Evaluating an Educational Intervention for Improving Provider Recognition and Response to Intimate Partner Violence (IPV) Experienced by Veterans and Their Families - A Mixed Method Pilot Randomized Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 34
- 试验地点
- 2
- 主要终点
- Number of Providers Who Meet Eligibility Criteria
研究概览
简要总结
Veterans and their families are more likely to experience forms of family violence like intimate-partner violence and child maltreatment. Evidence suggests that healthcare and social service providers (HSSPs) need more training to effectively and confidently recognize and respond to these situations. The Violence, Evidence, Guidance, Action (VEGA) Educational Intervention is a novel education intervention aimed at improving provider's preparation for these clinical encounters. The goal of this project is to determine the acceptability and feasibility of a future randomized-controlled trial comparing two approaches (facilitator-led VEGA or self-directed VEGA) to administering the VEGA training to understand whether/how these approaches can support HSSPs continued care of veterans and their families. The investigators aim to generate initial estimates of the effectiveness of both approaches in improving HSSPs knowledge and skills to effectively recognize and respond to intimate-partner violence and related forms of family violence, including child maltreatment. As well, the investigators aim to contribute to the knowledge base regarding optimal educational approaches for HSSP education in family violence.
The investigators hypothesize that there will be significant increases in preparedness, knowledge and skills, and self-efficacy to recognize and respond to both CM and IPV in both the experimental and AC arms from Time 1 (baseline) to Time 2 (immediately after the intervention) and Time 1 (baseline) to Time 3 (3 month follow-up). These improvements will be slightly attenuated in the experimental arm. Qualitative data pertaining to perceived value and impact will corroborate the quantitative findings.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- Single (Outcomes Assessor)
盲法说明
The Research Assistant will be blinded to group allocation. The RA will be responsible for following-up with participants to make sure they've completed quantitative assessments (online survey) or, if participants choose to complete the surveys over the phone, the RA will complete them over the phone with the participant.
入排标准
- 年龄范围
- 18 Years 至 100 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Participant is a regulated healthcare or social service provider that is an active member in good standing with the associated regulatory college.
- •Participant is fluent in written and spoken English.
- •We are looking for participants who are currently working with or have previous experience working with military and/or RCMP veterans or their family members. Participants must meet one of the following criteria:
- •Participant works with military and/or RCMP veterans or family members of military and/or RCMP veterans in a direct service capacity at least one day per week OR
- •Participant has two years or more of experience working with military and/or RCMP veterans or family members of military and/or RCMP veterans in a direct service capacity OR
- •Participant has worked with 15 or more patients that were either military and/or RCMP veterans or family members of military and/or RCMP veterans in a direct service capacity.
排除标准
- •Participant has previously accessed VEGA intervention materials.
- •Participant is currently enrolled in or plans to enroll in any other educational intervention focused on family violence within the study time period (approximately next 3 months).
结局指标
主要结局
Number of Providers Who Meet Eligibility Criteria
时间窗: Through study completion, an average of 4 months
The RC will track the number of providers who meet eligibility criteria, our aims are that we will recruit a total of 80 participants within 16 weeks, an average of 5 providers per week.
Number of Providers who Consent
时间窗: Through study completion, an average of 4 months
The RC will track the number of providers who consent to the study and agree to be randomized to either self-directed or facilitator-led VEGA education approaches, both overall and per week of recruitment. Our aim is that the proportion of providers who contact the research team about participation and who consent to randomization will be 70% or greater.
Number of Providers who Complete Assigned Intervention
时间窗: Through study completion, an average of 4 months
The RC will track the proportion of providers who are randomized and complete each arm, with completion consisting of reviewing all module content and the animated simulations in the case of self-directed VEGA and full attendance of the virtual workshop in the case of facilitator-led VEGA. Our goal is that the proportion of providers who are randomized and complete the assigned intervention will be 70% or greater for each arm. The acceptability of the facilitator-led and self-directed educational approaches as well as their value and impact will be determined via the coding of qualitative interview data from a sub-sample of participants.
Number of Providers who Complete Assessments
时间窗: Through study completion, an average of 4 months
The RC will track the feasibility of collecting trial outcome data (survey assessments) at Time 1, Time 2, and Time 3. Our goal is that the proportion of missing data for each time point will be less than 20%. Qualitative description will be used to expand and extend what we learn about acceptability and feasibility of implementing the associated research activities, we anticipate participants will not identify any fatal flaws related to the conduct of an RCT.
次要结局
- Child Maltreatment Vignette Scale(Time 1 (one week before intervention), Time 2 (immediately after the intervention), Time 3 (3 month follow-up))
- Child Maltreatment Knowledge and Skills Questions (Developed by VEGA Team)(Time 1 (one week before intervention), Time 2 (immediately after the intervention), Time 3 (3 month follow-up))
- The Physician Readiness to Manage Intimate Partner Violence Survey: IPV Knowledge(Time 1 (one week before intervention), Time 2 (immediately after the intervention), Time 3 (3 month follow-up))
- The Physician Readiness to Manage Intimate Partner Violence Survey: Preparedness Subscale(Time 1 (one week before intervention), Time 2 (immediately after the intervention), Time 3 (3 month follow-up))
- The Physician Readiness to Manage Intimate Partner Violence Survey: Opinions(Time 1 (one week before intervention), Time 3 (3 month follow-up))
- Mandatory Reporting Self-Efficacy Scale (MRSES)(Time 1 (one week before intervention), Time 2 (immediately after the intervention), Time 3 (3 month follow-up))
- Brief Individual Readiness for Change Scale(Time 1 (one week before intervention), Time 2 (immediately after the intervention))
研究者
Melissa Kimber, PhD, MSW, RSW
Assistant Professor, Department of Psychiatry & Behavioural Neurosciences
McMaster University