Nurse-family Partnership (NFP) Curriculum Study
Development and Evaluation of an Intervention for Intimate Partner Violence in the Context of Nurse Home Visits
1 other identifier
interventional
492
1 country
1
Brief Summary
The purpose of this study is to determine whether the Intimate Partner Violence (IPV) intervention in the context of Nurse-Family Partnership (NFP) program improves women's quality of life and reduces violence relative to the NFP alone using a cluster randomized controlled trial. Our hypothesis is that an IPV intervention can be designed that is acceptable to participants in the NFP, feasible to implement, and that this intervention will improve quality of life for women and reduce exposure to violence.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started May 2011
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 1, 2011
CompletedFirst Submitted
Initial submission to the registry
June 9, 2011
CompletedFirst Posted
Study publicly available on registry
June 13, 2011
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2015
CompletedJune 9, 2015
June 1, 2015
4 years
June 9, 2011
June 8, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change from baseline in WHO Quality of Life-BREF at 6, 12, 18, and 24 months
Baseline, 3-, 6-,12-, 18-, and 24-month postpartum
Secondary Outcomes (14)
The Composite Abuse Scale (CAS)
Baseline, 3-, 6-,12-, 18-, and 24-month postpartum
The Domestic Violence Survivor Assessment (DVSA)
Baseline, 3-, 6-,12-, 18-, and 24-month postpartum
PRIME-MD Patient Health Questionnaire (PHQ-9)
Baseline, 3-, 6-,12-, 18-, and 24-month postpartum
SPAN (Startle, Physiological arousal, Anger and Numbness)
Baseline, 3-, 6-,12-, 18-, and 24-month postpartum
The SF-12 (v. 2)
Baseline, 3-, 6-,12-, 18-, and 24-month postpartum
- +9 more secondary outcomes
Study Arms (2)
NFP + IPV intervention
EXPERIMENTALThe 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.
NFP (standard care)
NO INTERVENTIONThe 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.
Interventions
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.
Eligibility Criteria
You may qualify if:
- Age 16 years and older
- NFP program participants (woman with first live birth and living in poverty)
- English speaker
You may not qualify if:
- \- Woman who cannot communicate in English
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- McMaster Universitylead
- Centers for Disease Control and Preventioncollaborator
- Public Health Agency of Canada (PHAC)collaborator
- Annie E. Casey Foundationcollaborator
Study Sites (1)
600 S. Commonwealth Ave., #800
Los Angeles, California, 90005, United States
Related Publications (2)
Kalra N, Hooker L, Reisenhofer S, Di Tanna GL, Garcia-Moreno C. Training healthcare providers to respond to intimate partner violence against women. Cochrane Database Syst Rev. 2021 May 31;5(5):CD012423. doi: 10.1002/14651858.CD012423.pub2.
PMID: 34057734DERIVEDJack SM, Boyle M, McKee C, Ford-Gilboe M, Wathen CN, Scribano P, Davidov D, McNaughton D, O'Brien R, Johnston C, Gasbarro M, Tanaka M, Kimber M, Coben J, Olds DL, MacMillan HL. Effect of Addition of an Intimate Partner Violence Intervention to a Nurse Home Visitation Program on Maternal Quality of Life: A Randomized Clinical Trial. JAMA. 2019 Apr 23;321(16):1576-1585. doi: 10.1001/jama.2019.3211.
PMID: 31012933DERIVED
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Harriet MacMillan, MD
McMaster University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor of Pediatrics
Study Record Dates
First Submitted
June 9, 2011
First Posted
June 13, 2011
Study Start
May 1, 2011
Primary Completion
May 1, 2015
Study Completion
May 1, 2015
Last Updated
June 9, 2015
Record last verified: 2015-06