would encounter in a postpartum home visit. The instrument measures nurses' thoughts, feeling and actions in response to identifying and responding to IPV. The PHNR has good internal consistency with an overall Cronbach alpha of 0.79.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01372098
|United States, California|
|600 S. Commonwealth Ave., #800|
|Los Angeles, California, United States, 90005|
|Principal Investigator:||Harriet MacMillan, MD||McMaster University|