Testing the Effectiveness of a Safety-promoting Intervention in Antenatal Care
A Randomized Controlled Trial Comparing the Effectiveness of a Safety-promoting Intervention With Standard Antenatal Care for Pregnant Women in Nepal
1 other identifier
interventional
2,230
1 country
2
Brief Summary
Domestic violence during pregnancy can directly or indirectly cause maternal and fetal morbidity and even mortality. The investigators have validated the Abuse Assessment Screen to the Nepali context for use with a color-coded audio computer assisted self-interview method among pregnant women. This instrument will be used to identify women experiencing domestic violence during or shortly prior to their current pregnancy. In addition, an intervention video was developed. The aim of the video is to encourage women to take safety actions, in particular telling someone about the violence experienced. Women in the control group will watch a video on a healthy pregnancy and sign and symptoms of complications and what to to if these occur.The control video was chosen to increase blinding. This study aims to investigate the effect of the video compared to an intervention video.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jan 2023
Typical duration for not_applicable
2 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
First Submitted
Initial submission to the registry
January 5, 2022
CompletedFirst Posted
Study publicly available on registry
January 20, 2022
CompletedStudy Start
First participant enrolled
January 29, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2025
CompletedJanuary 22, 2026
January 1, 2026
2.7 years
January 5, 2022
January 20, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Seeking support
A single question asking women if they have told anybody about the experience of domestic violence besides the person at the personal follow-up at Time 1 (baseline)
12 to 24 weeks after intervention
Secondary Outcomes (3)
Ways of Coping Checklist
12 to 24 weeks after intervention
Use of safety measures
12 to 24 weeks after intervention
Change in Domestic Violence status
From baseline (questionnaire nr. 1) to time 1, questionnaire number 2.
Other Outcomes (3)
Hopkins Symptom Checklist - 10
12 to 24 weeks after intervention
Social Acceptance of Wife Abuse Scale
12 to 24 weeks after intervention
Attitudes towards domestic violence
12 to 24 weeks after intervention
Study Arms (2)
Intervention
EXPERIMENTALAre shown the intervention video after filling out baseline questionnaire
Control
OTHERAre shown a control at Time 0, baseline and the intervention video after main outcome data is collected at Time 1
Interventions
Eligibility Criteria
You may qualify if:
- between 12 to 20 weeks gestational age of pregnancy
You may not qualify if:
- prior 12 weeks gestation
- after 20 weeks of pregnancy
- mentally unable to participate
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Dhulikhel Hospital
Dhulikhel, Nepal
Kathmandu Medical College
Kathmandu, Nepal
Related Publications (1)
Chalise P, Manandhar P, Infanti JJ, Campbell J, Henriksen L, Joshi SK, Koju R, Pun KD, Rishal P, Simpson MR, Skovlund E, Swahnberg K, Schei B, Lukasse M. Addressing Domestic Violence in Antenatal Care Environments in Nepal (ADVANCE) - study protocol for a randomized controlled trial evaluating a video intervention on domestic violence among pregnant women. BMC Public Health. 2023 Sep 15;23(1):1794. doi: 10.1186/s12889-023-16685-6.
PMID: 37715147DERIVED
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Schei Berit, PhD
Norwegian University of Science and Technology
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
- Masking Details
- All participants will view a video twice. At baseline (Time 0) one group will view the intervention video and the other group the control video. Both video are of the same length. Women are seated in such a way that they cannot view each others screens. All women will view the intervention video after the main outcome has been collected at time 1. Care providers will provide standard care and not know which group women in unless they specifically ask at which point the woman viewed a video and if she talked to someone in person after viewing the video. The data-set will be masked so that the statistician analyzing will not know the code for the two different groups.
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 5, 2022
First Posted
January 20, 2022
Study Start
January 29, 2023
Primary Completion
October 1, 2025
Study Completion
October 1, 2025
Last Updated
January 22, 2026
Record last verified: 2026-01
Data Sharing
- IPD Sharing
- Will not share