- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06071299
Impact of Family-Centered Care for Intimate Partner Violence (IPV)
January 22, 2024 updated by: Yale University
The purpose of the study will be to determine how participation in Family-Centered Care (FCC) compared to Child-centered care (CCC) will affect caregiver engagement in IPV-based community services, caregiver perceptions of empowerment and survivor-defined practice, and clinical outcomes for children exposed to IPV.
Study Overview
Status
Recruiting
Conditions
Intervention / Treatment
Detailed Description
The study population includes victims of intimate partner violence whose children < 3-years old have been referred to Child Protective Services due to exposure to IPV and who have agreed to a medical evaluation for the child(ren) in the child advocacy center or the SCAN clinic and don't already have a connection to an IPV advocate.
The study population will include adults who are primarily English or Spanish Language preferring.
For professionals, the target audience will be local CPS investigators in the New Haven and Hartford CPS office, IPV advocates at the New Haven Umbrella Center for Intimate Partner Violence Services and The Hartford Interval House and child abuse pediatricians at Yale University School of Medicine and at the Connecticut Childrens Medical Center.
Study Type
Interventional
Enrollment (Estimated)
335
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: Gunjan Tiyyagura, MD, MHS
- Phone Number: 203-464-6343
- Email: gunjan.kamdar@yale.edu
Study Locations
-
-
Connecticut
-
Hartford, Connecticut, United States, 06106
- Not yet recruiting
- SCAN Clinic
-
New Haven, Connecticut, United States, 06520
- Recruiting
- The South Central Child Advocacy Center
-
-
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
- Child
Accepts Healthy Volunteers
No
Description
Inclusion Criteria:
- Have a child < 3-years-old who been reported to Child Protectives Services for IPV exposure
- Parent > 18 years old who has agreed to a medical evaluation for the child at the child advocacy center
- Does not already have a connection to an IPV advocate
- Able to speak English or Spanish fluently
- Not a ward of department of children and families
Exclusion Criteria:
- Ward of the state
- Language preference other than 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: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: FCC model
Participants will receive family-focused care.
|
Children evaluated for abusive injuries.
Caregiver offered meeting with IPV advocate during visit (survivor-centered care, immediate access to services; continued engagement with advocate for ongoing needs).
Referral to Child-Study center for trauma follow up.
Connection to pediatrician.
Use of motivational interviewing to address IPV.
|
Active Comparator: CCC model
Participants will receive the usual child-focused care.
|
Children evaluated for abusive injuries.
Medical provider offers IPV resources to caregiver.
Referral to Child-Study center for trauma follow up.
Connection to pediatrician.
Use of motivational interviewing to address IPV.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Percentage of caregivers with follow-up visits with an IPV advocate
Time Frame: up to 3 months post visit 1
|
Percentage of caregivers who have at least one follow-up visit with an IPV advocate by 3 months after the initial visit by self-report.
|
up to 3 months post visit 1
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Percentage of evaluated children who complete a skeletal survey
Time Frame: up to 4 weeks post visit 1
|
Percentage of evaluated children <1 yr who complete a skeletal survey up to 4 weeks after the initial visit.
|
up to 4 weeks post visit 1
|
Perceptions of survivor-defined practice using the Survivor Defined Practice Scale (SDPS)
Time Frame: up to 4 weeks post visit 1
|
The SDPS is a nine-item measure that assesses intimate partner violence survivors' perception of the degree to which their advocates help them achieve goals they set for themselves, facilitate a spirit of partnership, and show sensitivity to their individual needs and styles.
Items are scored on a scale of 1-4 (strongly disagree to strongly agree).
Total score range of 9-36.
Higher scores indicate a better perception of advocates help.
|
up to 4 weeks post visit 1
|
Perceptions of safety-related empowerment using the Measure of Victim Empowerment Related to Safety (MOVERS) scale.
Time Frame: up to 4 weeks post visit 1
|
MOVERS is a 13-item scale that measures survivor empowerment within the domain of safety.
MOVERS is composed of three subscales that assess distinct domains of safety related empowerment: Internal Tools, Expectation of Support, and Trade-offs.
Participants respond to each item using a five-point Likert scale (from "never true" to "always true") with the Trade-offs subscale being reversed scored.
Scores on each subscale are summed to produce total scores.
Higher scores indicate an increase in safety related empowerment.
|
up to 4 weeks post visit 1
|
Immunization status determined by the number of participants that received all recommended vaccinations
Time Frame: up to 1 year post visit 1, until child is 2 years of age
|
Immunization status determined by the number of participants that received all recommended vaccinations at well-child visits by age 2
|
up to 1 year post visit 1, until child is 2 years of age
|
Number of instances of medical neglect
Time Frame: up to 1 year post visit 1, until child is 2 years of age
|
Number of instances of medical neglect will be assessed using a single question: "Please tell me how many times in the last year this has happened to you in trying to care for your child.
How many times were you not able to make sure infant got to the doctor or hospital when he/she needed it?"
|
up to 1 year post visit 1, until child is 2 years of age
|
Frequency of IPV-related episodes assessed using the Psychological Maltreatment of Women Inventory (PMWI)- Short form
Time Frame: up to 1 year post visit 1, until child is 2 years of age
|
The PMWI is a 14 item questionnaire that assesses psychological maltreatment.
Response options on a 5-point Likert scale, ranging from never (1) to very often (5), for the last 6 months.
Total score range from 14-70 with higher scores indicating more psychologically abusive experiences.
|
up to 1 year post visit 1, until child is 2 years of age
|
Frequency of IPV-related episodes assessed using the Conflict Tactic Scale 2 (CTS2) for partner's behaviors
Time Frame: up to 1 year post visit 1, until child is 2 years of age
|
The physical assault portion of the CTS2 is a 12 item questionnaire assessing chronicity and prevalence of IPV.
Each item is scored on an 7-point Likert scale, ranging from 0 (never) to 6 (>20 times).
Only items referring to the partner's behaviors will be included.
Total scores range from 0-300 (for chronicity) and 0-12 (for prevalence) with higher scores denoting increased frequency of intimate partner violence.
|
up to 1 year post visit 1, until child is 2 years of age
|
Number of reports to Child Protective Services (CPS) for IPV
Time Frame: up to 1 year post visit 1
|
Number of reports called in to Child Protective Services (CPS) for IPV that identified child as a victim within one year of visit.
|
up to 1 year post visit 1
|
Providers acceptability of the FCC model of care
Time Frame: from 3 months post visit 1, up to 1 year
|
Acceptability of the FCC model of care by providers will be assessed using the 4- question Acceptability of Intervention Measure (AIM) to assess approval and general liking of the Family-centered care model.
Each question is scored on a 5-point Likert scale with a total score range of 4-20.
Higher scores indicate more acceptability.
|
from 3 months post visit 1, up to 1 year
|
Providers feasibility of the FCC model of care
Time Frame: from 3 months post visit 1, up to 1 year
|
Feasibility of the FCC model of care by providers will be assessed using the 4-question Feasibility of Intervention Measure (FIM) to assess perceptions of practicability and ease of use of family-centered care.
Each question is scored on a 5-point Likert scale with a total score range of 4-20.
Higher scores indicate more acceptability.
|
from 3 months post visit 1, up to 1 year
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Gunjan Tiyyagura, MD, MHS, Yale University
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 (Actual)
January 10, 2024
Primary Completion (Estimated)
February 1, 2027
Study Completion (Estimated)
November 1, 2027
Study Registration Dates
First Submitted
September 29, 2023
First Submitted That Met QC Criteria
September 29, 2023
First Posted (Actual)
October 6, 2023
Study Record Updates
Last Update Posted (Actual)
January 23, 2024
Last Update Submitted That Met QC Criteria
January 22, 2024
Last Verified
January 1, 2024
More Information
Terms related to this study
Other Study ID Numbers
- 2000035185
- 1K23HD107178-01A1 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
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.
Clinical Trials on Intimate Partner Violence
-
Johns Hopkins UniversityEunice Kennedy Shriver National Institute of Child Health and Human Development...CompletedDomestic Violence | Intimate Partner ViolenceUnited States
-
NMP Medical Research InstituteWarwick Research Services; Arsha Vidya Study Centre, Tamilnadu, IndiaCompletedDomestic Violence | Intimate Partner ViolenceIndia
-
Johns Hopkins UniversityUniversity of Missouri-Columbia; Centers for Disease Control and PreventionCompletedIntimate Partner ViolenceUnited States
-
Johns Hopkins UniversityEunice Kennedy Shriver National Institute of Child Health and Human Development... and other collaboratorsCompletedIntimate Partner ViolenceUnited States
-
Northeastern UniversityRhode Island HospitalCompleted
-
Columbia UniversityNational Institute on Drug Abuse (NIDA)Completed
-
Joanne KlevensUniversity of Michigan; The Community Health and Social Services Center, Inc.Completed
-
University of UtahCompletedDomestic Violence | Intimate Partner ViolenceUnited States
-
Karolinska InstitutetRegion Stockholm; Jane and Dan Olsson Foundation for Scientific PurposesCompletedDomestic Violence | Family Violence | Intimate-partner ViolenceSweden
-
Jimma UniversityWachemo UniversityRecruitingIntimate Partner ViolenceEthiopia
Clinical Trials on FCC
-
Ann & Robert H Lurie Children's Hospital of ChicagoCompletedStress | Complications | Breastfeeding | Bottle Feeding | Family RelationshipUnited States
-
Mersin UniversityCompleted
-
Kessler FoundationRecruitingStroke | Spatial NeglectUnited States
-
University of GiessenUniversity of UlmRecruitingFamily Centered CareGermany
-
University of MichiganCompleted