How Can Child Health Services Identify and Respond to Family Violence

NCT06299501 | Completed

• 1 other identifier: LS 2015-1199 and 2017-24
• Study Type: interventional
• Target: 85
• Locations: 1 country
• Sites: 1

Brief Summary

Family violence has severe impacts on children's health and development. The Child Health Services (CHS) in Sweden reaches almost 100% of families with young children and provides a unique setting to facilitate identification of family violence. This study is a three-armed randomized controlled trial (RCT) conducted to assess the effectiveness of different approaches to identify family violence within CHS. Two different approaches are tested and compared to treatment as usual; 1) information about family violence at home visit when child is newborn, and questions posed to all mothers at the 6-8-week visit; 2) information about family violence at home visit when child is newborn, and questions posed to mothers on evidence based indication. Nurses who are randomized into any of the two intervention arms receive training and supervision. The outcomes of the study are related to knowledge, attitudes, and practices around identification and support in case of family violence and number of identified cases of family violence.

Conditions

Family Violence; Domestic Violence; Intimate-partner Violence

Keywords

Family violence; Domestic violence; Intimate-partner violence

Outcome Measures

Primary Outcomes (1)

• Knowledge, attitudes and practices

  An adaptation of the "Physician Readiness to Manage Violence Survey" developed by Short LM et al. (Am J Prev Med 2006; 30(2):173-180) and Ramsay J et al. (Brit J Gen Pract 2012; 62(602):647-655) was used. Higher values indicate more positive outcomes. A subscale was used to measure knowledge about definition, prevalence and consequences of family violence (FV), summarized into a total value, with higher values indicating higher knowledge. Additional questions concerned knowledge of guidelines, reporting to social services and local interventions for children and parents. Nurse's attitudes by asking about informing, asking questions about and acting upon FV. Practices were measured by questions about how nurses provided or displayed information material, asked about FV and their reports of concern to social services.

  Measured before randomization, within two weeks after training and six months post-training.

Secondary Outcomes (1)

• Number of cases of family violence

  Documentation covers the intervention phase (6 months)

Study Arms (3)

Routine group

EXPERIMENTAL

Nurses within the routine group receive training and are assigned to inform about family violence at the home visit that takes place when the child is newborn and to by routine ask questions about family violence to mothers at the 6-8 weeks visit to CHC.

Procedure: Routine questions

Indication group

EXPERIMENTAL

Nurses within the indication group receive training and are assigned to inform about family violence at the home visit when the child is newborn and to pose questions about family violence on evidence based indication.

Procedure: Questions on evidence based indication

Treatment as usual

ACTIVE COMPARATOR

Nurses within the treatment as usual group do not receive training but ask questions when they suspect ongoing violence in the family.

Procedure: Treatment as usual

Interventions

Routine questions PROCEDURE

The routine group of nurses receive training and supervision and will ask questions about family violence to everyone, disregarding if they suspect family violence or not.

Routine group

Questions on evidence based indication PROCEDURE

The group of nurses will receive training and supervision and will ask questions on evidence based indication

Indication group

Treatment as usual PROCEDURE

The group of nurses will ask questions when suspecting ongoing violence in the family

Treatment as usual

Eligibility Criteria

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

You may qualify if:

• Registered nurse
• Working in any of the Child Health Services in the Stockholm Region

You may not qualify if:

• None

Sponsors & Collaborators

• Karolinska Institutet: lead
• Jane and Dan Olsson Foundation for Scientific Purposes: collaborator
• Region Stockholm: collaborator

Study Sites (1)

Central Child Health Care (Centrala barnhälsovården)

Stockholm, Sweden

Location

MeSH Terms

Interventions

Therapeutics

Study Officials

• Lene Lindberg

  Karolinska Institutet

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Model Details: Three-armed study, two intervention groups and one control group

Study Record Dates

• First Submitted: December 18, 2023
• First Posted: March 7, 2024
• Study Start: August 23, 2017
• Primary Completion: August 31, 2019
• Study Completion: August 31, 2019
• Last Updated: March 8, 2024

Record last verified: 2024-03

Data Sharing

• IPD Sharing: Will not share

Locations

SE (1)