Trauma-informed Personalized Scripts (TIPS) to Address Relationship Abuse and Reproductive Coercion in Family Planning Clinics
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- University of Pittsburgh
- Enrollment
- 240
- Locations
- 1
- Primary Endpoint
- Quality of intervention delivery by provider
Study Overview
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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- None
Eligibility Criteria
- Ages
- 16 Years to 29 Years (Child, Adult)
- Sex
- Female
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •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.
Arms & Interventions
TIPS-Basic
Providers receive tailored scripts based on the patient's responses to the questions administered via tablet.
Intervention: TIPS-Basic (Behavioral)
TIPS-Plus
Patients receive tailored messages in addition to the scripts given to providers.
Intervention: TIPS-Plus (Behavioral)
Outcomes
Primary Outcomes
Quality of intervention delivery by provider
Time Frame: Immediately 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 Outcomes
- Difference in pregnancy risk(baseline to 4 months)
- Change in self-efficacy to enact harm reduction behaviors (mean score)(Baseline to 4 months)
- Enacting harm reduction behaviors (summary score)(4 months)
- Change in knowledge of sexual and partner violence related services from baseline to follow up(Baseline to 4 months)
- Any use of sexual and partner violence related services(4 months)
- Change in violence victimization from baseline to follow up(Baseline to 4 months)
Investigators
Elizabeth Miller
Chief of Adolescent Medicine, Professor of Pediatrics
University of Pittsburgh