MOthers' AdvocateS In the Community for Mothers with Experience of intimate partner violence

社区中的母亲倡导者为有亲密伴侣暴力经历的母亲提供帮助

• 批准号: 10285663
• 负责人: Maji Hailemariam DEBENA
• 金额: $ 25.41万
• 依托单位: MICHIGAN STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-01 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10285663
• 关键词: Address; Advocacy; Advocate; Affect; Age; Australia; Child; Chronic; Communication; Communities; Confidence Intervals; Development; Discipline of obstetrics; Educational Intervention; Effectiveness; Elements; Enrollment; Evidence based intervention; Exhibits; Exposure to; Family Nursing; Focus Groups; Future; Health; Health Benefit; Human Rights; Intervention; Intervention Studies; Manuals; Measures; Medical center; Mental Depression; Mental Health; Mentors; Methods; Morbidity - disease rate; Mothers; National Institute of Mental Health; Outcome; Perinatal; Personal Satisfaction; Pilot Projects; Post-Traumatic Stress Disorders; Pregnancy; Pregnant Women; Procedures; Provider; Public Health; Randomized Controlled Trials; Reporting; Research Design; Research Proposals; Resources; Risk; Sampling; Self Care; Self-Injurious Behavior; Social support; Support System; Symptoms; Testing; Training Programs; United States; Violence; Woman; Women' s Group; Work; acceptability and feasibility; depressive symptoms; design; effectiveness evaluation; experience; health service use; improved; interpersonal therapy; intimate partner violence; maternal depression; motherhood; obstetric outcomes; perinatal period; physical conditioning; prevent; psychologic; randomized trial; recruit; reduce symptoms; reproductive; sexual violence; skills; treatment as usual; violence against women

In the United States, as many as 5 million women report experience of intimate partner violence (IPV; referring to sexual or physical violence by current or former partners) annually. Depression and posttraumatic stress disorder (PTSD) are the two most common mental health consequences of IPV. Developing depressive and PTSD symptoms after experiencing IPV also increases future risks of IPV. Motherhood and pregnancy increase the risk for prolonged exposure to physical, psychological and sexual IPV. With as many as 4% to 8% of pregnant women reporting IPV during pregnancy, IPV can start or worsen during the perinatal period. Pregnant women and mothers with children under 5 who experienced IPV exhibit poor physical health, mental health and obstetric outcomes; leading to increased utilization of health services; even after the IPV ends. There is only one intervention (Mother ADvocateS In the Community; MOSAIC) that effectively reduces IPV among Pregnant women and mothers with children under 5 with experience of IPV; it forms the basis of this proposal. The MOSAIC intervention uses non-professional mentor support provided by mothers in the community to reduce IPV. It combines elements of social support, advocacy and mentoring. MOSAIC has been found to be effective for reducing IPV in a previous large randomized trial. However, no existing intervention addresses both IPV and the depressive and PTSD symptoms that often follow IPV, are associated with suffering and morbidity, and potentiate future IPV risk among pregnant women and mothers with children under 5 or any group of women. Thus, there is a need for an integrated intervention that addresses depressive and PTSD symptoms while reducing subsequent IPV. The proposed project aims to create a MOSAIC Plus intervention by expanding the original MOSAIC intervention to include elements of interpersonal psychotherapy (IPT) to enhance mental health outcomes. The project will develop a mentoring intervention and explore its feasibility, acceptability, and potential engagement of target mechanisms for reducing depressive and PTSD symptoms and reducing subsequent risk of IPV among pregnant women and mothers with children under 5 who report IPV and elevated symptoms of maternal depression and PTSD. The control condition for the pilot randomized trial will be Enhanced Treatment As Usual (ETAU). Potential target mechanisms include increased social support and effectiveness obtaining resources. Interventions to improve mental health challenges experienced by pregnant women and mothers with children under 5 who report IPV are of great public health significance. Reducing symptoms of maternal depression and PTSD in women with the experience of IPV has significant public health benefits for mothers and their children.

在美国，多达 500 万女性报告遭受过亲密伴侣暴力（IPV；指的是 每年遭受现任或前任伴侣的性暴力或身体暴力。抑郁症和创伤后应激障碍 精神障碍 (PTSD) 是 IPV 的两种最常见的心理健康后果。发展为抑郁症和 经历 IPV 后的 PTSD 症状也会增加未来 IPV 的风险。孕产和怀孕增加 长期接触身体、心理和性 IPV 的风险。多达 4% 至 8% 的孕妇 怀孕期间报告 IPV 的女性，IPV 可能在围产期开始或恶化。孕妇 患有 IPV 的 5 岁以下儿童的母亲表现出身体健康、心理健康和产科状况不佳 结果；导致卫生服务利用率的提高；即使 IPV 结束后。只有一个 有效减少孕妇 IPV 的干预措施（社区母亲倡导者；MOSAIC） 有 5 岁以下儿童且有 IPV 经验的妇女和母亲；它构成了本提案的基础。这 MOSAIC 干预利用社区母亲提供的非专业导师支持来减少 IPV。它结合了社会支持、宣传和指导等要素。 MOSAIC已被证明是有效的 在之前的一项大型随机试验中用于减少 IPV。然而，现有的干预措施还没有同时解决 IPV 和 IPV 后经常出现的抑郁和创伤后应激障碍 (PTSD) 症状与痛苦和发病率相关，并且 会增加孕妇和有 5 岁以下儿童的母亲或任何妇女群体未来感染 IPV 的风险。 因此，需要一种综合干预措施来解决抑郁和创伤后应激障碍症状，同时 减少后续 IPV。拟议的项目旨在通过扩大 原创 MOSAIC 干预措施包括人际心理治疗 (IPT) 的要素，以增强心理健康 结果。该项目将制定指导干预措施并探索其可行性、可接受性和潜力 参与减少抑郁和创伤后应激障碍症状并降低后续风险的目标机制 报告 IPV 和症状加重的孕妇和有 5 岁以下儿童的母亲中 IPV 感染率 产妇抑郁症和创伤后应激障碍。试点随机试验的控制条件将是强化治疗 像往常一样（ETAU）。潜在的目标机制包括增加社会支持和获得有效性 资源。改善孕妇和患有抑郁症的母亲所经历的心理健康挑战的干预措施 报告 IPV 的 5 岁以下儿童具有重大公共卫生意义。减轻产妇症状 经历过 IPV 的女性的抑郁症和创伤后应激障碍 (PTSD) 对母亲的公共健康具有重大益处 和他们的孩子。