Violence, Domestic Clinical Trial
Official title:
Impact of Culturally-Specific Danger Assessment on Safety, Mental Health and Empowerment
Verified date | September 2020 |
Source | Johns Hopkins University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This study evaluates the impact of administering culturally-specific versions of the Danger Assessment (DA) tool followed by the tailored safety planning/referral via use of internet/smartphone-based safety decision aid (SDA) on immigrant, refugee and indigenous women's empowerment, safety and mental health. Half of survivors will receive tailored safety planning/referral based on their level of risk assessed by the DA, while the other half will receive non-DA informed usual safety planning/referral.
Status | Completed |
Enrollment | 688 |
Est. completion date | August 31, 2020 |
Est. primary completion date | August 31, 2020 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Female |
Age group | 18 Years to 64 Years |
Eligibility |
Inclusion Criteria: - Experiences of intimate partner violence within the past one year - Foreign born immigrant or refugee woman OR Native American woman - 18-64 years of age - Can access and use internet Exclusion Criteria: - No experience of intimate partner violence within the past one year - US born and not Native American - Younger than 18 or older than 64 - Cannot access or use internet |
Country | Name | City | State |
---|---|---|---|
United States | Refugee Women's Clinic | Phoenix | Arizona |
Lead Sponsor | Collaborator |
---|---|
Johns Hopkins University | Arizona State University, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), University of Maryland, Baltimore |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in severity and frequency of physical violence | The adapted version of the Revised Conflict Tactics Scale (CTS2; Straus 1996) is used to measure severity and frequency of the abusive or violent acts in intimate partner relationships. The CTS2 subscales include physical aggression, injury, psychological aggression and sexual coercion. Response categories range from 0=never to 6= more than 20 times within the past 12 months; 7 = not in referent period but happened before. Higher values on the measure within the past 12 months indicate severe or more frequent experiences of violence. The CTS-2 items are scored using the severity-times-frequency weighted score, as recommended by Straus. | Through study completion, an average of 1 year (Assessment time points: Baseline, 3 months, 6 months, 12 months) | |
Secondary | Change in depressive symptoms | The Patient Health Questionnaire (PHQ-9) is a 9 item measure to assess past two weeks depression symptoms based on the diagnostic criteria for major depressive disorder in the Diagnostic and Statistical Manual (DSM-IV). Each of the 9 items score from 0 (not at all) to 3 (nearly every day). A total score is computed to measure severity of depression by summing the items. Higher scores indicate more severe depression symptoms (1-4=minimal depression, 5-9=mild depression, 10-14=moderate depression, 15-19=moderately severe depression, and 20-27= severe depression). | Through study completion, an average of 1 year (Assessment time points: Baseline, 3 months, 6 months, 12 months) | |
Secondary | Change in symptoms of post-traumatic stress disorder (PTSD) | Harvard Trauma Questionnaire (16 items) is used to measure symptoms of PTSD derived from the DSM-IIR/DSM-IV criteria for PTSD, with scores ranging from 1 to 4. The items represent intrusion/re-experiencing, avoidance/numbing and hypervigilance/arousal symptom clusters. The scale for each question includes four categories of response: "1=Not at all," "2=A little," "3=quite a bit," "4=extremely," rated 1 to 4. A total score is obtained using the mean of responses to the items. Higher scores indicate more severe PTSD symptoms. | Through study completion, an average of 1 year (Assessment time points: Baseline, 3 months, 6 months, 12 months) | |
Secondary | Change in overall empowerment | The Personal Progress Scale-Revised (PPS-R; Johnson et al., 2005) is a 28 item self-report measure of empowerment designed to assess multiple areas associated with empowerment such as positive self-evaluation, self-esteem, ability to regulate emotional distress, gender-role and cultural identity awareness, self-efficacy, self-care, problem-solving, assertiveness skills, and access to resources. Participants' responses are rated on a 7-point scale ranging from 1 (Almost Never) to 7 (Almost Always). The items are summed to create a total score for empowerment. The range of scores is 28-196 with higher scores indicating a greater degree of empowerment. | Through study completion, an average of 1 year (Assessment time points: Baseline, 3 months, 6 months, 12 months) | |
Secondary | Change in empowerment related to safety | The MOVERS is a 13 item scale that measures empowerment within the domain of safety (e.g., extent to which a participant has developed a set of safety-related goals and a belief in her ability to accomplish them, the extent to which she feels that her efforts to achieve safety trigger new difficulties and extent to which she has knowledge about and access to support). Participants respond to each item using a five-point scale from "never true" to "always true". The scores on the measure are summed and averaged to produce a total score. Higher scores indicate a greater degree of empowerment related to safety. | Through study completion, an average of 1 year (Assessment time points: Baseline, 3 months, 6 months, 12 months) |
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