Intimate Partner Violence Clinical Trial
Official title:
Addressing Intimate Partner Violence Among Women Veterans: Evaluating the Impact and Effectiveness of VHA's Response
Verified date | October 2023 |
Source | VA Office of Research and Development |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Up to 20% of women Veterans (WV) using VHA primary care experience past-year intimate partner violence (IPV), which contributes to numerous physical and mental health conditions, including suicidality. Despite national recommendations to screen WVs for IPV, there is low adoption of IPV screening programs in primary care. In response, VHA is spreading IPV screening programs in Women's Health Model 1 and Model 2 primary care clinics, where the majority of WV VHA primary care patients receive care. The systematic and effective implementation of IPV screening programs within primary care clinics is expected to enhance care for WVs as well as improve access to, and timeliness of, IPV-related care. Given the high prevalence of IPV among WVs and its significant negative health effects, successful implementation of IPV screening programs is expected to reduce morbidity among WV VHA patients. This stepped wedge hybrid II implementation/effectiveness study will assess efforts to implement routine IPV screening for WV VHA patients.
Status | Completed |
Enrollment | 7421 |
Est. completion date | September 30, 2023 |
Est. primary completion date | September 30, 2023 |
Accepts healthy volunteers | No |
Gender | Female |
Age group | 18 Years to 100 Years |
Eligibility | Inclusion Criteria: - Women Veterans age 18+ - Presenting for care at participating VA-based primary care clinics. - Due to be screened for intimate partner violence (IPV) Exclusion Criteria: - IPV screen completed in past year. |
Country | Name | City | State |
---|---|---|---|
United States | VA Gulf Coast Veterans Health Care System, Biloxi, MS | Biloxi | Mississippi |
United States | VA Boston Healthcare System Jamaica Plain Campus, Jamaica Plain, MA | Boston | Massachusetts |
United States | VA Long Beach Healthcare System, Long Beach, CA | Long Beach | California |
United States | Orlando VA Medical Center, Orlando, FL | Orlando | Florida |
United States | Hunter Holmes McGuire VA Medical Center, Richmond, VA | Richmond | Virginia |
United States | VA Northern California Health Care System, Mather, CA | Sacramento | California |
United States | VA San Diego Healthcare System, San Diego, CA | San Diego | California |
United States | Southern Arizona VA Health Care System, Tucson, AZ | Tucson | Arizona |
United States | Jonathan M. Wainwright Memorial VA Medical Center, Walla Walla, WA | Walla Walla | Washington |
United States | VA Greater Los Angeles Healthcare System, West Los Angeles, CA | West Los Angeles | California |
Lead Sponsor | Collaborator |
---|---|
VA Office of Research and Development | VA Boston Healthcare System |
United States,
Iverson KM, Dichter ME, Stolzmann K, Adjognon OL, Lew RA, Bruce LE, Gerber MR, Portnoy GA, Miller CJ. Assessing the Veterans Health Administration's response to intimate partner violence among women: protocol for a randomized hybrid type 2 implementation- — View Citation
Ogden SN, Dichter ME, Bazzi AR. Intimate partner violence as a predictor of substance use outcomes among women: A systematic review. Addict Behav. 2022 Apr;127:107214. doi: 10.1016/j.addbeh.2021.107214. Epub 2021 Dec 18. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in Reach (primary implementation outcome) | Change in proportion of WVs seen in Model 1 and 2 clinics during the last three months of each study phase who receive IPV screening | For each site, the proportion calculated at baseline (months 1-3) will be compared to the proportion calculated for the latter half of the facilitation period (months 7-9). | |
Primary | Change in Disclosure Rate (primary clinical effectiveness outcome) | Change in proportion of eligible WVs who screen positive for IPV | For each site, the proportion calculated at baseline (months 1-3) will be compared to the proportion calculated for the latter half of the facilitation period (months 7-9). | |
Secondary | Change in Psychosocial Service Use (secondary clinical effectiveness outcome) | Change in proportion of WVs accepting psychosocial service referrals following a positive IPV screen who use such services within two months | For each site, the proportion calculated at baseline (months 1-3) will be compared to the proportion calculated for the latter half of the facilitation period (months 7-9). | |
Secondary | Adoption of Screening (secondary implementation outcome) | Change in proportion of PC clinics completing IPV screening with eligible WVs during evaluation periods | For each site, the proportion calculated at baseline (months 1-3) will be compared to the proportion calculated for the latter half of the facilitation period (months 7-9). | |
Secondary | Change in Adoption of Referrals / Resource Provision (secondary implementation outcome) | Change in proportion of PC clinics delivering IPV screening program to eligible WVs during evaluation periods, including evidence of resource provision and referral offered for those with positive screens | For each site, the proportion calculated at baseline (months 1-3) will be compared to the proportion calculated for the latter half of the facilitation period (months 7-9). | |
Secondary | Change in Implementation Fidelity (secondary implementation outcome) | Change in proportion of clinics for whom WVs accept referrals attend psychosocial services within two months of positive screen | For each site, the proportion calculated at baseline (months 1-3) will be compared to the proportion calculated for the latter half of the facilitation period (months 7-9). | |
Secondary | Maintenance (secondary implementation outcome) | Change in proportion of WVs seen in Model 1 and 2 clinics during the last three months of the facilitation and maintenance phases who receive IPV screening | For each site, the proportion calculated in the latter half of the facilitation phase (months 7-9) will be compared to the proportion calculated for the last three months of the maintenance phase (months 19-21) |
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