About this trial
This is a two-armed, fully powered hybrid type 1 trial to test the effectiveness of a doula intervention compared with an active control in reducing intimate partner violence (IPV) among perinatal IPV survivors
Eligibility criteria
This trial accepts healthy volunteersQualifiers
1) feel comfortable completing the study in Spanish or English
2) are age 18 or older
3) are no more than 24 weeks 6 days gestation (note: participants enrolled earliest at 18 weeks, baseline at 22 weeks with a 3 week window)
4) identify as an IPV survivor by answering affirmatively to a definition of experiencing IPV
Disqualifiers
Unable to consent
Do not meet inclusion criteria
Cannot provide safe contact information or take a study cell phone
Incarcerated
Trial design
Parallel
Treatments tested in this trial
Doulas
BehavioralThe intervention will be pairing intimate partner violence survivors with a trained doula
Thrive
BehavioralThe active control arm will include pairing intimate partner violence survivors with IPV advocates
Treatment groups
Trial outcomes
Primary outcomes
Perinatal physical, sexual, or emotional abuse (past 3 months)
15 item Composite Abuse Scale Short form, scale is 0 to 5 and 15 items are added for a summary score, higher number means more IPV
Substance use coercion (past 3 month)
5 item measure answer choices and yes/no
Mental health coercion (past 3 month)
5 item mental health coercion survey with yes and no answer choices
Economic Abuse (past 3 month)
12 item Revised Scale of Economic Abuse (answer choices yes or no), more yes responses means more experiences of economic abuse
Secondary outcomes
Substance use
4 item validated measure to assess substance use during pregnancy
Tobacco use
Type, frequency, use currently and before pregnancy (4 items)
Depressive symptoms
10 item Edinburgh Postnatal Depression Scale; α=0.87, summary scale and mean, higher score means more depression. Scale ranges from 0 to 30
Anxiety
7 item validated GAD-7, scores Likert 0 to 3, added up for summary scale, higher score means more anxiety. Scale ranges from 0 to 21
Other outcomes
Resource utilization
21 items; investigator developed examining utilization of local and national community-based resources; answer choices are yes and no
Safety related empowerment
13 item Measures of Victim Empowerment Related to Safety survey; α=0.87, answer choices 0 to 4, summary score created, higher score means more empowerment
Trust of healthcare, doula and IPV advocate
3 item investigator developed, answer choices 0 to 4. Each item analyzed separately (doula, IPV advocate, and physician)
Social support
12 item Multidimensional Scale of Perceived Social Support; α=0.93. Likert scale 1 to 7, summary score created, higher score means more feelings of social support
Sponsors and contacts
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University of Pittsburgh
Lead sponsor
National Institute of Nursing Research (NINR)
Collaborator