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Showing content from https://pubmed.ncbi.nlm.nih.gov/20093899/ below:

An integrated intervention to reduce intimate partner violence in pregnancy: a randomized controlled trial

Randomized Controlled Trial

Affiliations

• ¹ From the Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland; the College of Public Health, University of Nebraska Medical Center, Omaha, Nebraska; and RTI International, Rockville, Maryland.

• PMID: 20093899
• PMCID: PMC2917915
• DOI: 10.1097/AOG.0b013e3181cbd482

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Randomized Controlled Trial

Michele Kiely et al. Obstet Gynecol. 2010 Feb.

• ¹ From the Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland; the College of Public Health, University of Nebraska Medical Center, Omaha, Nebraska; and RTI International, Rockville, Maryland.

• PMID: 20093899
• PMCID: PMC2917915
• DOI: 10.1097/AOG.0b013e3181cbd482

Item in Clipboard

• Obstet Gynecol. 2011 May;117(5):1232. Blake, Susan M [added]

Objective: To estimate the efficacy of a psycho-behavioral intervention in reducing intimate partner violence recurrence during pregnancy and postpartum and in improving birth outcomes in African-American women.

Methods: We conducted a randomized controlled trial for which 1,044 women were recruited. Women were randomly assigned to receive either intervention (n=521) or usual care (n=523). Individually tailored counseling sessions were adapted from evidence-based interventions for intimate partner violence and other risks. Logistic regression was used to model intimate partner violence victimization recurrence and to predict minor, severe, physical, and sexual intimate partner violence.

Results: Women randomly assigned to the intervention group were less likely to have recurrent episodes of intimate partner violence victimization (odds ratio [OR] 0.48, 95% confidence interval [CI] 0.29-0.80). Women with minor intimate partner violence were significantly less likely to experience further episodes during pregnancy (OR 0.48, 95% CI 0.26-0.86, OR 0.53, 95% CI 0.28-0.99) and postpartum (OR 0.56, 95% CI 0.34-0.93). Numbers needed to treat were 17, 12, and 22, respectively, as compared with the usual care group. Women with severe intimate partner violence showed significantly reduced episodes postpartum (OR 0.39, 95% CI 0.18-0.82); the number needed to treat was 27. Women who experienced physical intimate partner violence showed significant reduction at the first follow-up (OR 0.49, 95% CI 0.27-0.91) and postpartum (OR 0.47, 95% CI 0.27-0.82); the numbers needed to treat were 18 and 20, respectively. Women in the intervention group had significantly fewer very preterm neonates (1.5% intervention group, 6.6% usual care group; P=.03) and an increased mean gestational age (38.2+/-3.3 intervention group, 36.9+/-5.9 usual care group; P=.016).

Conclusion: A relatively brief intervention during pregnancy had discernible effects on intimate partner violence and pregnancy outcomes. Screening for intimate partner violence as well as other psychosocial and behavioral risks and incorporating similar interventions in prenatal care is strongly recommended.

Clinical trial registration: ClinicalTrials.gov, www.clinicaltrials.gov, NCT00381823.

Level of evidence: I.

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Profile of Project DC-HOPE Randomized Controlled Trial

Profile of Project DC-HOPE Randomized Controlled Trial

• An integrated randomized intervention to reduce behavioral and psychosocial risks: pregnancy and neonatal outcomes.

  Subramanian S, Katz KS, Rodan M, Gantz MG, El-Khorazaty NM, Johnson A, Joseph J. Subramanian S, et al. Matern Child Health J. 2012 Apr;16(3):545-54. doi: 10.1007/s10995-011-0875-9. Matern Child Health J. 2012. PMID: 21931956 Free PMC article. Clinical Trial.

• Advocacy interventions to reduce or eliminate violence and promote the physical and psychosocial well-being of women who experience intimate partner abuse.

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• An intervention to improve postpartum outcomes in African-American mothers: a randomized controlled trial.

  El-Mohandes AA, Kiely M, Joseph JG, Subramanian S, Johnson AA, Blake SM, Gantz MG, El-Khorazaty MN. El-Mohandes AA, et al. Obstet Gynecol. 2008 Sep;112(3):611-20. doi: 10.1097/AOG.0b013e3181834b10. Obstet Gynecol. 2008. PMID: 18757660 Free PMC article. Clinical Trial.

• Very preterm birth is reduced in women receiving an integrated behavioral intervention: a randomized controlled trial.

  El-Mohandes AA, Kiely M, Gantz MG, El-Khorazaty MN. El-Mohandes AA, et al. Matern Child Health J. 2011 Jan;15(1):19-28. doi: 10.1007/s10995-009-0557-z. Matern Child Health J. 2011. PMID: 20082130 Free PMC article. Clinical Trial.

• Advocacy interventions to reduce or eliminate violence and promote the physical and psychosocial well-being of women who experience intimate partner abuse. Ramsay J, Carter Y, Davidson L, Dunne D, Eldridge S, Feder G, Hegarty K, Rivas C, Taft A, Warburton A. Ramsay J, et al. Cochrane Database Syst Rev. 2009 Jul 8;(3):CD005043. doi: 10.1002/14651858.CD005043.pub2. Cochrane Database Syst Rev. 2009. PMID: 19588364 Updated. Review.

• Screening women for intimate partner violence in healthcare settings.

  O'Doherty L, Hegarty K, Ramsay J, Davidson LL, Feder G, Taft A. O'Doherty L, et al. Cochrane Database Syst Rev. 2015 Jul 22;2015(7):CD007007. doi: 10.1002/14651858.CD007007.pub3. Cochrane Database Syst Rev. 2015. PMID: 26200817 Free PMC article. Review.

• Pregnant mothers' perceptions of how intimate partner violence affects their unborn children.

  Alhusen JL, Wilson D. Alhusen JL, et al. J Obstet Gynecol Neonatal Nurs. 2015 Mar-Apr;44(2):210-7. doi: 10.1111/1552-6909.12542. Epub 2015 Feb 4. J Obstet Gynecol Neonatal Nurs. 2015. PMID: 25651808 Free PMC article.

• Induced abortion, pregnancy loss and intimate partner violence in Tanzania: a population based study.

  Stöckl H, Filippi V, Watts C, Mbwambo JK. Stöckl H, et al. BMC Pregnancy Childbirth. 2012 Mar 5;12:12. doi: 10.1186/1471-2393-12-12. BMC Pregnancy Childbirth. 2012. PMID: 22390254 Free PMC article.

• Sequential screening for psychosocial and behavioural risk during pregnancy in a population of urban African Americans.

  Kiely M, Gantz MG, El-Khorazaty MN, El-Mohandes AA. Kiely M, et al. BJOG. 2013 Oct;120(11):1395-402. doi: 10.1111/1471-0528.12202. Epub 2013 Mar 21. BJOG. 2013. PMID: 23906260 Free PMC article.

• Domestic Violence Enhanced Perinatal Home Visits: The DOVE Randomized Clinical Trial.

  Sharps PW, Bullock LF, Campbell JC, Alhusen JL, Ghazarian SR, Bhandari SS, Schminkey DL. Sharps PW, et al. J Womens Health (Larchmt). 2016 Nov;25(11):1129-1138. doi: 10.1089/jwh.2015.5547. Epub 2016 May 20. J Womens Health (Larchmt). 2016. PMID: 27206047 Free PMC article. Clinical Trial.

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