Does Routine Screening for Intimate Partner Violence Against Women in Health Care Settings do More Good Than Harm?
If, When and How to Ask the Question(s): Assessing Screening Approaches to Identifying Woman Abuse in Health Care Settings
1 other identifier
interventional
5,681
1 country
28
Brief Summary
The purpose of the research is to evaluate whether routine screening for woman abuse in health care settings, as compared to no screening, does more good than harm. Recent reviews have identified the need for high quality research to understand 1) the actual impact on all women of instituting mass screening procedures to identify woman abuse and 2) the extent to which early identification through screening is effective in preventing or ameliorating important outcomes. The main outcomes for the study are reduction in violence, improvement in life quality, and potential harms of screening. A number of secondary outcomes to help understand the process by which screening and usual care might lead to changes in the primary outcomes will also be assessed.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Apr 2005
Longer than P75 for not_applicable
28 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 1, 2005
CompletedFirst Submitted
Initial submission to the registry
September 13, 2005
CompletedFirst Posted
Study publicly available on registry
September 16, 2005
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2008
CompletedSeptember 9, 2009
September 1, 2009
3.3 years
September 13, 2005
September 8, 2009
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Recurrence of intimate partner violence
18 months
Health-specific quality of life
18 months
Harms of screening and/or usual care
18 months
Secondary Outcomes (8)
Mental health (depression, post-traumatic stress disorder [PTSD], anxiety, somatic complaints, substance use)
18 months
Global physical and emotional health and well-being
18 months
Health services utilization
18 months
Safety behaviours
18 months
Use of information and resources
18 months
- +3 more secondary outcomes
Study Arms (2)
1
EXPERIMENTALWomen are screened for intimate partner violence prior to seeing a health care provider.
2
NO INTERVENTIONWomen see their health care provider without being asked about intimate partner violence.
Interventions
Women are screened for intimate partner violence prior to seeing a health care provider.
Eligibility Criteria
You may qualify if:
- Women aged 18-64 years
- Patients at the health care site
- Able to participate in English
- Able to separate from accompanying person(s)
You may not qualify if:
- Too ill to participate
- Unable to separate from accompanying person(s)
- Unable to speak, read, or write English
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (28)
Brantford Aboriginal Health Centre
Brantford, Ontario, N3T 3C4, Canada
Joseph Brant Hospital
Burlington, Ontario, L7R 4C4, Canada
Sudbury Family Physicians
Greater Sudbury, Ontario, P3B 1R6, Canada
Sudbury Brady Clinic
Greater Sudbury, Ontario, P3E 1H5, Canada
Sudbury District Health Unit
Greater Sudbury, Ontario, P3E 3A3, Canada
Hopital Regional de Sudbury Regional Hospital, Emergency Services
Greater Sudbury, Ontario, P3E 3B5, Canada
Grimsby Medical Associates
Grimsby, Ontario, L3M 1P2, Canada
West Lincoln Memorial Hospital
Grimsby, Ontario, L3M 1P3, Canada
St. Joseph's Centre for Ambulatory Health Services
Hamilton, Ontario, L8G 5E4, Canada
Rosedale Medical Group
Hamilton, Ontario, L8K 1W2, Canada
North Hamilton Community Health Centre
Hamilton, Ontario, L8L 4S1, Canada
Aboriginal Health Centre
Hamilton, Ontario, L8M 1K2, Canada
McMaster University Medical Centre
Hamilton, Ontario, L8N 3Z5, Canada
Hamilton Urban Core Community Health Centre
Hamilton, Ontario, L8R 1B6, Canada
City of Hamilton Public Health and Community Services Department
Hamilton, Ontario, L8R 3L5, Canada
West End Clinic
Hamilton, Ontario, L8S 1A4, Canada
HART Clinic
Hamilton, Ontario, L8S 1B7, Canada
Victoria Hospital
London, Ontario, N6A 4G5, Canada
St. Joseph's Health Care - Women's Ambulatory Health Centre
London, Ontario, N6A 4V2, Canada
St. Joseph's Urgent Care
London, Ontario, N6A 4V2, Canada
University Hospital
London, Ontario, N6A 5A5, Canada
London Family Practice - Dr. Bhayana
London, Ontario, N6A 5R9, Canada
St. Joseph's Family Medical & Dental Centre
London, Ontario, N6G 1J1, Canada
Willett Hospital Urgent Care
Paris, Ontario, N3L 2N7, Canada
Niagara Health Prompt Care
St. Catharines, Ontario, L2R 5K2, Canada
Mt. Sinai Hospital, Obstetrics & Gynecology Clinic
Toronto, Ontario, L8G 5E4, Canada
Mt. Sinai Hospital
Toronto, Ontario, M5G 1X5, Canada
Central Toronto Community Health Centre
Toronto, Ontario, M5V 2R4, Canada
Related Publications (1)
MacMillan HL, Wathen CN, Jamieson E, Boyle MH, Shannon HS, Ford-Gilboe M, Worster A, Lent B, Coben JH, Campbell JC, McNutt LA; McMaster Violence Against Women Research Group. Screening for intimate partner violence in health care settings: a randomized trial. JAMA. 2009 Aug 5;302(5):493-501. doi: 10.1001/jama.2009.1089.
PMID: 19654384DERIVED
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Harriet L MacMillan, MD, MSc
McMaster University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- SCREENING
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
September 13, 2005
First Posted
September 16, 2005
Study Start
April 1, 2005
Primary Completion
July 1, 2008
Study Completion
July 1, 2008
Last Updated
September 9, 2009
Record last verified: 2009-09