Passport to Freedom (P2F): Adaptation and Implementation of a Wellness Program

Passport to Freedom: Adaptation and Implementation of a Wellness Program to Educate and Empower Women Living in Transitional Housing Due to Intimate Partner Violence

Women currently residing at an emergency shelter for women and children will participate in group sessions that cover topics that promote physical and emotional well-being through a combination of mindfulness exercises and health promotion activities..

Study Overview

• Status: Terminated
• Conditions: Trauma
• Intervention / Treatment: Behavioral: Adapted Passport to Freedom

Detailed Description

In a group setting, the intervention will cover topics such as Mindfulness, Health (examine impact of trauma and stress on physical and mental well-being), Healthy relationships, Family matters (coping with conflicts) and Reflection session.

Each group session (5) will last approximately 90 minutes, once weekly, and begin and end with mindfulness exercises. The women are also encouraged to download free mindfulness apps to practice the exercises between sessions.

Women enrolled will receive health information that will cover a range of chronic health topics (pain, asthma, hypertension, diabetes, obesity), to complement already existing tools on mental health and post traumatic syndrome.

Women enrolled will complete surveys:

baseline questionnaires, a pre and post survey during each session, and follow-up questionnaires 4 weeks after the intervention.

• Study Type: Interventional
• Enrollment (Actual): 10
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • Maryland
    • Baltimore, Maryland, United States, 21218
      • House of Ruth Maryland

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (Adult, Older Adult)
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• 18 years of age or older
• Able to read and write English
• Currently residing at the House of Ruth Maryland emergency shelter or onsite transitional housing.

Exclusion Criteria:

• Under 18 years of age
• Inability to speak or write English
• Physical or mental health conditions that would prevent meaningful group participation.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: N/A
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

1

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Adapted Passport to Freedom Intervention Arm; The intervention consists of 5 weekly, 90 minute group sessions that cover topics such as mindfulness, health, healthy relationships, family matters, and reflections	Behavioral: Adapted Passport to Freedom; 5 weekly, 90 minute group sessions that cover topics such as mindfulness, health, healthy relationships, family matters, and reflections.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change in Physical Health as assessed by the Perceived Health Competence Scale	The Perceived Health Competence Scale measures the degree to which an individual feels capable of effectively managing their health. The score could range from 2-10. The higher the score, the greater the patient's perceived health competence.	Baseline, 9 weeks
Change in Mental Health as assessed by the Patient Health Questionnaire	Patient Health Questionnaire assesses patient's level of distress and functional impairment. Score ranges from 0-4 depression severity is minimal or none. Score range from 5-9 is mild depression severity. Score range from 10-14 is moderate depression severity. 15-19 range is moderately severe depression. Range 20-27 indicates severe depression.	Baseline, 9 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change in Stress as assessed by Everyday Stressor Index	The Everyday Stressor Index assesses the problems faced on a daily basis by low-income mothers with young children. The instrument has a possible range of 20-80. A higher score indicates a higher level of daily stress.	Baseline, 9 weeks
Change in Emotions as assessed by Difficulties in Emotion Regulation Scale-Short Form	The Difficulties in Emotion Regulation Scale is a self report measure of subjective emotion ability. The measure yields a total score sum as well as scores on six sub-scales. All subscales are scored so that higher values reflect greater difficulty with emotion regulation.	Baseline, 9 weeks

Collaborators and Investigators

• Sponsor: Johns Hopkins University
• Investigators: Principal Investigator: Patty Wilson, PhD, RN, Johns Hopkins University School of Nursing

Study record dates

Study Major Dates

• Study Start (Actual): October 28, 2019
• Primary Completion (Actual): October 23, 2021
• Study Completion (Actual): October 23, 2021

Study Registration Dates

• First Submitted: August 23, 2019
• First Submitted That Met QC Criteria: August 23, 2019
• First Posted (Actual): August 28, 2019

Study Record Updates

• Last Update Posted (Estimated): December 24, 2025
• Last Update Submitted That Met QC Criteria: December 17, 2025
• Last Verified: December 1, 2025

More Information

Terms related to this study

• Keywords: trauma; depression; coping; mindfulness; stress
• Additional Relevant MeSH Terms: Behavioral Symptoms; Behavior; Depression; Wounds and Injuries
• Other Study ID Numbers: IRB00203504

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: Individual participant data will not be shared with other researchers.

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No