Photo-experiencing and Reflective Listening (PEARL) to Promote Healing Engagement for Survivors of Violence: A Feasibility Study
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 40
- 试验地点
- 2
- 主要终点
- Post-trauma Cognitions Inventory (PTCI)
研究概览
简要总结
The goal of this clinical trial is to learn if a photo-elicitation intervention called PEARL (Photo-experiencing and Reflective Listening) can promote healing engagement in survivors of interpersonal violence. It will also learn about the feasibility and acceptability of PEARL. The main questions it aims to answer are:
Does PEARL reduce barriers to help-seeking for trauma? Does PEARL improve trauma coping self-efficacy? Does PEARL change post-trauma cognitions and readiness for recovery? Is PEARL feasible and acceptable to survivors of interpersonal violence?
Researchers will compare people who receive PEARL immediately to people on a waitlist (who receive PEARL three months later) to see if PEARL improves healing engagement and help-seeking behaviors.
Participants will:
- Complete baseline surveys about their trauma history, mental health, healing, and help-seeking behaviors
- Be randomly assigned to receive PEARL immediately or after a 3-month wait
- Receive a photography-focusing prompt and create photos over two weeks (those in the immediate group or after the waiting period)
- Participate in a reflective listening interview about their photos
- Complete follow-up surveys immediately after the intervention and one month later
- Participate in a one-month follow-up interview about their experience
详细描述
This is a randomized waitlist control feasibility study of the PEARL (Photo-experiencing and Reflective Listening) intervention for women survivors of interpersonal violence. The study will enroll 40 participants recruited through local community organizations, interpersonal violence email listservs, and social media platforms.
Randomization and Study Arms:
Interested participants will complete an online baseline questionnaire through Qualtrics and be randomly assigned (1:1) to either:
- Immediate Intervention Group (n=20): Receives PEARL within two weeks of enrollment
- Waitlist Control Group (n=20): Receives a resource referral list (standard of care) and completes PEARL three months later
Intervention Protocol:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 18 years or older
- •History of interpersonal violence (IV) - identifies as a survivor of interpersonal violence
- •Able to complete an interview in English
- •Able to provide informed consent
排除标准
- •Under 18 years of age
- •Does not identify as a woman (male participants excluded)
- •No history of interpersonal violence
- •Unable to complete an interview in English
- •Unable to provide informed consent
结局指标
主要结局
Post-trauma Cognitions Inventory (PTCI)
时间窗: Baseline, immediately post-intervention (approximately 2-4 weeks after baseline), and 1-month follow-up (approximately 6-8 weeks after baseline)
The PTCI is a self-report measure used to assess posttraumatic cognitions. It is composed of three subscales: Negative Cognitions about the Self, Negative Cognitions about the World, and Self-Blame. Higher scores indicate more negative trauma-related cognitions. The minimum score one can receive is 33 and the maximum score is 231.
Trauma Coping Self-efficacy Scale
时间窗: Baseline, immediately post-intervention (approximately 2-4 weeks after baseline), and 1-month follow-up (approximately 6-8 weeks after baseline)
The Trauma Coping Self-efficacy Scale is a 7-item measure that covers trauma-related coping self-efficacy including: dealing with reminders of the event, dealing with emotions associated with the event, employing active coping strategies, and resuming normal functioning. Higher scores indicate greater confidence in ability to cope with trauma. The minimum score one can receive is 0 and the maximum score is 63.
Healing after Gender-based Violence Scale
时间窗: Baseline, immediately post-intervention (approximately 2-4 weeks after baseline), and 1-month follow-up (approximately 6-8 weeks after baseline)
This 18-item scale measures holistic healing after trauma. Items are rated on a 5-point Likert scale from 1 ('Not at all') to 5 ('To a great extent'). Respondents are asked to evaluate each statement in reference to their perceived lowest point and their current feelings. This measure captures holistic healing outcomes beyond symptom reduction. Higher scores indicate greater levels of healing.
Post-trauma Cognitions Inventory (PTCI)
时间窗: Baseline, immediately post-intervention (approximately 2-4 weeks after baseline), and 1-month follow-up (approximately 6-8 weeks after baseline)
The PTCI is a self-report measure used to assess posttraumatic cognitions. It is composed of three subscales: Negative Cognitions about the Self, Negative Cognitions about the World, and Self-Blame. Higher scores indicate more negative trauma-related cognitions. The minimum score one can receive is 33 and the maximum score is 231.
Trauma Coping Self-efficacy Scale
时间窗: Baseline, immediately post-intervention (approximately 2-4 weeks after baseline), and 1-month follow-up (approximately 6-8 weeks after baseline)
The Trauma Coping Self-efficacy Scale is a 7-item measure that covers trauma-related coping self-efficacy including: dealing with reminders of the event, dealing with emotions associated with the event, employing active coping strategies, and resuming normal functioning. Higher scores indicate greater confidence in ability to cope with trauma. The minimum score one can receive is 0 and the maximum score is 63.
Healing after Gender-based Violence Scale
时间窗: Baseline, immediately post-intervention (approximately 2-4 weeks after baseline), and 1-month follow-up (approximately 6-8 weeks after baseline)
This 18-item scale measures holistic healing after trauma. Items are rated on a 5-point Likert scale from 1 ('Not at all') to 5 ('To a great extent'). Respondents are asked to evaluate each statement in reference to their perceived lowest point and their current feelings. This measure captures holistic healing outcomes beyond symptom reduction. Higher scores indicate greater levels of healing.
次要结局
- PTSD Checklist for DSM-5 (PCL-5)(Baseline and 1-month follow-up (approximately 6-8 weeks after baseline))
- Generalized Anxiety Disorder-7 (GAD-7)(Baseline and 1-month follow-up (approximately 6-8 weeks after baseline))
- Patient Health Questionnaire-8 (PHQ-8)(Baseline and 1-month follow-up (approximately 6-8 weeks after baseline))
- Trauma Recovery Actions Checklist (TRAC)(Baseline and 1-month follow-up (approximately 6-8 weeks after baseline))