Single-Session Intervention for Domestic Violence
Recruiting in Palo Alto (17 mi)
Age: 18+
Sex: Female
Travel: May Be Covered
Time Reimbursement: Varies
Trial Phase: Academic
Recruiting
Sponsor: Yale University
Disqualifiers: Psychiatric instability, Conservator, English, others
No Placebo Group
Trial Summary
What is the purpose of this trial?
The purpose of this study is to develop a brief, self-guided single-session intervention (SSI) that targets the development of, or increase in, hope, and pilot test it for the primary outcomes of feasibility, acceptability/likeability, safety, and changes in hope, and the secondary outcomes of self-worth, empowerment, and emotional wellbeing among women experiencing intimate partner violence (IPV). The study will be conducted in 2 stages: intervention development (Intervention Development Stage), and pilot testing the intervention (Pilot Stage). The focus of this registration is the Pilot Stage.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications.
What data supports the effectiveness of the treatment Single-session intervention (SSI) for domestic violence?
The Hope Intervention Program (HIP) is designed to enhance hope, which is a component of the Single-session intervention (SSI). Additionally, social support interventions have shown effectiveness in improving psychological distress and perceived social support among women in domestic violence shelters, suggesting potential benefits of similar interventions like SSI.12345
How is the Single-Session Intervention (SSI) treatment for domestic violence different from other treatments?
The Single-Session Intervention (SSI) is unique because it focuses on delivering a one-time, immediate intervention aimed at promoting hope and empowerment, which contrasts with other treatments that often involve ongoing sessions or comprehensive case management. This approach is designed to quickly address the emotional and psychological needs of individuals experiencing domestic violence, potentially offering immediate support and coping strategies.678910
Eligibility Criteria
This trial is for women who are experiencing intimate partner violence (IPV). It aims to help them develop or increase feelings of hope. Participants should be interested in a self-guided, one-time session designed to improve their emotional wellbeing.Inclusion Criteria
I identify as a woman.
I have a smartphone that can run the MyCap app.
I have been in a relationship for 3+ months and experienced physical abuse from a male partner.
Exclusion Criteria
I am not comfortable with English for conversation, reading, or writing.
Have experienced significant psychiatric instability based on self-reported inpatient psychiatric hospitalization in the past 3 months
Reports having a conservator of person
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Trial Timeline
Screening
Participants are screened for eligibility to participate in the trial
1 week
1 visit (virtual)
Baseline Assessment
Participants complete a baseline interview and self-report measures to characterize the sample and collect data on control variables
1 day
1 visit (virtual)
Pre-Intervention Monitoring
Participants complete daily self-reports of hope, self-worth, empowerment, and emotional wellbeing for 14 days before the intervention
2 weeks
Daily self-reports (virtual)
Intervention
Participants complete a 30-45 minute self-guided single-session intervention to promote hope
1 day
1 session (virtual)
Post-Intervention Monitoring
Participants complete daily self-reports of hope, self-worth, empowerment, and emotional wellbeing for 14 days after the intervention
2 weeks
Daily self-reports (virtual)
Follow-up
Participants are monitored for safety and effectiveness after the intervention
1 week
1 visit (virtual)
Treatment Details
Interventions
- Single-session intervention (SSI) (Behavioral Intervention)
Trial OverviewThe study is testing a brief, self-guided single-session intervention (SSI) focused on fostering hope. The pilot stage will assess how feasible and safe the SSI is, and if it's liked by participants. It also looks at its effect on hope, self-worth, empowerment, and overall emotional health.
Participant Groups
1Treatment groups
Experimental Treatment
Group I: Single-Session Intervention to Promote HopeExperimental Treatment1 Intervention
A 30-45 minute self-guided intervention delivered in a web browser.
Find a Clinic Near You
Research Locations NearbySelect from list below to view details:
The Consultation Center at YaleNew Haven, CT
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Who Is Running the Clinical Trial?
Yale UniversityLead Sponsor
Office on Violence Against Women (OVW)Collaborator
Center for Family JusticeCollaborator
Connecticut Coalition Against Domestic ViolenceCollaborator
References
Development and implementation of a Hope Intervention Program. [2022]To describe the development and evaluation of the Hope Intervention Program (HIP), designed to enhance hope, based on the Hope Process Framework.
Substance abuse interface with intimate partner violence: what treatment programs need to know. [2015]This article provides suggestions for skill development for substance abuse (SA) treatment agencies and providers for implementing Treatment Improvement Protocol number 25: Substance Abuse Treatment and Domestic Violence. Methods for detecting, screening, intervening, and referring victims and perpetrators of intimate partner violence enrolled in SA treatment are presented. Evidence-based brief intervention is presented. A 2-minute screen for domestic violence as well as danger assessment for lethality of abuse and the Conflict Tactics Scales 2 are reviewed. A survey of interventions aimed at establishing trust, brief intervention from best practice, guidelines for safety planning, compliance strategies for SA treatment, and community resource development are presented.
Effects of a social support intervention on health outcomes in residents of a domestic violence shelter: a pilot study. [2022]This pilot study tested the feasibility and effectiveness of a social support intervention with women (n = 24) while they were in a domestic violence shelter. Health outcomes were examined pre and postintervention using a randomized control design. The intervention group had greater improvement (p = .013) in psychological distress symptoms and greater improvement in perceived availability of social support (p = .016) than the control group. The intervention group showed less health care utilization (p = .032) than the control group. Social support interventions for women in shelters are effective in improving health outcomes. Further research should be aimed at testing the effectiveness of different types of interventions on health and abuse outcomes in women who experience interpersonal violence.
Impact of a Quality Improvement Intervention to Increase Brief Alcohol and Drug Interventions on a Level I Trauma Service. [2017]Screening and brief intervention (SBI) decreases alcohol use and related consequences among trauma patients. Although SBI is required in Level I and II trauma centers, implementation often is difficult. This study used the Plan-Do-Study-Act approach to identify and implement measures to increase the number of patients receiving SBI at a Level I trauma center. A multidisciplinary Quality Improvement Committee with representation from the Trauma Service and SBI Team met monthly during 2011. Stepwise interventions included identifying a resident "champion" responsible for screening, brief intervention, and referral to treatment, including an SBI report at monthly trauma conferences, and incorporating SBI into the trauma order set. Outcomes measures were number of patients screened, patients screening positive, and the number of patients receiving SBI. At baseline, 170 of 362 patients (47%) were screened, 68/170 (40%) had positive screens, and 30/68 (44% of those with positive screens) received SBI services. Quarter 2 saw increases in patients screened-275/437 (63%), patients screening positive (106/275; 39%) and those receiving SBI (60/106; 57%). Increases culminated in Quarter 4 with screening 401/466 (86%; P
Impact of a trauma intervention on reducing dropout from substance use disorder treatment. [2021]To evaluate the effectiveness (in terms of retention) of an intervention aimed at treating the consequences of lifetime physical and/or sexual abuse among patients who are also seeking substance use disorder treatment (SUD-T) in a clinical center.
The domestic violence home-visit intervention: impact on police-reported incidents of repeat violence over 12 months. [2022]The domestic violence home-visit intervention (DVHVI) provides home visits by police-advocate teams within 72-hours of domestic incident to provide safety, psychoeducation, mental health, legal, or additional police assistance. Clinical and police record data were collected for 512 cases, and repeat calls to the police were tracked for 12 months. Analyses revealed that women who engaged with the DVHVI were more likely to contact the police for subsequent events than those who received no or minimal DVHVI contact. Hispanic women served by Spanish-speaking advocate-officer teams were the most likely to utilize services and call the police for subsequent incidents.
Comparison of Adding Treatment of PTSD During and After Shelter Stay to Standard Care in Residents of Battered Women's Shelters: Results of a Randomized Clinical Trial. [2019]This study explored the acceptability, feasibility, and initial efficacy of an expanded version of a PTSD treatment developed for residents of battered women's shelters, Helping to Overcome PTSD through Empowerment (HOPE) in women who received standard shelter services (SSSs). A Phase I randomized clinical trial comparing HOPE + SSSs (n = 30) to SSSs (n = 30) was conducted. Primary outcome measures included the Clinician-Administered PTSD Scale (Blake et al., 1995) and the Revised Conflict Tactic Scales (Straus, Hamby, Boney-McCoy, & Sugarman, ). Participants were followed at 1-week, and 3- and 6-months posttreatment. Only 2 women dropped out of HOPE + SSS treatment. Latent growth curve analyses found significant treatment effects for PTSD from intimate partner violence (IPV) (β = -.007, p = .021), but not for future IPV (β = .002, p = .709) across follow-up points. Significant effects were also found for secondary outcomes of depression severity (β = -.006, p = .052), empowerment (β = .155, p = .022), and resource gain (β = .158, p = .036). Additionally, more women in HOPE + SSSs were employed at 3- and 6-month follow-up compared to those in SSSs only. Results showed the acceptability and feasibility of adding IPV-related treatment to standard services. They also suggested that HOPE may be a promising treatment for residents of battered women's shelters. Further research with a larger sample, utilizing more diverse shelter settings and a more rigorous control condition, is needed to confirm these findings.
HOPE for battered women with PTSD in domestic violence shelters. [2021]Do you feel overwhelmed when attempting to treat battered women with ongoing safety concerns? Could battered women in shelters benefit from psychotherapy in addition to the case management they traditionally receive? What type of treatment would be most beneficial for battered women in shelters? Posttraumatic Stress Disorder (PTSD) is the most prevalent disorder associated with intimate partner violence (IPV). PTSD is associated with severe impairment and loss of resources which can severely impact a sheltered battered woman's ability to establish long-term safety for herself and her children. Conequently, we have developed a new treatment for sheltered battered women with Posttraumatic Stress Disorder (PTSD), Helping to Overcome PTSD through Empowerment (HOPE). HOPE is a short-term cognitive-behavioral treatment in a preliminary stage of development for battered women with PTSD in domestic violence shelters. It focuses on stabilization, safety, and empowerment and teaches women skills to manage their PTSD symptoms which may interfere with their ability to access important community resources and establish safety for themselves and their children. A case example utilizing HOPE is offered. Future directions and clinical applications are discussed.
Survivor-defined practices to mitigate revictimization of battered women in the protective order process. [2013]A growing body of research finds that instead of a one-size-fits-all response, community-based responses that include survivor-defined advocacy may prevent further abuse through customized, individualized safety planning and provision of resources. Extant literature related to survivor-defined approaches highlights outcomes, but the work illustrating specifically how these practices work in applied settings is limited. Drawing from interviews with 26 domestic violence victim advocates, the author examines how advocates mitigate revictimization of battered women through survivor-defined practices in the protective order process to provide additional context for this emerging body of work. Findings illustrate that the effectiveness and benefits that an order of protection offered varied from case to case; consequently advocates used survivor-defined approaches to address the specific needs of each woman to better ensure safety.
Responding Effectively to Women Experiencing Severe Abuse: Identifying Key Components of a British Advocacy Intervention. [2016]This article presents key findings from a multisite evaluation of Independent Domestic Violence Advisor (IDVA) services--a form of intervention targeted specifically at women experiencing severe domestic abuse. Results highlight the complex lives of women accessing these services and the efforts of IDVAs to connect women with multiple community resources. Women remaining engaged with services reported positive safety outcomes. Frequency of contact with an IDVA and the number of community resources accessed were positively associated with the odds of achieving safety. These findings suggest this intervention is a promising strategy for tackling severe and complex cases of domestic abuse.