Recovering From Intimate Partner Violence Through Strengths and Empowerment (RISE)

NCT03261700 | Completed Results

• 2 other identifiers: IIR 16-0621I01HX002178-01A1
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

Intimate partner violence (IPV) is a major health concern for women Veterans. IPV is associated with numerous physical and mental health conditions. VHA is implementing IPV screening programs to identify female patients who experience past-year IPV. Despite strong evidence that screening increases detection of IPV, less is established about how to intervene following IPV disclosure in health care settings, in order to improve health outcomes. Existing healthcare-based interventions result in minimal effects on health and well-being, likely because they are too brief and generic. In response, the PI has developed Recovering from IPV through Strengths and Empowerment (RISE), based on the IPV-related health care needs and preferences of women Veterans. RISE is designed to be delivered in primary care and is an individualized, variable-length, modular-based intervention that addresses

• safety planning;
• education on the health effects of IPV and warning signs;
• increasing coping skills and self-care;
• enhancing social support;
• making difficult decisions; and
• connecting with resources. This study is aimed at refining and evaluating RISE for use with female VA patients who have experienced past-year IPV. This brief counseling intervention is intended to be administered in conjunction with primary care, as this is a frequent point of healthcare contact for women Veterans and where disclosure of IPV is most prevalent.

Conditions

Intimate Partner Violence; Self-efficacy

Keywords

women Veterans; interpersonal violence

Outcome Measures

Primary Outcomes (4)

• Empowerment Via the Personal Progress Scale Revised

  Measures change in sense of personal empowerment; minimum value = 28 and maximum score = 196; higher scores indicate higher personal empowerment

  Baseline,10-week follow-up, and 14-week follow-up assessments

• Self-efficacy Via the General Self-Efficacy Scale

  This scale is a self-report of change in general self-efficacy; minimum score = 4 and maximum score = 40; higher scores indicate higher self-efficacy

  Baseline, 10-week follow-up, and 14-week follow-up assessments

• Valued Living Questionnaire

  Measures change in valued living, and congruence between stated values and past-week valued behavior; Composite scores range from 10 (minimum) to 100 (maximum). Higher scores reflect higher valued living (i.e., an indicator of higher quality of life)

  Baseline, 10-week follow-up, and 14-week follow-up assessments

• Patient Activation Measure (PAM-13)

  Measures change in patient engagement in needed health care; scores are transferred to a theoretical 0-100 scale; higher scores indicate higher patient activation.

  Baseline, 10-week follow-up, and 14-week follow-up assessments

Secondary Outcomes (12)

• PTSD Checklist for DSM-5

  Baseline, 10-week follow-up, and 14-week follow-up assessments

• Center for Epidemiological Studies-Depression Scale

  Baseline, 10-week follow-up, and 14-week follow-up assessments

• SF-12 Health Survey

  Baseline, 10-Week follow-up, and 14-Week follow-up Assessments

• Conflict Tactic Scales Revised

  Baseline, 10-week follow-up, and 14-week follow-up assessments

• Physical, Mental and Social Service Care Use

  Baseline, 10-week follow-up, and 14-week follow-up assessments

Study Arms (2)

RISE

EXPERIMENTAL

This provider- administered brief- counseling intervention program will increase Women Veteran?s self- efficacy in addressing violence in their current or past relationships. The variable length (up to six- session) modular-based intervention aims at providing resources for WVs in the relevant domains of: 1) safety planning, 2) education on health effects of IPV, 3) improving coping and self- care and red flags, 4) enhancing social support, 5) making difficult decisions, and 5) connecting with resources.

Behavioral: RISE

Information and referral condition

ACTIVE COMPARATOR

This brochure-based intervention includes education about IPV, health effects of IPV, resources and referral options to address a wide-array of health and social issues associated with IPV, and safety planning. Participants randomized to this arm are offered resources and referrals to VA and community resources.

Other: Information and referral condition

Interventions

RISE BEHAVIORAL

This provider- administered brief- counseling intervention program will increase Women Veteran's self- efficacy in addressing violence in their current or past relationships. The variable length (up to six- session) modular-based intervention aims at providing resources for WVs in the relevant domains of: 1) safety planning, 2) education on health effects of IPV and red flags, 3) improving coping and self- care, 4) enhancing social support, 5) making difficult decisions, and 5) connecting with resources.

Also known as: Recovering from IPV through Strengths and Empowerment

RISE

Information and referral condition OTHER

Participants randomized to this arm will receive a brochure-based intervention, consisting of education, support and problem solving, safety planning as well as resources and referrals to address an array of health and social issues associated with IPV (including in VA and the community).

Also known as: Control condition

Information and referral condition

Eligibility Criteria

• Age: 18 Years+
• Gender Eligibility Details: Self-identify as female
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Participants will be eligible to participate if they:
• Self-identify as a woman
• Are at least 18 years of age
• A patient at VA Boston Healthcare System
• Self- reported that they have experienced past-year physical, sexual, or psychological IPV
• Ability to understand study procedures in English
• Not exhibiting symptoms of mania or psychosis
• Not actively in suicidal crisis warranting imminent hospitalization

Sponsors & Collaborators

• VA Office of Research and Development: lead
• VA Boston Healthcare System: collaborator

Study Sites (1)

VA Boston Healthcare System Jamaica Plain Campus, Jamaica Plain, MA

Boston, Massachusetts, 02130-4817, United States

Location

Related Publications (10)

• Dardis CM, Dichter ME, Iverson KM. Empowerment, PTSD and revictimization among women who have experienced intimate partner violence. Psychiatry Res. 2018 Aug;266:103-110. doi: 10.1016/j.psychres.2018.05.034. Epub 2018 May 30.

  PMID: 29859496 BACKGROUND

• Grillo AR, Danitz SB, Dichter ME, Driscoll MA, Gerber MR, Hamilton AB, Wiltsey-Stirman S, Iverson KM. Strides Toward Recovery From Intimate Partner Violence: Elucidating Patient-Centered Outcomes to Optimize a Brief Counseling Intervention for Women. J Interpers Violence. 2021 Aug;36(15-16):NP8431-NP8453. doi: 10.1177/0886260519840408. Epub 2019 Apr 17.

  PMID: 30994401 BACKGROUND

• Iverson KM, Dardis CM, Grillo AR, Galovski TE, Pogoda TK. Associations between traumatic brain injury from intimate partner violence and future psychosocial health risks in women. Compr Psychiatry. 2019 Jul;92:13-21. doi: 10.1016/j.comppsych.2019.05.001. Epub 2019 May 14.

  PMID: 31203176 BACKGROUND

• Danitz SB, Stirman SW, Grillo AR, Dichter ME, Driscoll M, Gerber MR, Gregor K, Hamilton AB, Iverson KM. When user-centered design meets implementation science: integrating provider perspectives in the development of an intimate partner violence intervention for women treated in the United States' largest integrated healthcare system. BMC Womens Health. 2019 Nov 27;19(1):145. doi: 10.1186/s12905-019-0837-8.

  PMID: 31771557 BACKGROUND

• Iverson KM, Danitz SB, Driscoll M, Vogt D, Hamilton AB, Gerber MR, Wiltsey Stirman S, Shayani DR, Suvak MK, Dichter ME. Recovering from intimate partner violence through Strengths and Empowerment (RISE): Development, pilot testing, and refinement of a patient-centered brief counseling intervention for women. Psychol Serv. 2022;19(Suppl 2):102-112. doi: 10.1037/ser0000544. Epub 2021 Jun 10.

  PMID: 34110870 BACKGROUND

• Iverson KM, Danitz SB, Shayani DR, Vogt D, Stirman SW, Hamilton AB, Mahoney CT, Gerber MR, Dichter ME. Recovering From Intimate Partner Violence Through Strengths and Empowerment: Findings From a Randomized Clinical Trial. J Clin Psychiatry. 2021 Nov 23;83(1):21m14041. doi: 10.4088/JCP.21m14041.

  PMID: 34813687 RESULT

• Shayani DR, Danitz SB, Low SK, Hamilton AB, Iverson KM. Women Tell All: A Comparative Thematic Analysis of Women's Perspectives on Two Brief Counseling Interventions for Intimate Partner Violence. Int J Environ Res Public Health. 2022 Feb 22;19(5):2513. doi: 10.3390/ijerph19052513.

  PMID: 35270204 RESULT

• Davin KR, Dardis CM, Barth MR, Iverson KM. Prospective mental health effects of intimate partner stalking among women veterans. Psychol Trauma. 2022 Jul;14(5):751-758. doi: 10.1037/tra0001144. Epub 2021 Nov 4.

  PMID: 34735188 RESULT

• Iverson KM, Dardis CM, Cowlishaw S, Webermann AR, Shayani DR, Dichter ME, Mitchell KS, Mattocks KM, Gerber MR, Portnoy GR. Effects of Intimate Partner Violence During COVID-19 and Pandemic-Related Stress on the Mental and Physical Health of Women Veterans. J Gen Intern Med. 2022 Sep;37(Suppl 3):724-733. doi: 10.1007/s11606-022-07589-z. Epub 2022 Aug 30.

  PMID: 36042090 RESULT

• Webermann AR, Dardis CM, Iverson KM. The role of general self-efficacy in intimate partner violence and symptoms of posttraumatic stress disorder among women veterans. J Trauma Stress. 2022 Jun;35(3):868-878. doi: 10.1002/jts.22794. Epub 2022 Jan 31.

  PMID: 35099821 RESULT

Results Point of Contact

• Title: Dr. Katherine Iverson, PI
• Organization: National Center for PTSD, located at the VA Boston Healthcare System

katherine.iverson@va.gov

857-364-2066

Study Officials

• Katherine M. Iverson, PhD MA BA

  VA Boston Healthcare System Jamaica Plain Campus, Jamaica Plain, MA

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: Open label
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: FED
• Responsible Party: SPONSOR

Model Details: For the RCT (Aim 3), participants will be randomized to RISE or an information and referral condition.

Study Record Dates

• First Submitted: August 17, 2017
• First Posted: August 25, 2017
• Study Start: October 22, 2018
• Primary Completion: November 23, 2020
• Study Completion: November 23, 2020
• Last Updated: July 27, 2023
• Results First Posted: March 30, 2023

Record last verified: 2023-07

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)