Psychological advocacy towards healing (PATH): A randomized controlled trial of a psychological intervention in a domestic violence service setting

Ferrari, Giulia; Feder, Gene; Agnew-Davies, Roxane; Bailey, J. A.; Hollinghurst, Sandra; Howard, Louise M.; Howarth, Emma; Sardinha, Lynnmarie; Sharp, Deborah; Peters, Tim J.

doi:10.1371/journal.pone.0205485

Cited by 22 publications

(17 citation statements)

References 37 publications

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“…If 120 eligible women are screened, then a true recruitment rate of 30% (= 36 recruits) will be estimated as between 21.8 and 38.2%, with 95% probability. This estimate is based on a previous trial that successfully recruited women from one of the collaborating DVA services [27,52]. Based on previous trials of psychological interventions x…”

Section: Feasibility Trialmentioning

confidence: 99%

“…Resource questionnaire (bespoke) x for women who have experienced DVA [27,28] up to 33% of the consented and randomized participants are expected to drop out before the start of the mindfulness group/control intervention. Therefore, 54 will be randomized in order to be left with 36 who will be allocated to the intervention or control arm.…”

Section: Feasibility Trialmentioning

confidence: 99%

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The coMforT study of a trauma-informed mindfulness intervention for women who have experienced domestic violence and abuse: a protocol for an intervention refinement and individually randomized parallel feasibility trial

Pitt

Feder

Gregory

et al. 2020

Pilot Feasibility Stud

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Background: Domestic violence and abuse (DVA) is common and destructive to health. Post-traumatic stress disorder (PTSD) is a major mental health consequence of DVA. People who have experienced DVA have specific needs, arising from the repeated and complex nature of the trauma. The National Institute for Health and Care Excellence recommends more research on the effectiveness of psychological interventions for people who have experienced DVA. There is growing evidence that mindfulness-based interventions may help trauma symptoms. Methods: Intervention refinement and randomized controlled feasibility trial. A prototype trauma-informed mindfulness-based cognitive therapy (TI-MBCT) intervention will be co-produced following qualitative interviews and consensus exercise with stakeholders. Participants in the feasibility trial will be recruited from DVA agencies in two geographical regions and randomized to receive either TI-MBCT or usual care (self-referral to the Improving Access to Psychological Therapies (IAPT) service). TI-MBCT will be delivered as a group-based eight-week program. It will not be possible to blind the participants or the assessors to the study allocation. The following factors will inform the feasibility of progressing to a fully powered trial: recruitment, retention, intervention fidelity, and the acceptability of the intervention and trial design to participants. We will also test the feasibility of measuring the following participant outcomes before and 6 months post-randomization: PTSD, dissociative symptoms, depression, anxiety, DVA re-victimization, self-compassion, and mother-reported child health. Process evaluation and economic analysis will be embedded within the feasibility trial. Discussion: This study will lead to the development of a TI-MBCT intervention for DVA survivors with PTSD and inform the feasibility and design of a fully powered randomized controlled trial (RCT). The full trial will aim to determine the effectiveness and cost-effectiveness of a TI-MBCT intervention in improving the clinically important symptoms of PTSD in DVA survivors.

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Section: Feasibility Trialmentioning

confidence: 99%

Section: Feasibility Trialmentioning

confidence: 99%

The coMforT study of a trauma-informed mindfulness intervention for women who have experienced domestic violence and abuse: a protocol for an intervention refinement and individually randomized parallel feasibility trial

Pitt

Feder

Gregory

et al. 2020

Pilot Feasibility Stud

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“…Advocacy may improve quality of life and reduces physical abuse in the short term. Limited and emerging evidence shows it can improve mental health [21]. Three studies have evaluated the co-located IDVA model.…”

Section: Introductionmentioning

confidence: 99%

“From taboo to routine”: a qualitative evaluation of a hospital-based advocacy intervention for domestic violence and abuse

Dheensa

Halliwell

Daw³

et al. 2020

BMC Health Serv Res

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Background: Health services are often the first point of professional contact for people who have experienced domestic violence and abuse. We report on the evaluation of a multi-site, hospital-based advocacy intervention for survivors of domestic violence and abuse. Independent Domestic Violence Advisors (IDVAs), who provide survivors with support around safety, criminal justice, and health and wellbeing, were located in five hospitals in England between 2012 and 2015 in emergency departments and maternity services. We present views about IDVAs' approaches to tackling domestic violence and abuse, how the IDVA service worked in practice, and factors that hindered and facilitated engagement with survivors. Methods: We adopted a convenience sampling approach and invited participation from all who offered to take part within the study timeframe. Sixty-four healthcare professionals, IDVAs, IDVA service managers, and commissioners at all sites were interviewed. Interviews were analysed using a thematic approach: familiarising ourselves with the data through repeated readings and noting initial ideas; generating initial codes through double coding notable features of the data across the dataset; collating codes into potential themes; and reviewing themes to ensure they captured the essence of the data. Results: Two key themes emerged. The first was Hospital-based IDVAs fulfil several crucial roles. This theme highlighted that healthcare professionals thought the hospital-based IDVA service was valuable because it enhanced their skills, knowledge, and confidence in asking about domestic violence and abuse. It enabled them to immediately refer and provide support to patients who might have otherwise been lost along a referral pathway. It also reached survivors who might otherwise have remained hidden. The second theme was Success hinges on a range of structural factors. This theme illustrated the importance of ongoing domestic violence and abuse training for staff, the IDVA having private and dedicated space, and the service being embedded in hospital infrastructure (e.g. featuring it in hospital-wide policies and enabling IDVAs access to medical records). Conclusion: Hospital-based IDVAs offer a unique and valued way to respond to domestic violence and abuse in a healthcare setting. Further work must now be done to explore how to implement the service sustainably.

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“…Physical injuries are the main consequences of physical violence in admitted patients. Thus, marital violence negatively affects women's health (6)(7)(8)(9)(10).…”

Section: Introductionmentioning

confidence: 99%

“…Recently, family functioning has become a major interest among many researchers and psychologists. It can be affected by injuries such as violence and aggression (6,7,10). Family functioning has several dimensions.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Emotion-Focused Therapy in Reduction of Marital Violence and Improvement of Family Functioning: A Quasi-Experimental Study

Shahmoradi

Afshar

Goudarzy

et al. 2019

Iran Red Crescent Med J

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Background: The rise in marital violence has led to growing concern about people with this condition. Emotion-focused Therapy (EFT) is one of the well-established treatments that consider both family interaction and emotion in the creation of secure attachment. Objectives: This study aimed to evaluate the effectiveness of EFT in marital violence reduction and family functioning improvement. Methods: This study was conducted in 2018-2019 among married women with family problems referring to counseling centers in Tehran, Iran. We randomly allocated 32 women with a mean marriage age of 24.27 ± 6.18 years to EFT and control groups. Marital violence and family functioning were measured before and after EFT using a domestic violence questionnaire and the family assessment device scale constructed based on the McMaster Model of Family Functioning (MMFF). Emotion-focused group therapy was conducted in the intervention group for eight 90-min sessions. The control group was exposed to no intervention. The Kolmogorov-Smirnov test was utilized to evaluate the distribution of variables. We used the independent t-test, chi-square test, Friedman test, Mann-Whitney test, ANOVA, ANCOVA, and MANCOVA for data analysis. Results: Marital violence decreased significantly after the intervention (-11.25 vs.-1.62, P < 0.001). Moreover, family functioning improved after the intervention (6.25 vs.-1.69, P = 0.001) in the EFT group compared to the control group. Conclusions: The EFT was an effective intervention in this study. The findings implicate the significance of essential interventions for marital violence reduction and family functioning improvement.

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Psychological advocacy towards healing (PATH): A randomized controlled trial of a psychological intervention in a domestic violence service setting

Cited by 22 publications

References 37 publications

The coMforT study of a trauma-informed mindfulness intervention for women who have experienced domestic violence and abuse: a protocol for an intervention refinement and individually randomized parallel feasibility trial

The coMforT study of a trauma-informed mindfulness intervention for women who have experienced domestic violence and abuse: a protocol for an intervention refinement and individually randomized parallel feasibility trial

“From taboo to routine”: a qualitative evaluation of a hospital-based advocacy intervention for domestic violence and abuse

Effectiveness of Emotion-Focused Therapy in Reduction of Marital Violence and Improvement of Family Functioning: A Quasi-Experimental Study

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