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Awarded Cooperative Agreement to Prevent Violence and Violence-Related Injury

An Enhanced Nurse Home Visitation Program to Prevent IPV

FOA Number: CE05-017 - Intervention and Evaluation Trials to Prevent Intimate Partner Violence
Project Period: 9/01/05-8/31/09
Application/Grant Number: 1-U49-CE000516-01
Principal Investigator: Lynette Feder
Portland State University
Criminal Justice Policy Research Institute
PO Box 751 (ORSP)
Portland, OR 97207-0751


Prior research has shown that the Nurse Family Partnership (NFP) intervention is not as effective in homes that experience intimate partner violence (IPV). While NFP reduces IPV in one setting, it does not in others.

The proposed study will test the efficacy of an enhanced NFP intervention, the ECI or Enhanced Choice Intervention among women referred to an existing NFP program in Portland, Oregon. The ECI is based on a choice or empowerment model whereby women can choose among interventions related to her goal for her current intimate relationship. If IPV or emotional abuse or controlling behaviors are assessed, the intervention is based on two interventions shown to be effective in assessing for and reducing repeat IPV (the Sullivan Advocacy Intervention and the McFarlane and Parker brochure driven intervention). For women who want to enhance marital quality, the Markman and Stanley PREP model that has been shown to enhance relationship quality will be offered. The PREP model also has some preliminary evidence of preventing IPV. Community resource linkage (beyond referral) strategies as with the NFP model will be used to obtain community resources for women with IPV risk factors in their own or their partner’s history (e.g., exposure to parental IPV, child abuse, substance abuse). Women (250) referred to the Multnomah County Health Department will be randomized to the experimental (NFP plus ECI) or control condition (NFP) and visited according to the regular NFP schedule during pregnancy and until the infant is 24 months old. The intervention will concentrate on the prenatal and immediate (first 6 months) postpartum period with regular IPV, emotional abuse and controlling behavior assessments throughout the NFP period. Baseline and outcome measurement (CTS2, WEB, TPMI, depression – Edinborough, and parenting stress, will occur at 3 months before delivery and 3 months, 9 months, and 18 months postpartum with multivariate MANOVA, SEM and growth curve analyses. Positive project outcomes will result in successful interventions that reduce the incidence of IPV.