MOSAIC (MOthers' AdvocateS In the Community) for pregnant women and mothers of children under 5 with experience of intimate partner violence: A pilot randomized trial study protocol.
MOSAIC (MOthers' AdvocateS In the Community) for pregnant women and mothers of children under 5 with experience of intimate partner violence: A pilot randomized trial study protocol.
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DOI：
10.1371/journal.pone.0267679
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发表时间：
2022
期刊：
影响因子：
3.7
通讯作者：
中科院分区：
文献类型：
--
作者：
怀孕和生育增加了长期遭受身体、心理和性亲密伴侣暴力的风险。经历过IPV的孕妇和5岁以下儿童的母亲表现出不良的身心健康和产科结果。抑郁症和创伤后应激障碍（PTSD）是IPV最常见的两种心理健康后果。有充分的证据表明，具有良好社会支持的女性具有更好的心理健康和IPV结果。这项研究将为孕妇和有5岁以下子女的母亲制定社区母亲倡导者附加干预措施。MOSAIC使用受过训练的指导母亲，并已发现减少随后的IPV。这项研究将把最初的MOSAIC干预与人际心理治疗（IPT）的原则相结合，以解决抑郁症、PTSD的症状，并预防随后的IPV风险。我们将进行一项试点随机试验，将MOSAIC Plus干预措施与传统的MOSAIC干预措施进行比较，以确定其可行性和可接受性。研究样本包括焦点小组（n = 36），开放试验（n = 15），和一个随机试点试验，包括40名孕妇和母亲与5岁以下的儿童谁报告当前/最近的IPV和产妇抑郁症和/或创伤后应激障碍的症状升高。这项研究的主要结果将是母亲抑郁和创伤后应激障碍症状的变化。次要结果将包括减少随后的IPV，改善功能，改变社会支持和获得资源的有效性。这是一项形成性研究，旨在评估指导母亲干预孕妇和5岁以下儿童的母亲的可行性和可接受性。这项研究的有希望的结果将用于一个更大的，完全动力的随机试验，评估指导母亲干预在预防随后的IPV和减少抑郁和PTSD症状的有效性。
Pregnancy and motherhood increase the risk for long-term exposure to physical, psychological and sexual intimate partner violence (IPV; sexual or physical violence by current or former partners). Pregnant women and mothers with children under 5 who have experienced IPV exhibit poor physical and mental health and obstetric outcomes. Depression and posttraumatic stress disorder (PTSD) are the two most common mental health consequences of IPV. There is good evidence that women with good social support have better mental health and IPV outcomes. This study will develop MOthers’ AdvocateS In the Community (MOSAIC) Plus intervention for pregnant women and mothers with children under the age of 5. MOSAIC uses trained mentor mothers and has been found to reduce subsequent IPV. This study will blend the original MOSAIC intervention with principles of interpersonal psychotherapy (IPT) to address symptoms of depression, PTSD, and prevent subsequent risk of IPV. We will conduct a pilot randomized trial of the MOSAIC Plus intervention compared to the traditional MOSAIC intervention to determine its feasibility and acceptability. Study samples include focus groups (n = 36), open trial (n = 15), and a randomized pilot trial including 40 pregnant women and mothers with children under 5 who report current/recent of IPV and elevated symptoms of maternal depression and/or PTSD. The study’s primary outcome will be changes in maternal depressive and PTSD symptoms. Secondary outcomes will include reduction in subsequent IPV, improvement in functioning, changes in social support and effectiveness in obtaining resources. This is a formative study evaluating the feasibility and acceptability of a mentor mother intervention for pregnant women and mothers with children under 5. Promising results of this study will be used for a larger, fully-powered randomized trial evaluating the effectiveness of a mentor mother intervention in preventing subsequent IPV and reducing depressive and PTSD symptoms in this population.
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