Embedding Mental Health Consultation Within Prenatal Home Visiting to Prevent Child Maltreatment and Violence Exposure
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 200
- 试验地点
- 1
- 主要终点
- Maternal Report of Intimate Partner Violence
研究概览
简要总结
This study will examine the efficacy of Enhanced First Connections, which is a short-term perinatal home visiting program that includes infant and early childhood mental health consultation. Mothers with a history of adversity or trauma will be the focus of this research. Hypothesized outcomes of Enhanced First Connections include the prevention of child maltreatment (child abuse and neglect), prevention of child exposure to adult intimate partner violence, increases in family engagement in longer-term evidence based home visiting programs, increases in family engagement in specialized support services to address maternal adversity and trauma, reductions in maternal risk factors, and the promotion of positive parenting and the parent-child relationship.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •Pregnant women
- •Recruited in the second or third trimester of pregnancy
- •At least one self-reported experience of adversity or trauma
- •English or Spanish speaking
排除标准
- •Does not meet all inclusion criteria above
研究组 & 干预措施
Enhanced First Connections
Enhanced First Connections is a short-term risk assessment and response home visiting referral program. The goal of Enhanced First Connections is to identify family needs and link families to community resources, including evidence based home visiting models. Enhanced First Connections includes prenatal identification and engagement of women with an adversity or trauma history, and infant and early childhood mental health consultation. Women who enroll in Enhanced First Connections are expected to receive between four and eight home visits before being referred to other community resources.
干预措施: Enhanced First Connections (Behavioral)
Treatment as Usual
Women who receive Treatment as Usual will follow the usual course of clinical care throughout their pregnancy and into the postpartum period, and will be eligible for the typical array of community services that may be offered to them.
结局指标
主要结局
Maternal Report of Intimate Partner Violence
时间窗: 6-months postpartum
Maternal report: Conflict Tactics Scales
Child Maltreatment Status
时间窗: 6-months postpartum
Child protection record review
Child Exposure to Intimate Partner Violence
时间窗: 6-months postpartum
Child protection record review
次要结局
- Maternal anxiety symptoms(6-months postpartum)
- Maternal PTSD symptoms(6-months postpartum)
- Maternal sensitivity(6-months postpartum)
- Maternal hostility(6-months postpartum)
- Maternal depressive symptoms(6-months postpartum)
- Maternal non-responsiveness(6-months postpartum)
- Home environment(6-months postpartum)
- Mother-infant relationship(6-months postpartum)
- Family engagement in evidence based home visiting programs(6-months postpartum)
- Contextual stress exposure(6-months postpartum)
- Maternal alcohol use(6-months postpartum)
- Maternal parenting stress(6-months postpartum)
- Maternal substance use(6-months postpartum)