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Promoting Safety Behaviours in Antenatal Care Using a Video

Not Applicable
Completed
Conditions
Intimate Partner Violence
Interventions
Behavioral: Control video
Behavioral: Safety behaviour promoting video
Registration Number
NCT03397277
Lead Sponsor
Oslo Metropolitan University
Brief Summary

This study investigates the effect of a video which teaches 15 safety behaviours for women subject to intimate partner violence (IPV) during pregnancy. Half of the women screening positive for IPV during pregnancy will view the intervention video. The other half will view a control video.

Detailed Description

Intimate partner violence (IPV) poses a risk for the health of the woman during pregnancy also for the health of the unborn child. Pregnancy is time when nearly all women have regular contact with the healthcare system. Pregnancy is also a time during which women consider their situation and are open for change.

Healthcare staff have the opportunity to ask pregnant women if they experience IPV and need to know how to respond to women experiencing IPV. Healthcare staff can refer to other services. If staff are uncertain if referral is needed or wanted they can teach women how to increase their own safety and prepare for leaving through a number of safety promoting behaviours.The safety behaviours were originally developed in the USA to counsel women who attended a family violence unit and qualified for a protection order.

Women do not always disclose the true nature of their IPV to staff. However, they could still benefit from learning about safety promoting behaviours. Using a video for teaching allows for the use of pictures and sound and options for several languages.

Recruitment & Eligibility

Status
COMPLETED
Sex
Female
Target Recruitment
250
Inclusion Criteria
  • pregnant women attending antenatal care at the community health center,
  • 18 years or older,
  • understanding sufficient Norwegian, Urdu, Somali or English to complete the questionnaire and understand the video.
Exclusion Criteria
  • women who do not speak or understand the languages provided in the study (English, Urdu, Somali and Norwegian)
  • women who have never been in an adult intimate relationship
  • women who are closely attended by male partner
  • women who do not have the mental of physical capacity to answer the questionnaire.
  • women who cannot fill out the questionnaire in privacy

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Screened positive control videoControl videoPregnant women who screen positive for IPV using the AAS who are randomized into viewing the control video
Screened positive intervention videoSafety behaviour promoting videoSafety behaviour promoting video
Primary Outcome Measures
NameTimeMethod
Adoption of safety behaviourschange from pregnancy to 3 months postpartum

Number of used safety behaviours

The World Health Organisation Quality of Life Brief (WHOQOL-BREF)Change from pregnancy to 3 months postpartum

A scale of 26 items assessing four dimensions of quality of life (QOL), physical, psychological, environmental and social. Low score equals low QOL. Mean scores are calculated for each domain.

Secondary Outcome Measures
NameTimeMethod
Symptoms of depressionChange from pregnancy to 3 months postpartum. Minimum score is 0, maximum score is 15. The lower the score the fewer symptoms of depression the person has. A cut-off of 7 or more is used to indicate symptoms of depression.

Edinburgh Depression Scale -5 (short version)

Prevalence of Intimate Partner Violence (IPV) measured using Composite Abuse Scale (revised) - Short Form (CAS R SF)change from pregnancy to 3 months postpartum

CAS(R)-SF is a 15-item instrument capturing physical, sexual and psychological abuse and overall IPV. Total score ranges from 0 to 75. Low score indicates less violence. Mean total score is calculated and compared.

Trial Locations

Locations (19)

Rælingen Community Health Center

🇳🇴

Flateby, Norway

Familie Hus Halden

🇳🇴

Halden, Norway

Aurskog- Høland Community Health Center

🇳🇴

Høland, Norway

Jevnaker Community Health Center

🇳🇴

Jevnaker, Norway

Lillestrøm Communicy Health Center

🇳🇴

Lillestrøm, Norway

Nesodden Community Health Center

🇳🇴

Nesoddtangen, Norway

Oppegård Community Health Center

🇳🇴

Oppegård, Norway

Grorud Community Health Center

🇳🇴

Oslo, Norway

Health Centre Alna

🇳🇴

Oslo, Norway

Langhus

🇳🇴

Ski, Norway

Bjerke Community Center

🇳🇴

Oslo, Norway

Stovner Community Health Center

🇳🇴

Oslo, Norway

Rakkestad Community Health Center

🇳🇴

Rakkestad, Norway

Ski Community Health Center

🇳🇴

Ski, Norway

Skedsmo Community Health Center

🇳🇴

Skedsmokorset, Norway

Ås Community Health Center

🇳🇴

Ås, Norway

Trøgstad Community Health Center

🇳🇴

Askim, Norway

Våler Community Health Center

🇳🇴

Våler, Norway

Nordberg

🇳🇴

Ås, Norway

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