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Awarded Research Grant to Prevent Violence and Violence-Related Injury

Is motivational interviewing an effective intervention for women coping with IPV

FOA Number: CE06-004: Grants for Violence-Related Injury Prevention Research
Project Period: 9/1/2006 – 8/31/2009
Application/Grant Number: 1-R49-CE000924-01
Principal Investigator: Peek-Asa, Corinne
The University of Iowa
Occupational and Environmental Health
C21M GH
200 Hawkins Drive
Iowa City, IA 52242
Email: corinne-peek-asa@uiowa.edu

Description

This will be a randomized controlled clinical trial to motivate women who screen positive for IPV to develop and achieve specific goals that will help them address the violence in their lives. This intervention trial will be integrated into the setting of a busy family planning clinic in the rural Midwest. This clinic is unique in that it serves a rural population with a relatively high proportion of minority residents. The study's first aim is to evaluate the integration of IPV screening through self-administered touch-screen computer surveys from all clinic clients. IPV will be screened using the Women's Experiences with Violence (WEB), the Index of Spousal Abuse - Physical and the Danger Assessment Screen (DAS). Based on analyses of the clinic population and the investigators experience with similar samples of Iowa women, an expected 250 women who screen positive will be recruited, randomized into the intervention (n=150) and control groups (n=100), and will complete the study. The intervention will include a tailored domestic violence intervention that uses motivational interviewing to guide the patient towards identifying feasible goals and steps she can take to increase her self-efficacy and control over her relationship. Motivational interviewing is a client-driven communication technique that has been effective in increasing many types of health behaviors. The trained interviewer will help participants identify local resources that can help them meet their self-efficacy goals. Follow-up interviews using a CATI will be conducted at one and three months post-intervention to reinforce the intervention and assess the participants' level safety. A Safety Monitoring Committee will continuously monitor safety risks. The control group will receive usual clinic care, which includes talking with a domestic violence advocate and receiving a list of domestic violence resources. Six-months after enrollment, all participants will return to the clinic to complete a self-administered follow-up survey. The effectiveness of the intervention will be increased self-efficacy, as measured by the Domestic Violence Coping and Self-Efficacy Scale, a validated tool for use among women with a recent history of domestic abuse. The impact of the intervention be assessed as an increase in participants' readiness-to-change, and extent of their involvement in a wide variety of self-help and coping activities over the follow-up period. If successful, this screening and intervention program will be translated to other clinical settings.

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