IHEAL Trial: Effectiveness of a Health Promotion Intervention for Women Who Have Experienced Intimate Partner Violence
- Conditions
- Intimate Partner Violence
- Interventions
- Behavioral: iHEALBehavioral: Information about Community Services
- Registration Number
- NCT03573778
- Lead Sponsor
- Western University, Canada
- Brief Summary
Living with an abusive partner has many negative impacts on women's health, safety and the quality of their lives. These issues often continue when women separate, or take steps to separate, from an abusive partner, and can make it more difficult to create a new life. However, few supports are available to help women manage their health and other challenges around the time of separation.
The Intervention for Health Enhancement and Living (iHEAL) was specifically developed to support women at this time. In iHEAL, women work with a Registered Nurse on issues that affect that their health and well-being in 10 and 18 visits that take place in a safe, private location over a 6 month period. The woman decides which issues she would like to work on, with nurses providing personalized help and support that fits with the woman's needs, goals and wishes. This includes helping her connect to local services if she chooses.
The purpose of this study is to learn whether iHEAL can improve the health and quality of life of women who have separated, or are taking steps to separate, from an abusive partner. To do this, 280 Canadian women from 3 provinces will be offered either iHEAL nurse visits or information about community services that they can use on their own. All participants will complete online surveys when they first start the study and 6 12, and 18 months later to examine whether there are changes in their health, quality of life, confidence and/or control. We also want to learn whether iHEAL is more helpful for some groups of women and whether any benefits to women that are identified outweigh the costs of providing the intervention. A small group of \~30-40 women will be asked to take part in an interview about what is was like to take part in this study when they complete the trial so that we can learn how to further improve iHEAL.
- Detailed Description
For a detailed description of the study rationale, hypotheses, research questions and methods, please see:
Ford-Gilboe, M., Varcoe, C., Scott-Storey, K. et al. Longitudinal effectiveness of a woman-led, nurse delivered health promotion intervention for women who have experienced intimate partner violence: iHEAL randomized controlled trial. BMC Public Health 24, 398 (2024). https://doi.org/10.1186/s12889-023-17578-4.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- Female
- Target Recruitment
- 331
- Woman
- 19 years of age or older
- Able to speak, read and understand English
- Residing in specific communities in Ontario, British Columbia or New Brunswick
- Planning to remain in area for next 6 months
- Experienced physical, sexual, and/or psychological abuse, including coercive control from a current or former partner in the previous 12 months
- Planning to separate OR in the process of separating OR separated from an abusive partner in the previous 3 years
- Has access to the internet, and a safe computer, tablet, or smart phone
- Has a safe email address
- Man
- Under 19 years of age
- Cannot read, speak, understand English
- Living outside of the selected study sites, or living in the area but planning to relocate within 6 months
- No experience of physical, sexual, or psychological abuse, including coercive control, from a current or former partner in the previous 12 months
- Planning to stay with an abusive partner OR separated more than 3 years ago
- No access to the internet, or safe computer, tablet or smart phone
- No access to safe email and mailing address
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description iHEAL iHEAL 10-18 visits (over 6 months) with a Registered Nurse Usual Care Information about Community Services Information about Community Services
- Primary Outcome Measures
Name Time Method Changes in PTSD Symptomology on the PTSD Checklist (Civilian Version) baseline, 6 months 17 item self-report measure of PTSD symptoms designed for use in community samples and to assess probability of meeting diagnostic criteria for PTSD.
Changes in Quality of Life on the Quality of Life Scale (Sullivan) baseline, 6 months 9 item self-report measure developed to assess quality of life across domains important to women who have experienced intimate partner violence. Total scores range from 9 to 63. Higher scores reflect higher levels of quality of life.
- Secondary Outcome Measures
Name Time Method Changes in Depressive Symptoms on the Center for Epidemiologic Studies Depression Scale, Revised (CESD-R). Baseline, 6 months 20 item self-report measure of depressive symptoms in community samples, including probability of meeting criteria for major depressive disorder. Total scores range from 0 to 60. Higher scores reflect higher levels of depressive symptoms.
Changes in Chronic Pain Disability on the Chronic Pain Grade (van Korff) Baseline, 18 months 7 item self-report measure of chronic pain intensity and disability, including 4 "grades" that capture level of disability (from no to high)
Changes in Personal Control on the Personal Agency Scale (Smith) Baseline, 18 months 8 item self-report scale that measures an individual's sense of control and efforts to act on their own behalf. Total scores range from 8 to 32. Higher scores reflect higher levels of personal agency.
Changes in PTSD Symptomology on the PTSD Checklist (Civilian Version) Baseline, 18 months 17 item self-report measure of PTSD symptoms designed for use in community samples and to assess probability of meeting diagnostic criteria for PTSD
Changes in Confidence (self-efficacy) on investigator-developed scale Baseline, 18 months 10 item self-report scale that measures women's confidence in engaging in a set of actions that fit with key goals of the iHEAL on 100 mm visual analogue scales. Total scores range from 0 -100. Higher scores reflect higher levels of confidence.
Changes in Coercive Control on the Women's Experiences of Battering Scale (WEB) Baseline, 18 months 10 item self-report measure of the intensity of coercive control experienced by women in response to intimate partner violence. Total scores range from 10-60. Higher scores reflect higher levels of experiences of coercive control.
Changes in Quality of Life on the Quality of Life Scale (Sullivan) Baseline, 18 months 9 item self-report measure developed to assess quality of life across domains important to women who have experienced intimate partner violence
Changes in Depressive Symptoms on the Center for Epidemiologic Studies Depression Scale, Revised Baseline, 18 months 20 item self-report measure of depressive symptoms in community samples, including probability of meeting criteria for major depressive disorder
Trial Locations
- Locations (3)
Western University
🇨🇦London, Ontario, Canada
University of British Columbia
🇨🇦Vancouver, British Columbia, Canada
University of New Brunswick
🇨🇦Fredericton, New Brunswick, Canada