- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04218864
Strength for U in Relationship Empowerment (SURE)
Computerized Intervention for Reducing Intimate Partner Violence for Perinatal Women Seeking Mental Health Treatment
Study Overview
Status
Conditions
Detailed Description
Intimate partner victimization (IPV) is a significant social and public health problem among perinatal women. IPV places a woman at high risk for several psychiatric disorders, which transforms the perinatal period from an already challenging process into a potentially overwhelming one. IPV and untreated mental illness during the perinatal period poses a dual risk of adverse physical and emotional outcomes for women and their developing fetus/infant. Given the high rates of IPV among women who seek mental health treatment, mental health clinics compared to other medical settings (e.g. primary care) are more effective sites for focused case finding and intervention. In addition, the presence of IPV increases the likelihood of disengagement from treatment, which could further compromise the health and safety of women and their fetus/infant. Despite the high-risk profile of women with IPV and mental health illness, there are low screening and intervention rates of female mental health patients with IPV within mental health settings.
The objective of this R01 Award is to fill this critical gap by building upon our promising pilot findings to test whether the innovative intervention, "Strength for U in Relationship Empowerment" (SURE), reduces the frequency of IPV more than an attention, time, and information matched control condition in perinatal women seeking mental health care.
The investigators propose a two-group, randomized controlled trial in which 186 perinatal women with IPV women seeking mental health care who will be assigned to either (a) SURE, a computer-delivered, single-session brief intervention plus one interventionist-led phone booster that is consistent with motivational interviewing and informed by the literature on effective interventions for our target population and targeted risk factors, or (b) a computer-delivered control + one interventionist-led phone booster condition. Computer-delivered follow-up assessments will occur at 6 weeks, 3 months, 6 months, and 12 months after the baseline assessment.
Anticipated 25% of planned enrollment recruited by 5/14/2021. Anticipated 50% of planned enrollment recruited by 2/15/2022. Anticipated 75% of planned enrollment recruited by 8/15/2022. Anticipated 100% of planned enrollment recruited by 2/13/2023. Anticipated completion of primary endpoints data analyses by 6/28/2024. Anticipated reporting of results in ClinicalTrials.gov by 6/30/2024.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Tasneem Tweel, MPH
- Phone Number: 734-998-0333
- Email: tasneemt@med.umich.edu
Study Contact Backup
- Name: Caron Zlotnick, PhD
- Phone Number: 4014743332
- Email: czlotnick@butler.org
Study Locations
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Rhode Island
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Providence, Rhode Island, United States, 02905
- Women and Infants Hospital of Rhode Island
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Pregnant women
- Women who have had a baby in the last 12 months
- Between the ages of 18-45 years old
- Have reported partner abuse within the last year as measured by the Woman Abuse Screening Tool (WAST)
- Have sought mental health treatment
Exclusion Criteria:
- Cannot provide informed consent
- Unable to understand English
- No access to the internet or a device with internet access
- Discomfort with internet use
- No privacy to view a 40-minute online intervention
- Screen positive for risk of intimate partner violence that involves severe injury or homicide
- Screen positive for risk of spyware/stalkerware
- At one of the two research site, study recruit is unwilling to meet for in-person study visits (if criteria 3-8 are met)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Strength for U in Relationship Empowerment (SURE)
Theory-driven and derived from empirical support
|
A brief computer-based intervention (one session plus one booster session) based on motivational interviewing.
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Active Comparator: Attention, time, and information matched control
Well-validated
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A brief computer based intervention (one session plus booster session) that involves viewing of popular television shows
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Composite Abuse Scale (CAS)
Time Frame: Baseline, 6 week follow up through 12 months follow up.
|
The frequency of IPV will be measured using the Composite Abuse Scale (CAS).
The CAS is a 30-item scale with 4 subscales that measure severe combined abuse, emotional abuse, physical abuse, and harassment.
Items are scored between 0 and 5, with Never=0 and Daily=5.
Scale range is from 0-150.
The lower the score, the better or less victimization.
Mean score will be used to calculate differences between baseline and follow-up and between groups.
|
Baseline, 6 week follow up through 12 months follow up.
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The Positive Affect and Well-being Scale (PAW)
Time Frame: Baseline, 6 week follow up through 12 months follow up.
|
Positive affect and well-begin will be measured by using the National Institutes of Health (NIH) Quality of Life in Neurological Disorders (Neuro-QoL) scale for Positive Affect and Well-being (PAW), a computerized adaptive test 9-item scale.
This scale is scored between 1 and 5, with Never=1 and Always=5.
Scale range is from 9-45.
Higher scores indicate higher positive affect, life satisfaction, or an overall sense of purpose and meaning.
Mean score will be used to calculate differences between baseline and follow-up and between groups.
|
Baseline, 6 week follow up through 12 months follow up.
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PROMIS Emotional Support
Time Frame: Baseline, 6 week follow up through 12 months follow up.
|
Perceived emotional support will be measured using a 4-item scale developed by the Patient-Reported Outcomes Measurement Information System (PROMIS).
PROMIS is a National Institutes of Health (NIH) Roadmap initiative that provides precise, reliable, valid, and standardized questionnaires measuring patient-reported outcomes across the domains of physical, mental, and social health.
The PROMIS Emotional Support item bank specifically aims to measure perceived feelings of being cared for and valued as a person.
This scale is scored between 1 and 5, with Never=1 and Always=5.
Scale range is from 4-16.
A higher PROMIS score represents increased emotional support.
Mean score will be used to calculate differences between baseline and follow-up and between groups.
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Baseline, 6 week follow up through 12 months follow up.
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Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Personal Progress Scale-Revised (PPS-R)
Time Frame: Baseline, 6 week follow up through 12 months follow up.
|
Empowerment will be measured using the Personal Progress Scale-Revised (PPS-R) for measuring skills, social supports, and resources to cope more effectively with relationship stress and trauma.
The PPS-R is a 28-item scale scored between 1 and 7, with 1=Almost Never and 7=Almost Always.
Scale range is from 28-196.
Higher scores indicating higher empowerment.
Mean score will be used to calculate differences between baseline and follow-up and between groups.
|
Baseline, 6 week follow up through 12 months follow up.
|
Self-efficacy
Time Frame: Baseline, 6 week follow up through 12 months follow up.
|
Self-efficacy will be measured using the General Self-Efficacy Scale (GSE), a 10-item self-report measure.
It measures personal competence to deal effectively with a variety of stressful situations.
The GSE is scored from 10-40, with 1=Not at all true and 4=Exactly true.
A higher score indicates more self-efficacy.
Mean score will be used to calculate differences between baseline and follow-up and between groups.
|
Baseline, 6 week follow up through 12 months follow up.
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Caron Zlotnick, PhD, Women and Infants Hospital
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- 166275
- 1R01HD094801-01A1 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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