Effectiveness of Empowerment Group Sessions for Treating Suicidal African American Women in Abusive Relationships
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Psychoeducational intervention (PEI), Enhanced treatment as usual (ETAU).
- Кому может быть актуально
- Состояния в реестре: Battered Women, Suicide, Attempted. Базовые параметры: 18 лет — 64 лет · Женщины.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- США
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
Group Interventions for Abused, Suicidal Black Women
Обзор
This study will evaluate the effectiveness of culturally competent psychoeducational empowerment sessions in treating suicidal African-American women who are in abusive relationships.
Подробное описание
Most suicide attempts are a sign of great distress, often originating from depression; physical and sexual abuse; substance abuse; or family history of suicide, violence, or mental disorder. Risk factors for suicidal behavior are diverse, differing with gender, age, and ethnicity. Since the mid-1980s, the number of reported suicides and suicidal thoughts among young black individuals has increased alarmingly. The higher rates may be caused by high stress living situations attributed to poverty, abuse, discrimination, racism, and difficult family life. Therefore, cultural environments, social situations, and intrapersonal influences are important considerations in developing an effective therapy to prevent suicide. This study will evaluate the effect of culturally competent psychoeducational empowerment sessions in treating suicidal African-American women who are in abusive relationships.
The participants in this single-blind study will be randomly placed in one of two treatment groups. One group will receive psychoeducational intervention (PEI) and the other will receive enhanced treatment as usual (ETAU). After screening, eligible participants will complete a 2-hour survey about life events, concerns, and feelings with a research team member. One week later, participants will complete a second 1-hour survey. Participants will then be randomly placed in the treatment groups. Participants in both groups will receive treatment at Grady Health System, but those in the PEI group will also attend 10 weekly, 90-minute group sessions. The PEI empowerment group sessions will incorporate cultural, social, and intrapersonal elements. The ETAU group will be given mental health treatment as usual plus an adherence enhancement protocol. Follow-up surveys will occur at Week 10 (after treatment completion) and at Months 6 and 12 post-treatment.
Вмешательства
- Поведенческое Psychoeducational intervention (PEI)
PEI consists of 10 culturally competent group empowerment psychoeducational sessions. The sessions are directed by a treatment manual and are co-led by two therapists. The sessions are guided by the theory of triadic influence (TTI) model, which incorporates cultural-environmental influences, social-situational influences, and intrapersonal influences into treatment. - Поведенческое Enhanced treatment as usual (ETAU)
ETAU contains an adherence protocol plus access to weekly support group and a resource room.
Первичные конечные точки
- Change in Beck Scale for Suicide Ideation Score [Срок оценки: Baseline, Week 10, Post-treatment Months 6 and 12]
- Change in Suicide Attempt Index [Срок оценки: Baseline, Week 10, Post-treatment Months 6 and 12]
- Change in Index of Spouse Abuse Score [Срок оценки: Baseline, Week 10, Post-treatment Months 6 and 12]
Вторичные конечные точки (3)
- Change in Beck Depression Inventory- II [Срок оценки: Baseline, Week 10, Post-treatment Months 6 and 12]
- Change in Beck Hopelessness Scale [Срок оценки: Baseline, Week 10, Post-treatment Months 6 and 12]
- Change in Self-Efficacy Scale for Battered Women [Срок оценки: Baseline, Week 10, Post-treatment Months 6 and 12]
Критерии участия
Критерии включения
- Identifies as an African-American female
- Abusive relationship within the 12 months prior to study entry
- Suicide attempt within the 12 months prior to study entry
- Seeks services at Grady Health System
Критерии исключения
- Score of less than 22 on Mini Mental Status Exam (MMSE)
- Score of less than 18 on Rapid Estimate of Adult Literacy in Medicine (REALM)
- Acutely psychotic
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Рандомизированное
- Модель
- Параллельные группы
- Маскирование
- Простое слепое
- Основная цель
- Лечение
Центры проведения
США · 1 центр
- Grady Hospital — Atlanta
Публикации
- Witt KG, Hetrick SE, Rajaram G, Hazell P, Taylor Salisbury TL, Townsend E, Hawton K. Psychosocial interventions for self-harm in adults. Cochrane Database Syst Rev. 2021 Apr 22;4(4):CD013668. doi: 10.1002/14651858.CD013668.pub2. PMID 33884617
Идентификаторы
NCT: NCT00601939 · IRB00045774 · R01MH078002