Evaluating a health care provider delivered intervention to reduce intimate partner violence and mitigate associated health risks: study protocol for a randomized controlled trial in Mexico City.
Evaluating a health care provider delivered intervention to reduce intimate partner violence and mitigate associated health risks: study protocol for a randomized controlled trial in Mexico City.
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DOI：
10.1186/1471-2458-14-772
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发表时间：
2014-07-30
影响因子：
4.5
通讯作者：
Gupta J
中科院分区：
文献类型：
--
作者：
Falb KL;Diaz-Olavarrieta C;Campos PA;Valades J;Cardenas R;Carino G;Gupta J
亲密伴侣暴力（IPV）受害是墨西哥城女性中的一个普遍问题。需要在临床环境中提供全面、综合的医疗保健提供者 (HCP) 项目，但在包括墨西哥在内的拉丁美洲，很少有项目得到评估。此外，对于在产前保健诊所以外的场所就诊的低收入妇女的干预措施也很少关注。目前的随机对照试验旨在提高中层 HCP 的能力，特别是护士（他们通常是这种情况下的第一联系人）的能力，以识别在健康诊所就诊的有 IPV 经历的女性，并帮助这些女性减轻健康风险。具体结果包括去年 IPV（身体和/或性）、生殖胁迫、安全规划、社区资源的使用和生活质量的变化。墨西哥城的 42 个公共卫生诊所被随机分配到治疗诊所或对照诊所。治疗组中符合资格标准的护士接受了有关 IPV 筛查、提供支持性转诊以及健康和安全风险评估的强化培训。对照诊所符合资格标准的护士接受了标准护理，其中包括为期一天的培训，重点是让工作人员了解 IPV 作为一个健康问题，并向妇女提供转诊卡。研究助理在卫生诊所候诊室的私人区域对女性进行资格筛查（目前在异性关系中遭受虐待、年龄在 18-44 岁、未怀孕或处于妊娠早期）。同意的女性完成了基线调查并收到了该诊所的研究方案。在治疗诊所中，女性在基线时接受护士提供的课程，并在三个月后接受后续咨询课程。调查在基线、基线后三个月和十五个月进行。这项研究将为了解护士提供的计划是否可以帮助目前在拉丁美洲遭受虐待的妇女提供重要见解。研究结果可用于为墨西哥城公共卫生诊所的 IPV 计划和政策提供信息。 NCT01661504
Intimate partner violence (IPV) victimization is a prevalent issue among women residing in Mexico City. Comprehensive and integrated health care provider (HCP) delivered programs in clinic-settings are needed, yet few have been evaluated in Latin America, including Mexico. In addition, there has been minimal attention to interventions among lower income women presenting at settings outside of antenatal care clinics. The current randomized controlled trial seeks to increase midlevel HCPs’ capacity, specifically nurses, who are often the first point of contact in this setting, to identify women presenting at health clinics with experiences of IPV and to assist these women with health risk mitigation. Specific outcomes include changes in past-year IPV (physical and/or sexual), reproductive coercion, safety planning, use of community resources, and quality of life. Forty-two public health clinics in Mexico City were randomized to treatment or control clinics. Nurses meeting eligibility criteria in treatment groups received an intensive training on screening for IPV, providing supportive referrals, and assessing for health and safety risks. Nurses meeting eligibility criteria at control clinics received the standard of care which included a one-day training focused on sensitizing staff to IPV as a health issue and referral cards to give to women. Women were screened for eligibility (currently experiencing abuse in a heterosexual relationship, 18-44 years of age, non-pregnant or in first trimester) by research assistants in private areas of waiting rooms in health clinics. Consenting women completed a baseline survey and received the study protocol for that clinic. In treatment clinics, women received the nurse delivered session at baseline and received a follow-up counseling session after three months. Surveys are conducted at baseline, three months, and fifteen months from baseline. This study will provide important insight into whether a nurse-delivered program can assist women currently experiencing abuse in a Latin American context. Findings can be used to inform IPV programs and policies in Mexico City’s public health clinics. NCT01661504
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影响因子：
168.9
作者：
Hegarty, Kelsey;O'Doherty, Lorna;Gunn, Jane
通讯作者：
Gunn, Jane
影响因子：
7.2
作者：
Kiely, Michele;El-Mohandes, Ayman A. E.;Gantz, Marie G.
通讯作者：
Gantz, Marie G.
影响因子：
168.9
作者：
Ellsberg, Mary;Jansen, Henrica A. F. M.;Garcia-Moreno, Claudia
通讯作者：
Garcia-Moreno, Claudia
影响因子：
120.7
作者：
MacMillan, Harriet L.;Wathen, C. Nadine;McNutt, Louise-Anne
通讯作者：
McNutt, Louise-Anne
DOI：
10.1111/j.1552-6909.1998.tb02641.x
发表时间：
1998-11-01
期刊：
Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
影响因子：
--
作者：
Landenburger, K M
通讯作者：
Landenburger, K M