MISC-IPV: a Community-Based Intervention for Children Traumatized by Intimate Partner Violence

NCT05948631 | Recruiting DMC

• 1 other identifier: STUDY00001728
• Study Type: interventional
• Target: 132
• Locations: 1 country
• Sites: 1

Brief Summary

This study adapts and evaluates preliminary outcomes of the Mediational Intervention for Sensitizing Caregivers (MISC) for women and children of color who have survived domestic violence.

Conditions

MISC Intervention; Treatment As Usual

Outcome Measures

Primary Outcomes (2)

• Mental health problems

  The primary outcome measure is change in mental health outcomes as assessed through by the Strengths and Difficulties Questionnaire (SDQ). The SDQ total score indexes the overall level of mental health problems a child is experiencing with a minimum score of 0 and a maximum score of 60. A higher the score indicates higher the levels of mental health problems.

  Baseline, six, 12, and 18 months.

• Sensitive caregiving

  Change in sensitive caregiving is a primary outcome that will be assessed with an observational tool named the Observing Mediational Interaction (OMI) tool. The measure codes the frequency of caregiving behaviors that are sensitive to the child's needs. It has a minimum of 0, but has no maximum as any frequency of behaviors may be observed. A higher score indicates more sensitive caregiving.

  Baseline, six, 12, and 18 months.

Study Arms (2)

MISC

EXPERIMENTAL

Mediational Intervention for Sensitizing Caregivers (MISC): a program for mother and children where mothers become sensitized to the impact of their behavior on their children with the aim of improving quality caregiving and child outcomes.

Behavioral: MISC intervention

Treatment as Usual

ACTIVE COMPARATOR

Treatment as Usual in the rehousing program. Mothers receive support in a domestic violence rehousing program to find work and housing.

Behavioral: Treatment as Usual (TAU)

Interventions

MISC intervention BEHAVIORAL

MISC is a semi-structured, participatory caregiver intervention following these steps: (1) Identify the mother's personal and cultural characteristics, which include a respectful discussion around the mother's child-rearing views, objectives, needs and expectations. (2) Create a baseline through videotaped interactions. (3) Create caregivers' personal interaction profile on the basis of videotaped interaction. The caseworker builds on the initial videotaped interaction and uses subsequent bi-weekly videotaped interactions to give feedback to mothers on the frequency of mediational behaviors thereby quantifying the quality of mother-child interactions. Interactional characteristics are jointly identified and conceptualized according to MISC principles. The mother learns to understand both her own and the child's behavior within a meaningful framework, enhancing reflection of caregiving practices. (4) In-service training (once a month). (5) Re-evaluate training efficacy.

MISC

Treatment as Usual (TAU) BEHAVIORAL

TAU consists of supportive services including trauma informed, client-centered, and strength-based case management and advocacy. All services are focused on the mother and do not include any child-focused intervention. Instead, staff provide in-home intensive case management services to assess and provide safety planning, assess other social service needs, link abused mothers to community resources, and assist clients in rehousing. TAU direct contact with the mother consists of bi-weekly contact, which matches the contact frequency for the intervention group. However, MISC mothers will be receiving TAU+MISC-IPV (2 hours bi-weekly contact) compared with TAU only (30 minutes biweekly contact).

Treatment as Usual

Eligibility Criteria

• Age: 7 Years - 65 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Enrolled in Harris County Domestic Violence rehousing program
• Fluency in English

You may not qualify if:

• Active suicidality
• Intellectual disability
• Active psychotic disorder
• Exposure to domestic violence
• years old in a family
• Intelligence quotient below 75,
• Active psychosis
• Severe autism
• Below age 7 or above age 11

Sponsors & Collaborators

• University of Houston: lead
• Texas Women's University: collaborator

Study Sites (1)

University of Houston

Houston, Texas, 77204, United States

RECRUITING

MeSH Terms

Interventions

Therapeutics

Study Officials

• Carla Sharp

  csharp2@uh.edu

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Carla Sharp, Ph.D.

CONTACT

7137438612; csharp2@uh.edu

Madeleine Allman, MA

CONTACT

7137438612; meallman@central.uh.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: John and Rebecca Moores Professor and Associate Dean

Study Record Dates

• First Submitted: June 16, 2023
• First Posted: July 17, 2023
• Study Start: February 14, 2023
• Primary Completion: April 30, 2025
• Study Completion: April 30, 2025
• Last Updated: December 9, 2024

Record last verified: 2024-12

Locations

US (1)