Scaling up Trauma-Informed Outreach With People Affected by Violence - CLOE Intervention

Scaling up Trauma-Informed Outreach With People Affected by Violence

This mixed methods, community-based study examines the implementation and outcomes of the Community-Led Outreach and Engagement Model (CLOE) for women and youth affected by violence. Outreach services are designed to mitigate the effects of gender-based violence, build trusting relationships with service providers, and improve safety, well-being and engagement with health and social care. Over a 2-year implementation period, we will test how outreach, combined with enhanced service integration, supports participants to identify priority needs and can bridge the gap in accessible and appropriate service with people affected by violence.

Study Overview

• Status: Enrolling by invitation
• Conditions: Gender-based Violence; Outreach Intervention
• Intervention / Treatment: Other: CLOE Outreach Intervention

Detailed Description

Using community-based participatory research approaches, we implement and test an empirically driven model of outreach with people affected by violence to determine the effectiveness of the model for participants' trust in service providers, safety, and access to appropriate health and social care. The study represents a community-academic partnership between the PI, co-applicants and the Central Okanagan Elizabeth Fry Society (COEFS) and the Welcome Centre Shelter for Women and Families.

There are 4 primary research questions:

1. How effective is the intervention to achieve participant trust in the outreach service program?
2. How effective is the outreach intervention in facilitating participant connection to (a) health services; (b) social services; and (c) legal services?
3. How effective is the outreach intervention in achieving participant safety plans for (a) material, (b) psychological and (c) physical safety?
4. What are the environmental factors that enable or confound the success of the outreach intervention to achieve effectiveness for (a) trust, (b) service connections and (c) safety?

Research Method:

This study is part of a broader program of research utilizing a case-based, intervention study design that employs mixed methods of both quantitative and qualitative data. The outreach intervention consists of 1-1 outreach service provided by trained outreach interventionists to enrolled and consented participants.

Participants will be assigned an outreach interventionist for a one year period. During this time, interventionists and participants will complete a strengths-based assessment to identify participants' current resources and the types of health and social support (e.g., housing, legal, health care access, financial assistance) required. The interventionist and participant will then co-develop a plan to prioritize needs and work collaboratively to address these needs. Plans and progress will be documented by the interventionist in a participant file. Surveys will be conducted at baseline and 4 month intervals by a trained research assistant to measure changes over time in core outcome measures associated with this study (e.g., trust, safety planning, attainment of priority needs). 1-1 qualitative interviews will be conducted at time point 12 months to enable richer understanding of the factors influencing intervention effectiveness.

• Study Type: Interventional
• Enrollment (Estimated): 400
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Canada
  • British Columbia
    • Vancouver, British Columbia, Canada, V6T 2B5
      • University of British Columbia

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• have been referred to community partner organization for services
• able to communicate in English
• age 12-18 (gender inclusive)
• 19 years or older (self-identifying women)

Exclusion Criteria:

• Self-identifying men 19 years or older who experience violence will be excluded as the study aims to address gender-based violence with self-identifying women and youth (as per the funded SSHRC grant objectives). Community partner organizations will enable referral for any men to appropriate services.
• People who do not have a referral for service delivery within the two community partner organizations.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Other
• 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: CLOE Outreach Intervention; Participants enrolled in CLOE intervention

Other: CLOE Outreach Intervention; The CLOE outreach intervention is a community-led, strengths-based, and trauma-informed program to support self-identifying women and youth who experience interpersonal and structural gender-based violence. Outreach services are designed to mitigate the effects of gender-based violence, build trusting relationships with service providers, and improve safety, well-being and engagement with health and social care.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Change in trust from baseline to 4 months	Change in trust achieved by the program with participants, measured using participants' self-rated trust in program rated from 1 to 5, with higher scores indicating higher trust and comparing baseline to 4 months post-baseline	Baseline & 4 months
Change in trust from baseline to 8 months	Change in trust achieved by the program with participants, measured using participants' self-rated trust in program rated from 1 to 5, with higher scores indicating higher trust and comparing baseline to 8 months post-baseline	Baseline & 8 months
Change in trust from baseline to 12 months	Change in trust achieved by the program with participants, measured using participants' self-rated trust in program rated from 1 to 5, with higher scores indicating higher trust and comparing baseline to 12 months post-baseline	Baseline & 12 months
Safety in home setting at baseline	Self-reported safety in current home setting using a rating of 1 to 5 with higher scores being higher safety	Baseline
Safety in home setting at 4 months	Self-reported safety in current home setting using a rating of 1 to 5 with higher scores being higher safety	4 months post-baseline
Safety in home setting at 8 months	Self-reported safety in current home setting using a rating of 1 to 5 with higher scores being higher safety	8 months post-baseline
Safety in home setting at 12 months	Self-reported safety in current home setting using a rating of 1 to 5 with higher scores being higher safety	12 months post-baseline
Safety in community setting at baseline	Self-reported safety in community using a rating of 1 to 5 with higher scores being higher safety	Baseline
Safety in community setting at 4 months	Self-reported safety in community using a rating of 1 to 5 with higher scores being higher safety	4 months post-baseline
Safety in community setting at 8 months	Self-reported safety in community using a rating of 1 to 5 with higher scores being higher safety	8 months post-baseline
Safety in community setting at 12 months	Self-reported safety in community using a rating of 1 to 5 with higher scores being higher safety	12 months post-baseline
Safety in health care encounters at baseline	Self-reported safety in clinical and health care encounters using a rating of 1 to 5 with higher scores being higher safety	Baseline
Safety in health care encounters at 4 months	Self-reported safety in clinical and health care encounters using a rating of 1 to 5 with higher scores being higher safety	4 months post-baseline
Safety in health care encounters at 8 months	Self-reported safety in clinical and health care encounters using a rating of 1 to 5 with higher scores being higher safety	8 months post-baseline
Safety in health care encounters at 12 months	Self-reported safety in clinical and health care encounters using a rating of 1 to 5 with higher scores being higher safety	12 months post-baseline
Safety in socio-legal service encounters at baseline	Self-reported safety in socio-legal service encounters using a rating of 1 to 5 with higher scores being higher safety	Baseline
Safety in socio-legal service encounters at 4 months	Self-reported safety in socio-legal service encounters using a rating of 1 to 5 with higher scores being higher safety	4 months post-baseline
Safety in socio-legal service encounters at 8 months	Self-reported safety in socio-legal service encounters using a rating of 1 to 5 with higher scores being higher safety	8 months post-baseline
Safety in socio-legal service encounters at 12 months	Self-reported safety in socio-legal service encounters using a rating of 1 to 5 with higher scores being higher safety	12 months post-baseline

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Program facilitates connection to services from baseline to 4 months	Connection to services facilitated by outreach intervention, measured using participants' self-assessment of services needed and ability to connect (yes/no)	Baseline & 4 months
Program facilitates connection to services from baseline to 8 months	Connection to services facilitated by outreach intervention, measured using participants' self-assessment of services needed and ability to connect (yes/no)	Baseline & 8 months
Program facilitates connection to services from baseline to 12 months	Connection to services facilitated by outreach intervention, measured using participants' self-assessment of services needed and ability to connect (yes/no)	Baseline & 12 months

Collaborators and Investigators

• Sponsor: University of British Columbia
• Collaborators: Dalhousie University; Social Sciences and Humanities Research Council of Canada; University of Windsor; Michael Smith Health Research BC
• Investigators: Principal Investigator: Victoria Bungay, PhD, University of British Columbia

Study record dates

Study Major Dates

• Study Start (Estimated): November 21, 2023
• Primary Completion (Estimated): September 1, 2026
• Study Completion (Estimated): September 1, 2026

Study Registration Dates

• First Submitted: November 16, 2023
• First Submitted That Met QC Criteria: November 16, 2023
• First Posted (Estimated): November 22, 2023

Study Record Updates

• Last Update Posted (Estimated): November 22, 2023
• Last Update Submitted That Met QC Criteria: November 16, 2023
• Last Verified: November 1, 2023

More Information

Terms related to this study

• Keywords: Gender-based Violence; Trauma-informed; Outreach Intervention
• Other Study ID Numbers: H23-02810

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