- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01688427
Perinatal Nurse Home Visiting Enhanced With mHealth Technology
March 5, 2019 updated by: Johns Hopkins University
This research is being done to test whether mobile technology will reduce possible communication barriers between women and their home visitor; to improve assessing for health problems that could affect their pregnancy; to help in the delivery of information and actions to improve the health of the woman and their child.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
This study addresses PA-11-104 calling for Reducing Health Disparities among Minority and Underserved Children.
The Institute of Medicine, World Health Organization and Centers for Disease Control and Prevention recognize that prenatal home visitation, which improves the well-being of mother and children, presents an opportunity to provide early intervention to reduce intimate partner violence (IPV) and the impact the exposure has on the children.
Major challenges for nurses and other home visitors (HV) are to accurately identify abused women and facilitate their accessing resources needed to change their situation.
HVs often find it difficult to assess and intervene for IPV in the intimacy of home settings.
The use of mHealth technology may increase the sensitivity of screening instruments and reduce communication barriers between HVs and clients regarding IPV, as well as enhance implementation of IPV interventions and allow for a more standard delivery of an intervention.
Building on the successful trial testing the DOVE IPV intervention in prenatal home visiting programs (NR009093), the investigators propose to test mHealth technology using an open-source application, eMOCHA, to improve assessment of IPV and to deliver the DOVE intervention.
The proposed eMOCHA DOVE study will first (Specific Aim/Phase 1) compare sensitivity and specificity of two different approaches for IPV assessment; paper and pencil versus the eMOCHA mHealth technology.
Phase 2 (Aim 2) will compare effectiveness of the DOVE intervention delivered in standard form (paper brochure) versus mHealth eMOCHA DOVE application.
In Phase 1 women enrolled in a perinatal home visiting program and consenting to the study, will be randomized to one of the two assessment groups and assessed for IPV at enrollment, birth and 2 months post birth.
Women who are IPV positive (IPV+) at any of the assessment times will be re-randomized to receive the DOVE intervention by one of the two approaches.
1600 Medicaid eligible pregnant women in a perinatal home visiting program (800 from urban Baltimore and 800 from rural Virginia) will be recruited for Phase I and 400 IPV+ women (200 from each site) for Phase II.
Women participating in Phase 2 will receive 6 home visit interventions over 6 months.
Maternal outcomes related to IPV and mental health and selected infant outcomes will be collected at enrollment, 3, 6, 12, and 18 months after entry into Phase 2. Specific Aim 1 will use logistic and linear regression models to examine the proportion of women experiencing IPV through mHealth technology versus paper and pencil on the same validated assessments.
Specific Aim 2 (comparing effectiveness of two intervention administrations) will be assessed with logistic and linear regression models for categorical (proportion abused and premature infants) and continuous outcome variables (e.g.
depression, frequency and severity of physical, psychological, sexual IPV, use of community resources) respectively.
Study findings will assist nurse home visitation programs to use best approaches for routine assessment of IPV and implement empowerment interventions to reduce IPV and improve maternal infant health outcomes.
Study Type
Interventional
Enrollment (Actual)
433
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Maryland
-
Baltimore, Maryland, United States, 21205
- Johns Hopkins university, School of Nursing
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
15 years to 45 years (Child, Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
Female
Description
Inclusion Criteria:
- Pregnant women in Baltimore, Virginia, and Missouri if needed.
- Speak English or Spanish
- Eligible for home visitation.
Exclusion Criteria:
- Women who begin participation in a perinatal home visiting program after the baby is born.
- Women who do not speak English or Spanish.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Standard IPV Assessment
Test the effectiveness of the eMOCHA DOVE application using mHealth technology for routine assessment of IPV vs. Pencil and paper.
|
Test the effectiveness of the eMOCHA DOVE application using mHealth technology for routine assessment of IPV vs. Pencil and paper at enrollment, delivery, and 2 months post birth.
|
Experimental: Standard DOVE intervention
The standard DOVE intervention has already been developed and tested (NR009093).
The standard DOVE intervention is a brochure based 10 minute intervention that the home visitor reviews with the women.
It consists of information about IPV, its effects on pregnancy and infant health, community resources and a plan for individual safety options.
For the eMOCHA DOVE intervention, the DOVE 10 minute brochure intervention will be converted from the paper format to a visually colorful interactive presentation loaded into the home visitor device using the eMOCHA application.
The format will be completely activated and implemented by the women.
She uses small ear buds and a touch screen, so how she responds and interacts with the media enhanced eMOCHA DOVE intervention is private.
|
Test the effectiveness of the eMOCHA DOVE application using mHealth technology for routine assessment of IPV vs. Pencil and paper at enrollment, delivery, and 2 months post birth.
Intervention will be administered via eMOCHA tablet vs. home visitor over 6 sessions in 6 months.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in IPV assessments
Time Frame: Screening and at 2 months post-birth.
|
Instances of intimate partner violence (IPV).
|
Screening and at 2 months post-birth.
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in use of safety behaviors
Time Frame: Baseline and end of study (approximately 18 months post-birth)
|
Record the number of pregnant/parenting women using safety behaviors (including mental health and other community resources).
|
Baseline and end of study (approximately 18 months post-birth)
|
Change in number of safety behaviors
Time Frame: Baseline and end of study (approximately 18 months post-birth)
|
Record the aggregate number of services (including mental health and other community resources).
|
Baseline and end of study (approximately 18 months post-birth)
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Phyllis W Sharps, PhD, Johns Hopkins university, School of Nursing
- Principal Investigator: Linda Bullock, PhD, RN, University of Virginia
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
October 1, 2012
Primary Completion (Actual)
September 30, 2016
Study Completion (Actual)
September 30, 2018
Study Registration Dates
First Submitted
September 10, 2012
First Submitted That Met QC Criteria
September 14, 2012
First Posted (Estimate)
September 19, 2012
Study Record Updates
Last Update Posted (Actual)
March 6, 2019
Last Update Submitted That Met QC Criteria
March 5, 2019
Last Verified
March 1, 2019
More Information
Terms related to this study
Other Study ID Numbers
- NA_00051481
- 1R01HD071771-01 (U.S. NIH Grant/Contract)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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