Trial Summary
What is the purpose of this trial?The purpose of the study will be to determine how participation in Family-Centered Care (FCC) compared to Child-centered care (CCC) will affect caregiver engagement in IPV-based community services, caregiver perceptions of empowerment and survivor-defined practice, and clinical outcomes for children exposed to IPV.
What data supports the idea that Family-Centered Care for Domestic Violence is an effective treatment?The available research shows that Family-Centered Care (FCC) is widely used in pediatric healthcare and is considered the best way to provide care to children in hospitals. Although the effectiveness of FCC has not been systematically measured, it is endorsed as the standard of care in many clinical practices and hospitals. Studies indicate that FCC is valued by families, as they feel welcomed and involved in the care process. While the research does not specifically address domestic violence, the positive reception and widespread use in pediatric settings suggest that FCC could be effective in other areas, including domestic violence.13567
What safety data exists for Family-Centered Care in treating domestic violence?The provided research does not directly address safety data for Family-Centered Care (FCC) in the context of domestic violence. The studies focus on perceptions, implementation challenges, and evidence for FCC in pediatric and maternal/child care settings, but do not provide specific safety data or evaluations related to domestic violence treatment.12469
Is Family-Centered Care a promising treatment for domestic violence?Family-Centered Care (FCC) is a promising treatment because it involves the whole family in the care process, which can help address the needs of everyone affected. It encourages participation, information sharing, and respectful relationships between families and healthcare providers, making it a comprehensive approach to care.15689
Do I have to stop taking my current medications to join the trial?The trial protocol does not specify whether you need to stop taking your current medications.
Eligibility Criteria
This trial is for parents over 18 with a child under 3 who's been exposed to domestic violence and reported to Child Protective Services. Participants must speak English or Spanish, agree to a medical evaluation for the child, and not already be connected to an IPV advocate or be a ward of the state.Inclusion Criteria
My child under 3 has been reported to CPS due to exposure to IPV.
I am fluent in English or Spanish.
Exclusion Criteria
I prefer to communicate in a language other than English or Spanish.
Treatment Details
The study compares Family-Centered Care (FCC) with Child-centered care (CCC) in terms of how they affect caregiver engagement in community services, feelings of empowerment, and clinical outcomes for children who have witnessed domestic violence.
2Treatment groups
Experimental Treatment
Active Control
Group I: FCC modelExperimental Treatment1 Intervention
Participants will receive family-focused care.
Group II: CCC modelActive Control1 Intervention
Participants will receive the usual child-focused care.
Find a clinic near you
Research locations nearbySelect from list below to view details:
SCAN ClinicHartford, CT
The South Central Child Advocacy CenterNew Haven, CT
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Who is running the clinical trial?
Yale UniversityLead Sponsor
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)Collaborator
References
Challenging the precepts of family-centered care: testing a philosophy. [2014]Family-centered care (FCC) is a model of patient care delivery that encourages the inclusion of the family in the planning and provision of care. Although this model has been discussed extensively in the literature and adopted by some institutions, it is one that many have difficulty implementing. The purpose of this study was to test the elements of a FCC philosophy developed for maternal/child units at a major medical center. Questionnaires developed for this study and translated into four languages were completed by 193 parent/patient participants. The questionnaire asked participants to rate the importance of FCC interventions and report which interventions had been provided. Most of the participants were Caucasian, married, female, had an annual income of $20,000 or less, had 12 or fewer years of education, and were younger than 40 years of age. Overall, "feeling welcome when I come to the hospital" was the highest rated item by parents of hospitalized neonates and children and perinatal patients. Findings from this study will be used to implement a FCC care philosophy.
Pilot study of a tool to investigate perceptions of family-centered care in different care settings. [2019]Family-centered care (FCC) is widely used in pediatrics, but its applicability in all areas of pediatric care is little studied.
Family-centered care: current applications and future directions in pediatric health care. [2022]Family-centered care (FCC) is a partnership approach to health care decision-making between the family and health care provider. FCC is considered the standard of pediatric health care by many clinical practices, hospitals, and health care groups. Despite widespread endorsement, FCC continues to be insufficiently implemented into clinical practice. In this paper we enumerate the core principles of FCC in pediatric health care, describe recent advances applying FCC principles to clinical practice, and propose an agenda for practitioners, hospitals, and health care groups to translate FCC into improved health outcomes, health care delivery, and health care system transformation.
Evidence for family-centered care for children with special health care needs: a systematic review. [2022]Family-centered care (FCC) has received widespread endorsement for use in care in the United States. In this study, we conducted a systematic review of evidence for FCC focusing specifically on family-provider partnership as the activity that constitutes FCC.
Family-centred care for hospitalised children aged 0-12 years. [2022]This is an update of the Cochrane systematic review of family-centred care published in 2007 (Shields 2007). Family-centred care (FCC) is a widely used model in paediatrics, is thought to be the best way to provide care to children in hospital and is ubiquitous as a way of delivering care. When a child is admitted, the whole family is affected. In giving care, nurses, doctors and others must consider the impact of the child's admission on all family members. However, the effectiveness of family-centred care as a model of care has not been measured systematically.
How is Family Centered Care Perceived by Healthcare Providers from Different Countries? An International Comparison Study. [2022]Family-centered care (FCC) is a healthcare delivery model in which planning care for a child incorporates the entire family. The purpose of this study was to describe and compare how healthcare providers from three countries with varied cultural and healthcare systems perceive the concept FCC by measuring attitudes, and to psychometrically identify a measure that would reflect "family-centeredness."
Lived Experience of Caregivers of Family-Centered Care in the Neonatal Intensive Care Unit: "Evocation of Being at Home". [2020]In recent decades, family-centered care (FCC) has come to be known, accepted, and reported as the best care strategy for admitted children and their families. However, in spite of the increasing application of this approach, the experiences of the caregivers have not yet been studied.
Family centered care of hospitalized children: A hybrid concept analysis in Iran. [2020]Background: Family centered care of hospitalized children (FCCHC) is a multidimensional concept, which is directly associated with the context and healthcare system. This study was conducted to analyze the concept of FCCHC in Iran. Methods: This concept analysis was conducted with the use of hybrid model in 3 phases: a literature review in the theoretical phase, semi-structured interviews and descriptive observations in the fieldwork phase, and combination of the results of 2 previous phases in the final analytical phase. Results: The 4 main themes extracted in theoretical phase included "family and healthcare professional participation", "information sharing with families", "family and healthcare professional relationship based on dignity and respect" and "individualized care of family".Moreover, 4 themes were emerged in the fieldwork phase, including "family as a nonparticipant visitor", "one-way education", "non-supportive interactions" and "non-specific care of family". In third phase with combination of the results of 2 phases, the final definition of the concept was presented. Conclusion: FCCHC is a comprehensive care that is affected by human and organizational factors and requires full participation of staff and family, effective interaction with family, education and information sharing with them, and individualized care of each family. By knowing the dimensions of the FCCHC, we will be able to run our activities to provide facilities and features for its optimal implementation in Iran.
Mothers and nurses' perceptions of the family-centered care barriers in pediatric departments of an educational hospital in Iran. [2021]Family-centered care (FCC) is a concept used to describe an approach to caring for children and their families within health services. This study compared mothers and nurses' perceptions of barriers to FCC.