Enhanced Nurse Home Visitation to Prevent Intimate Partner Violence

NCT01811719 | Completed

• 1 other identifier: CDC 555
• Study Type: interventional
• Target: 238
• Locations: 1 country
• Sites: 1

Brief Summary

An Enhanced Nurse Home Visitation Program To Prevent Intimate Partner Violence; This randomized trial of an intervention to assess and prevent intimate partner violence during pregnancy and the post-partum builds upon the David Olds model of nurse home visitation (Nurse Family Partnership or NFP) for high risk mothers and infants that has shown to be effective in multiple settings in preventing child abuse and enhancing maternal and child health and psychosocial outcomes. However, prior research has shown that the NFP intervention is not as effective in homes where there is intimate partner violence (IPV). Although the NFP by itself has reduced IPV in one setting, it has not in another. The proposed study will test the efficacy of an enhanced NFP intervention, the ECI or Enhanced Choice Intervention among women referred to an existing NFP program in Portland, Oregon. The ECI is based on a choice or empowerment model whereby women can choose among interventions related to her goal for her current intimate relationship. If IPV or emotional abuse or controlling behaviors are assessed, the intervention is based on two interventions shown to be effective in assessing for and reducing repeat IPV (the Sullivan Advocacy Intervention and the McFarlane and Parker brochure driven intervention). For women desiring to enhance marital quality, the Markman and Stanley PREP model that has been shown to enhance relationship quality will be offered. The PREP model also has some preliminary evidence of preventing IPV. For women with other risk factors for IPV in their own or their partners' history (e.g. exposure to parental IPV, child abuse, substance abuse), community resource linkage (beyond referral) strategies as with the NFP model will be used to obtain community resources to address these risk factors. 250 women referred to the Multnomah County Health Department will be randomized to the experimental (NFP plus ECI) or control condition (NFP) and visited according to the regular NFP schedule during pregnancy and until the infant is 24 months old. The intervention will concentrate on the prenatal and immediate (first 6 months) post partum period with regular IPV, emotional abuse and controlling behavior assessments throughout the NFP period. Baseline and outcome measurement (CTS2, WEB, TPMI, depression - Edinborough, \& parenting stress), will occur at 3 months before delivery, 9 months \& 21 months post-partum with multivariate MANOVA, SEM and growth curve analyses.

Conditions

Violence; Emotional Abuse; Pregnancy; Parenting

Keywords

Intimate Partner Physical Violence; Intimate Partner Emotional Abuse; Intimate Partner Controlling Behaivor; Pregnancy Outcomes; Quality of Parental Care Giving; Maternal Life Course

Outcome Measures

Primary Outcomes (1)

• Decreased Intimate Partner Physical Violence from Baseline to Two-Year Follow-Up.

  Women were given several different standardized measures regarding the amount of physical violence they might be experiencing including the Strauss Conflict Tactic Scale (CTS2r), Relationship Danger Assessment (RDA), and Proximal Antecedents of Violent Episodes Scale (PAVE).

  baseline, one year follow-up, and two year follow-up

Secondary Outcomes (1)

• Decreased Intimate Partner Emotional Abuse & Controlling Behaviors from Baseline to Two-Year Follow-Up.

  baseline, one year follow-up, and two year follow-up

Other Outcomes (1)

• Improvements in the Quality of Life from Baseline to Two-Year Follow-Up.

  baseline, one year follow-up, and two year follow-up

Study Arms (2)

Enhanced NFP (NFP+)

EXPERIMENTAL

Enhanced NFP(NFP+)provides for the usual NFP services plus a three-prong experimental preventive intervention: 1. Structured and regularly occuring assessments for intimate partner violence (IPV); 2. McFarlane and Parker Brochure Driven Intervention for women experiencing IPV, including safety planning, referrals, and advocacy; and 3. Markman and Stanley Within My Reach Training which is a skills-based curriculum delivered to all participants focusing on improving relationship deicsions and outcomes.

Behavioral: Enhanced NFP (NFP+)

NFP as usual

ACTIVE COMPARATOR

The Nurse Family Partnership is a well-known and widely used nurse home visit program developed by David Olds. It has been rigorously tested and replicated and is now considered a best practice.

Behavioral: NFP as usual

Interventions

Enhanced NFP (NFP+) BEHAVIORAL

Women in the experimental group received three possible interventions. First they received regular and periodic structured intimate partner violence (IPV) assessments from their nurse. Those who indicted any IPV - whether physical violence or emotional abuse or controlling behavior - were then given the Parker-McFarlane Brochure Intervention. Finally, all women were provided the Markman and Stanley Within My Reach curriculum according to their needs and interests.

Also known as: Markman and Stanley Within My Reach Training Curriculum, McFarlane and Parker Brochure Driven Intervention

Enhanced NFP (NFP+)

NFP as usual BEHAVIORAL

The Nurse Family Partnership is a well-known and widely used nurse home visit program developed by David Olds. It has been rigorously tested and replicated and is now considered a best practice.

Also known as: Nurse Family Partnership

NFP as usual

Eligibility Criteria

• Age: 15 Years - 40 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• No more than 28th week of gestation
• Low income
• Speak English or Spanish
• Pregnant with first child
• Minimum of 15 years of age at time of entrance into study

You may not qualify if:

• Women experiencing high risk pregnancies

Sponsors & Collaborators

• Portland State University: lead

Study Sites (1)

Multnomah County Health Department

Portland, Oregon, 97204, United States

Location

Related Publications (2)

• Li Q, Riosmena F, Valverde PA, Zhou S, Amura C, Peterson KA, Palusci VJ, Feder L. Preventing intimate partner violence among foreign-born Latinx mothers through relationship education during nurse home visiting. J Nurs Manag. 2022 Sep;30(6):1639-1647. doi: 10.1111/jonm.13565. Epub 2022 Mar 7.

  PMID: 35174575 DERIVED

• Feder L, Niolon PH, Campbell J, Whitaker DJ, Brown J, Rostad W, Bacon S. An Intimate Partner Violence Prevention Intervention in a Nurse Home Visitation Program: A Randomized Clinical Trial. J Womens Health (Larchmt). 2018 Dec;27(12):1482-1490. doi: 10.1089/jwh.2017.6599. Epub 2018 Oct 11.

  PMID: 30311848 DERIVED

MeSH Terms

Interventions

Neurofilament Proteins

Intervention Hierarchy (Ancestors)

Intermediate Filament Proteins; Biopolymers; Polymers; Macromolecular Substances; Cytoskeletal Proteins; Proteins; Amino Acids, Peptides, and Proteins; Nerve Tissue Proteins

Study Officials

• Lynette F Feder, PhD

  University of Central Florida

  PRINCIPAL INVESTIGATOR

• Phyllis Niolin, PhD

  Centers for Disease Control and Prevention

  PRINCIPAL INVESTIGATOR

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: Assistant Dean and Director, PAF Doctoral Program

Study Record Dates

• First Submitted: March 8, 2013
• First Posted: March 15, 2013
• Study Start: January 1, 2007
• Primary Completion: October 1, 2010
• Study Completion: October 1, 2010
• Last Updated: March 19, 2013

Record last verified: 2013-03

Locations

US (1)