Evaluation of a Trauma-Informed Partner Violence Intervention Program
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: SAH, TAU.
- Who it may be relevant to
- Registry conditions: Domestic Violence, Post Traumatic Stress Disorder. Basic parameters: from 18 years · Male.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
A Randomized Controlled Trial to Evaluate a Trauma-Informed Partner Violence Intervention Program
Overview
The goal of this study is to conduct a randomized controlled trial (RCT) comparing outcomes between two programs to reduce intimate partner violence (IPV)- the Strength at Home (SAH) program and a standard, state-approved IPV intervention program, Treatment as Usual (TAU). Primary outcomes will include self- and partner-reported physical and psychological IPV. Secondary outcomes will include self-reported PTSD symptoms, alexithymia, alcohol use problems, and treatment satisfaction, assessed across five time points.
Detailed description
A mixed-methods approach will be used for this single site, parallel group RCT. All participants will be randomized at the individual level to Strength at Home (SAH) or Treatment as Usual (TAU), with a 1:1 allocation ratio. Assessments will occur pre-treatment and post-treatment with follow-up assessments scheduled every three months post-treatment through month 12. Assessments have been designed to examine reductions in IPV and other outcomes including posttraumatic stress disorder (PTSD) symptoms and alcohol use.
The primary hypotheses are that those receiving SAH will evidence greater reductions in physical and psychological IPV, symptoms of PTSD, alexithymia, and alcohol use problems, and higher treatment satisfaction relative to those receiving TAU across the time points.
The specific aims and sub aims are:
1. Test the comparative effectiveness of SAH and TAU by conducting an RCT comparing 200 justice-involved men randomly assigned to each program.
* Compare the frequency of physical and psychological IPV, the primary outcomes of interest, across conditions as reported by the male participants and their intimate partners across Time 1 (baseline) and four 3-month follow ups (Times 2-5). Additionally, at Time 5, the study may make use of available arrest record data from the state of Rhode Island. * Compare symptoms of PTSD, alexithymia, and alcohol use problems across conditions and assessment time points as reported by the male participants. * Compare treatment satisfaction across conditions as reported by the male participants across the four 3-month follow ups (Times 2-5). 2. Facilitate future use of SAH by working closely with the Stakeholder Advisory Board to identify potential barriers and facilitators to successful implementation in civilian community settings.
* Identify barriers and facilitators to implementation. * Assess the acceptability of SAH among stakeholders in the community setting and areas in need of refinement.
Interventions
- Behavioral SAH
SAH is a group trauma informed intervention that uses motivational strategies and self-monitoring of one's thoughts and responses. It provides a unique fusion of interventions for trauma and IPV and consists of 12 two-hour weekly sessions. Throughout the program, group members complete in-session practice exercises and are provided "practice assignments" to consolidate and apply information learned in group. - Behavioral TAU
TAU is a court mandated 20 week, psychoeducational/directed program that emphasizes the sharing of power and control in relationships and personal accountability. Topics also focus on equality wheels, substance abuse impacts, culture and socialization impact on gender roles, defense mechanisms versus coping skills, triggers for stress and anger, and healthy versus unhealthy communication.
Primary outcome measures
- IPV Assessment [Time frame: Baseline, 3 months, 6 months, 9 months, 12 months]
- Psychological IPV Assessment [Time frame: Baseline, 3 months, 6 months, 9 months, 12 months]
Secondary outcome measures (4)
- Post traumatic stress disorder (PTSD) [Time frame: Baseline, 3 months, 6 months, 9 months, 12 months]
- Alexithymia [Time frame: Baseline, 3 months, 6 months, 9 months, 12 months]
- Alcohol Use [Time frame: Baseline, 3 months, 6 months, 9 months, 12 months]
- Treatment satisfaction [Time frame: 3 months, 6 months, 9 months, 12 months]
Eligibility criteria
Inclusion criteria
- Men court-mandated to IPV intervention from the Rhode Island Department of Parole and Probation and their partners
Exclusion criteria
- None
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
United States · 1 center
- BU Chobanian & Avedisian School of Medicine, Psychiatry — Boston
Identifiers
NCT: NCT06803043 · H-45014 · BPS-2023C1-31039