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Being Safe, Healthy, And Positively Empowered (BSHAPE) Intervention Study

Not Applicable
Recruiting
Conditions
Post Traumatic Stress Disorder
Depression
Violence
Registration Number
NCT07227337
Lead Sponsor
Johns Hopkins University
Brief Summary

The purpose of the study is to evaluate a trauma informed digital multicomponent intervention design to improve health and safety outcomes for women with lifetime exposures to violence and co-occurring PTSD and/or depression symptoms

Detailed Description

Individuals with cumulative exposures to interpersonal violence are at high risk for co-occurring mental and physical health problems (e.g., PTSD, HIV/STI) and safety issues such as living in unsafe households or being in unsafe relationships. The proposed research will test the efficacy of Being Safe, Healthy, and Positively Empowered (BSHAPE), an intervention designed to comprehensively assess cumulative exposures to violence, current safety needs, and includes components to reduce the impact of trauma such as poor mental health, HIV/STI risk, and to promote health through knowledge building, skill building, and stress reduction practices.

Recruitment & Eligibility

Status
RECRUITING
Sex
Female
Target Recruitment
676
Inclusion Criteria
  • age 18 or older
  • foreign-born immigrant woman
  • self-reported history of cumulative exposure to violence, and presence of PTSD and/or depression symptoms
Exclusion Criteria
  • Participants who don't meet the above criteria

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Perceived Stress as Assessed by The Perceived Stress Scale-10 (PSS-10)Baseline (1st month), 3, 6 and 12 months

The Perceived Stress Scale-10 (PSS-10) is a 10-item questionnaire that measures the degree to which situations in one's life are appraised as stressful. Total scores range from 0 to 40, with higher scores indicating higher levels of perceived stress.

Depression as Assessed by The Patient Health Questionnaire-9 (PHQ-9)Baseline (1st month), 3, 6 and 12 months

The Patient Health Questionnaire-9 (PHQ-9) is a 9-item self-report questionnaire that measures depression severity over the past 2 weeks. Total scores range from 0 to 27, with higher scores indicating more severe depression symptoms. Scores can be categorized as: minimal depression (0-4), mild depression (5-9), moderate depression (10-14), moderately severe depression (15-19), or severe depression (20-27).

PTSD as Assessed by The PTSD Checklist-Civilian Version (PCL-C)Baseline (1st month), 3, 6 and 12 months

The PTSD Checklist-Civilian Version (PCL-C) is a 17-item self-report questionnaire that measures provisional PTSD over the past month. Total scores range from 17 to 85, with higher scores indicating greater PTSD symptom severity.

Self-Protection Behavior ChecklistBaseline (1st month), 3, 6 and 12 months

The Self-Protection Behavior Checklist is a 6-item self-report questionnaire that measures the frequency of self-protective strategies used by participants. Total scores range from 0 to 24, with higher scores is better, indicating more frequent use of self-protective strategies.

Empowerment for Safety as Assessed by The Adapted Measure of Victim Empowerment Related to Safety (MOVERS)Baseline (1st month), 3, 6 and 12 months

The Measure of Victim Empowerment Related to Safety (MOVERS) is a 12-item self-report questionnaire that measures survivor empowerment within the domain of safety. Total scores range from 12 to 60, with higher scores indicating greater empowerment for safety.

Self-Care Behaviors as Assessed by The Mindful Self-Care Scale (MSCS) and The Behavioral Activation for Depression Scale-Short Form (BADS-SF)Baseline (1st month), 3, 6 and 12 months

The Self-Care Behaviors Scale is a 23-item self-report measure assessing engagement in self-care behaviors across multiple domains, including mindful relaxation, supportive relationships, supportive structure, general, and clinical areas. The scale combines items from the Mindful Self-Care Scale (MSCS) and the Behavioral Activation for Depression Scale-Short Form (BADS-SF) into a single composite measure. Total scores are calculated as the sum of all items and range from 0-88, with higher scores indicating greater engagement in self-care behaviors.

Secondary Outcome Measures
NameTimeMethod
Safe Sex Behavior as Assessed by The Safe Sex Behavior Questionnaire (SSBQ)Baseline (1st month), 3, 6 and 12 months

The Safe Sex Behavior Questionnaire (SSBQ) is a 27-item self-report questionnaire that measures sexual behaviors, condom usage, high risk sexual behaviors, and sexual communication and negotiation. Total scores range from 27 to 108, with higher scores indicating greater frequency of use of safe sex practices.

Cognitive and Affective Mindfulness as Assessed by The Adapted Cognitive and Affective Mindfulness Scale-Revised (CAMS-R)Baseline (1st month), 3, 6 and 12 months

The Cognitive and Affective Mindfulness Scale-Revised (CAMS-R) is a 12-item self-report questionnaire that measures individual differences in mindfulness. Total scores range from 12 to 48, with higher scores indicating greater mindfulness abilities.

Resilience as Assessed by The Brief Trauma Resiliency Scale (BTRS)Baseline (1st month), 3, 6 and 12 months

The Brief Trauma Resiliency Scale (BTRS) is a 28-item self-report questionnaire that measures trauma resilience, ability to "bounce back," after a traumatic experience. Total scores range from 28 to 140, with higher scores indicating greater trauma resilience.

Health-related Self-Care Efficacy as Assessed by The Self-Care Self-Efficacy Scale (SCSES)Baseline (1st month), 3, 6 and 12 months

The Self-Care Self-Efficacy Scale (SCSES) is a 10-item self-report questionnaire that measures individuals' confidence in their ability to engage in self-care behaviors across various health contexts. Total scores range from 10 to 50, with higher scores indicating greater confidence in performing self-care behaviors.

Trauma Coping Self-Efficacy as Assessed by Trauma Coping Self-Efficacy (CSE-T)Baseline (1st month), 3, 6 and 12 months

The Trauma Coping Self-Efficacy Scale is a 9-item self-report questionnaire that measures an individual's perceived confidence in their ability to cope with and recover from traumatic experiences. Total scores range from 9 to 63, with higher scores indicating greater confidence in one's ability to cope with trauma-related challenges and engage in recovery processes.

General Self-Efficacy as Assessed by The General Self-Efficacy Scale-Short Form (GSE-6)Baseline (1st month), 3, 6 and 12 months

The General Self-Efficacy Scale-Short Form (GSE-6) is a 6-item self-report questionnaire. The scale assesses a general sense of perceived self-efficacy with the aim in mind to predict coping with daily hassles as well as adaptation after experiencing all kinds of stressful life events. Total scores range from 6 to 24, with higher scores indicating greater general self-efficacy beliefs

Emotion Regulation as Assessed by The Emotion Regulation Questionnaire (ERQ)Baseline (1st month), 3, 6 and 12 months

The Emotion Regulation Questionnaire (ERQ) is a 10-item self-report questionnaire that measures individual differences in emotion regulation strategies. Total scores range from 10 to 70, with higher scores indicating greater overall use of emotion regulation strategies.

Trial Locations

Locations (1)

Johns Hopkins University

🇺🇸

Baltimore, Maryland, United States

Johns Hopkins University
🇺🇸Baltimore, Maryland, United States

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