Evaluating Violence Against Women Screening in Mexico

Not Applicable

Completed

• Conditions: Domestic Violence
• Interventions: Behavioral: Integrated Screening

• Registration Number: NCT01661504
• Lead Sponsor: Yale University

Brief Summary

The overall goal of this proposed study is to develop the state of knowledge in the area of gender-based violence and reproductive health by conducting a randomized controlled trial to improve the health care provider's capacity to screen for intimate partner violence and to mitigate associated risk among women health clinic patrons of reproductive age (ages18-44) with recent experiences of physical or sexual partner violence in Mexico City and its surrounding area.

The specific research objectives are as follows:

1. To increase mid-level health care providers' capacity to identify Intimate Partner Violence (IPV) and assist women with risk mitigation

2. Utilizing a randomized controlled trial, to assess the impact of an enhanced health care worker screening and counselling program on (a) past year severe IPV (sexual or physical), including severe IPV; (b) reproductive coercion (c) use of community-based resources and safety planning; and (d) quality of life; versus minimum standard of care

3. To qualitatively examine which programmatic components may serve as mechanisms for observed changes stated in the second objective

4. To synthesize study findings and a) create recommendations for clinic-based intervention programs to address IPV in low and middle income countries and b) disseminate information as reports, presentation, and peer-reviewed publications

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2012-08-02
• Study First Submitted QC: 2012-08-06
• Study First Posted: 2012-08-09
• Study Start: 2013-03
• Primary Completion: 2014-12
• Study Completion: 2014-12
• Status Verified: 2021-09
• Last Update Submitted: 2021-09-01
• Last Update Posted: 2021-09-10

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 959

Inclusion Criteria

• Ages 18-44
• Currently in heterosexual relationship with a male partner
• Responds in affirmative to past year sexual or physical violence

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Exclusion Criteria

• Cognitive impairment (slurred speech, inability to follow directions)
• Seeking treatment for life threatening emergency care
• Intends to relocate within 2 years.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Integrated Screening	Integrated Screening	The intervention arm will consist of the following components (described in detail below): a) integrated IPV/Sexual and Reproductive Health Screening, b) supportive care, c) safety planning and harm reduction counseling, d) supported referrals, e) booster counseling sessions at 3 months post-baseline / initial counseling

Primary Outcome Measures

Name	Time	Method
Change in Intimate Partner Violence Victimization from Baseline	12 months	Participants will be followed up at 3 months and at 15 months post-baseline to assess intimate partner violence victimization as measured by an adapted Conflict Tactics Scale - 2. This will allow for a 12 month follow-up from the booster counseling session in the intervention group which occurs at 3 months post-baseline.

Secondary Outcome Measures

Name	Time	Method
Change in Use of Community Resources	12 months	Adapted Community Resources Checklist
Change in Quality of Life Score	past month
Change in Safety Planning	12 Months	Adapted Safety Behavior Checklist
Change in Reproductive Coercion	12 months

Trial Locations

Locations (1)

Health Clinics associated with Ministry of Health in Mexico City; 🇲🇽 Mexico City, Mexico