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Trauma-informed Personalized Scripts (TIPS) for Relationship Abuse

Not Applicable
Completed
Conditions
Abuse
Violence
Interventions
Behavioral: TIPS-Basic
Behavioral: TIPS-Plus
Registration Number
NCT02782728
Lead Sponsor
University of Pittsburgh
Brief Summary

This pilot study will evaluate a computer-based intervention titled "Trauma-informed Personalized Scripts" (TIPS). The goal of this intervention is to improve patient-provider communication about sensitive topics such as intimate partner violence (IPV) and reproductive coercion (RC). The main aim of this study is to pilot test TIPS in family planning clinics using a randomized study design to compare the basic version of TIPS (a computer-based assessment with provider scripts only) to an enhanced TIPS containing a tailored brief intervention for patients along with provider scripts. The investigators plan to recruit 240 female patients ages 16-29 for this study.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
240
Inclusion Criteria
  • Female
  • age 16-29
  • English speaking
  • Plans to stay in the area for next 6 months
Exclusion Criteria
  • Female clients not of the specified age range.
  • Clients who are intoxicated or otherwise not able to provide their own consent will not be eligible to participate.
  • Clients who are not able to read English will also be excluded from this pilot study as the survey questions presented via the tablet computer have not been validated yet in any other language.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
TIPS-BasicTIPS-BasicProviders receive tailored scripts based on the patient's responses to the questions administered via tablet.
TIPS-PlusTIPS-PlusPatients receive tailored messages in addition to the scripts given to providers.
Primary Outcome Measures
NameTimeMethod
Quality of intervention delivery by providerImmediately following clinic visit

Assessment of delivery of brief intervention previously tested and found to be helpful in family planning clinic settings (Addressing Reproductive Coercion in Health Settings (ARCHES), NCT01459458). Summary score based on patient responses on an after-visit exit survey inquiring about what elements of the intervention the provider discussed during clinic visit

Secondary Outcome Measures
NameTimeMethod
Difference in pregnancy riskbaseline to 4 months

2.1 Change in condom use frequency: Assessment of pregnancy risk reduction through change in frequency of self-reported condom use from baseline to follow-up 2.2 Contraceptive use: Assessment of pregnancy risk reduction through differences in contraceptive use from baseline to follow-up

Change in self-efficacy to enact harm reduction behaviors (mean score)Baseline to 4 months

Baseline-adjusted differences in mean post-intervention levels of self-efficacy regarding uptake of harm reduction strategies up to 4 months after baseline clinical encounter

Enacting harm reduction behaviors (summary score)4 months

Summary score of use of any harm reduction strategies, measured by investigator developed items that include a range of harm reduction strategies that women may employ to increase their safety

Change in knowledge of sexual and partner violence related services from baseline to follow upBaseline to 4 months

Knowing about specified IPV/SV related services comparing baseline and follow up summary scores

Any use of sexual and partner violence related services4 months

Any use of sexual violence related services (summary score) at 4 month follow up

Change in violence victimization from baseline to follow upBaseline to 4 months

Among those reporting exposure to violence (IPV/SV/RC) at baseline, summary score of any recent (past 3 months) violence victimization (including IPV/SV/RC), comparing before intervention to after the intervention

Trial Locations

Locations (1)

Children's Hospital of Pittsburgh of UPMC

🇺🇸

Pittsburgh, Pennsylvania, United States

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