- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05515094
Strengthening Women's Agency During Pregnancy (SWAP)
December 20, 2022 updated by: International Rescue Committee
Strengthening Women's Agency in Pregnancy (SWAP): Empowerment Counselling Intervention [ECI] for Pregnant Women and Girls Affected by Intimate Partner Violence in a Refugee Camp in Tanzania
This research aims to address the feasibility and acceptability of a brief empowerment counselling intervention (ECI) among pregnant women and girls receiving antenatal care (ANC) who have experienced intimate partner violence (IPV), in humanitarian healthcare settings.
Study Overview
Status
Not yet recruiting
Conditions
Intervention / Treatment
Detailed Description
This research aims to address the feasibility and acceptability of a brief empowerment counseling intervention (ECI) among pregnant women and girls receiving antenatal care (ANC) who have experienced intimate partner violence (IPV), in humanitarian healthcare settings.
This 3- year study will take place in two IRC-managed health posts in a refugee camp in Kigoma, Tanzania.
The objectives of the study are to: 1) Adapt, as needed, for use in the context of ANC in a humanitarian setting, a brief ECI to address women's and girls' exposure to sexual and/or physical IPV during pregnancy, by improving their mental health, self-efficacy, safety, and coping strategies; 2) Test the ECI through a pilot randomized controlled trial, determining whether the intervention is feasible/acceptable and whether it improves women's self-efficacy, reduces mental distress and increases uptake of longer-term IPV services; 3) Test the feasibility of integrating such an intervention into pre-existing ANC service delivery in humanitarian settings and make recommendations for future intervention research and development, including effectively linking routine enquiry of IPV in ANC settings with support service use.
Study Type
Interventional
Enrollment (Anticipated)
150
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 Contact
- Name: Kathryn Falb
- Phone Number: (202) 822-0043
- Email: kathryn.falb@rescue.org
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
13 years and older (Child, Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
Female
Description
Inclusion Criteria:
- Women or girl aged 15 years or older:
- Pregnant (any trimester);
- Attending their 2nd or later ANC visit;
- Have experienced physical and/or sexual and/or severe psychological IPV in the past 12 months;
- Consent to participate.
Exclusion Criteria:
- At their first ANC visit or accompanied by their partner (or anyone else) at the ANC visit;
- Under age 15;
- Unable to provide informed consent/assent;
- Suicidal or at risk of severe violence or of being murdered; and/or
- In a high-risk situation or medically high risk.
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: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Intervention Arm (Empowerment Counseling Intervention)
The Empowerment Counseling Intervention (ECI) entails directly linking women to on-site case managers who will provide first-line support (i.e., a brief psychosocial support session) and a safety and health assessment to women who are attending to receive ANC and disclose violence.
The intervention (e.g., the initial counselling session), adapted from current case management guidelines and the Safe and Sound intervention at health facilities, will be administered directly at the health facility after a woman screens positive for IPV.
In line with a survivor centered approach, as part of the initial session, the survivor participant will be invited back for further counselling sessions as part of the intervention curriculum, in addition to being supported to access other services based on her preferences, such as group psychosocial support.
The intervention manual acts as a guide and support for trained social workers to support the unique needs of each survivor.
|
The intervention entails case managers conducting first-line support (i.e., a brief psychosocial support session), and a safety and health assessment, adapted from current case management content and the Safe and Sound intervention.
|
No Intervention: Standard of Care
Women in the comparison arm will receive the standard of care and be referred to support services at the nearby IRC Women's Protection and Empowerment (WPE) office.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Patient Health Questionnaire - 9
Time Frame: 3 months endline survey, past two week recall period
|
Depressive symptoms will be assessed via the PHQ-9 questionnaire.
The range of scores is 0-27.
A higher score indicates more symptoms.
|
3 months endline survey, past two week recall period
|
General Self-Efficacy Scale
Time Frame: 3 months endline survey, present recall period
|
Adapted measure of the GSE Scale.
Possible score 10-40; higher indicating more self-efficacy.
|
3 months endline survey, present recall period
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Checklist of Safety Behaviors
Time Frame: Through study completion, average length three months;
|
12 item index of safety behaviors; increased number of safety behaviors indicates improvement in safety behaviors
|
Through study completion, average length three months;
|
Uptake of case management services
Time Frame: Through study completion, average length three months;
|
Two items indicating whether a survivor has shared information about violence with others or has sought additional services.
Higher endorsement is better uptake of case management services.
|
Through study completion, average length three months;
|
Intimate Partner violence-
Time Frame: Through study completion, average length three months;
|
Proportion of women indicating they have experienced physical, sexual, and / or psychological IPV using the WHO multi-country study instruments on IPV
|
Through study completion, average length three months;
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Claudia Garcia Moreno, World Health Organization
- Principal Investigator: Mary Ellsberg, George Washington University
- Principal Investigator: Bathsheba Mahenge, International Rescue Committee
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 (Anticipated)
January 15, 2023
Primary Completion (Anticipated)
December 31, 2023
Study Completion (Anticipated)
December 31, 2023
Study Registration Dates
First Submitted
May 15, 2022
First Submitted That Met QC Criteria
August 24, 2022
First Posted (Actual)
August 25, 2022
Study Record Updates
Last Update Posted (Estimate)
December 22, 2022
Last Update Submitted That Met QC Criteria
December 20, 2022
Last Verified
August 1, 2022
More Information
Terms related to this study
Other Study ID Numbers
- DF222
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Undecided
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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