Partner Abuse Clinical Trial
Official title:
IPV Screening in Health Care Clinics in Rural South Carolina
The purpose of this study is to implement universal screening for intimate partner violence
(IPV) and to test two clinic-based interventions for women who screen positive for current
or recent IPV. The study population will be implemented in Pee Dee region of the state of
South Carolina and will include primarily low-income women who seek care at selected primary
health care clinics in the region.
In this study, all women 18 and older receiving care at selected primary care clinics will
be offered screening for IPV annually. Clinicians will use a structured screening tool to
assess physical, sexual, and psychological IPV in a current relationship (IPV+) or IPV
experienced by the woman in the past five years (Recent IPV). Clinics will be randomly
assigned to implement a clinic-based intervention for women who screen positive for current
or recent IPV. Two interventions will be implemented using a factorial design. In the
Empowerment-Focused Patient Education Intervention, clinicians will conduct a 7-session
intervention focusing on the health and well-being of the woman and attempt to link women's
IPV experience with their health. In the IPV Services Intervention, IPV Specialists who are
trained advocates from the Pee Dee Coalition Against Domestic and Sexual Assault (PDC) will
be based in the clinic to (a) counsel women about IPV including safety planning, (b) provide
linkages to PDC services, and (c) link women to clinic-based support groups developed
specifically for this project.
We hypothesize the intervention(s) will change (a) clinician screening, referral, and IPV
documentation patterns, (b) clinician IPV knowledge and perceived skills in working with
women who have experienced IPV and their children (c) women's help-seeking behaviors, risk
of poor mental and physical health, and (d) women's risk of subsequent IPV victimization. To
evaluate these outcomes, we will survey clinicians and prospectively follow a group of
consenting IPV+ women (N=300 in each intervention arm) to assess changes in their
help-seeking, health behavior and status, IPV experience over two-years of follow-up.
n/a
Allocation: Non-Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Factorial Assignment, Masking: Open Label, Primary Purpose: Prevention
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