Evaluating Violence Against Women Screening in Mexico

NCT01661504 | Completed

• 1 other identifier: 1202009793
• Study Type: interventional
• Target: 959
• Locations: 1 country
• Sites: 1

Brief Summary

The overall goal of this proposed study is to develop the state of knowledge in the area of gender-based violence and reproductive health by conducting a randomized controlled trial to improve the health care provider's capacity to screen for intimate partner violence and to mitigate associated risk among women health clinic patrons of reproductive age (ages18-44) with recent experiences of physical or sexual partner violence in Mexico City and its surrounding area. The specific research objectives are as follows:

1. 1.To increase mid-level health care providers' capacity to identify Intimate Partner Violence (IPV) and assist women with risk mitigation
2. 2.Utilizing a randomized controlled trial, to assess the impact of an enhanced health care worker screening and counselling program on (a) past year severe IPV (sexual or physical), including severe IPV; (b) reproductive coercion (c) use of community-based resources and safety planning; and (d) quality of life; versus minimum standard of care
3. 3.To qualitatively examine which programmatic components may serve as mechanisms for observed changes stated in the second objective
4. 4.To synthesize study findings and a) create recommendations for clinic-based intervention programs to address IPV in low and middle income countries and b) disseminate information as reports, presentation, and peer-reviewed publications

Conditions

Domestic Violence

Outcome Measures

Primary Outcomes (1)

• Change in Intimate Partner Violence Victimization from Baseline

  Participants will be followed up at 3 months and at 15 months post-baseline to assess intimate partner violence victimization as measured by an adapted Conflict Tactics Scale - 2. This will allow for a 12 month follow-up from the booster counseling session in the intervention group which occurs at 3 months post-baseline.

  12 months

Secondary Outcomes (4)

• Change in Quality of Life Score

  past month

• Change in Use of Community Resources

  12 months

• Change in Safety Planning

  12 Months

• Change in Reproductive Coercion

  12 months

Study Arms (2)

Referral Card Only

NO INTERVENTION

Women participants at control clinics will be given a referral card containing general information on IPV and a list of resources specific to their community

Integrated Screening

EXPERIMENTAL

The intervention arm will consist of the following components (described in detail below): a) integrated IPV/Sexual and Reproductive Health Screening, b) supportive care, c) safety planning and harm reduction counseling, d) supported referrals, e) booster counseling sessions at 3 months post-baseline / initial counseling

Behavioral: Integrated Screening

Interventions

Integrated Screening BEHAVIORAL

The intervention arm will consist of the following components (described in detail below): a) integrated IPV/Sexual and Reproductive Health Screening, b) supportive care, c) safety planning and harm reduction counseling, d) supported referrals, e) booster counseling sessions

Integrated Screening

Eligibility Criteria

• Age: 18 Years - 44 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Ages 18-44
• Currently in heterosexual relationship with a male partner
• Responds in affirmative to past year sexual or physical violence

You may not qualify if:

• Cognitive impairment (slurred speech, inability to follow directions)
• Seeking treatment for life threatening emergency care
• Intends to relocate within 2 years.

Sponsors & Collaborators

• Yale University: lead
• Innovations for Poverty Action: collaborator
• Mexican National Institute of Public Health: collaborator

Study Sites (1)

Health Clinics associated with Ministry of Health in Mexico City

Mexico City, Mexico

Location

Related Publications (3)

• Gupta J, Willie TC, Harris C, Campos PA, Falb KL, Garcia Moreno C, Diaz Olavarrieta C, Okechukwu CA. Intimate partner violence against low-income women in Mexico City and associations with work-related disruptions: a latent class analysis using cross-sectional data. J Epidemiol Community Health. 2018 Jul;72(7):605-610. doi: 10.1136/jech-2017-209681. Epub 2018 Mar 7.

  PMID: 29514921 DERIVED

• Gupta J, Falb KL, Ponta O, Xuan Z, Campos PA, Gomez AA, Valades J, Carino G, Olavarrieta CD. A nurse-delivered, clinic-based intervention to address intimate partner violence among low-income women in Mexico City: findings from a cluster randomized controlled trial. BMC Med. 2017 Jul 12;15(1):128. doi: 10.1186/s12916-017-0880-y.

  PMID: 28697769 DERIVED

• Falb KL, Diaz-Olavarrieta C, Campos PA, Valades J, Cardenas R, Carino G, Gupta J. Evaluating a health care provider delivered intervention to reduce intimate partner violence and mitigate associated health risks: study protocol for a randomized controlled trial in Mexico City. BMC Public Health. 2014 Jul 30;14:772. doi: 10.1186/1471-2458-14-772.

  PMID: 25079882 DERIVED

Related Links

• protocol paper (published)

Study Officials

• Jhumka Gupta, ScD

  Yale School of Public Health

  PRINCIPAL INVESTIGATOR

• Claudia Diaz Olavarrieta, PhD

  National Institute of Public Health - Mexico

  PRINCIPAL INVESTIGATOR

• Kathryn L Falb, ScD

  Yale School of Public Health

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: SCREENING
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 2, 2012
• First Posted: August 9, 2012
• Study Start: March 1, 2013
• Primary Completion: December 1, 2014
• Study Completion: December 1, 2014
• Last Updated: September 10, 2021

Record last verified: 2021-09

Locations

ME (1)