A randomized controlled trial of a computer-based brief intervention for victimized perinatal women seeking mental health treatment.

Journal: Archives of women's mental health

Volume: 22

Issue: 3

Year of Publication: 2020

Affiliated Institutions:  Department of Psychiatry and Human Behavior, Brown University, Providence, RI, USA. czlotnick@butler.org. Department of Family Medicine, University of Michigan, Ann Arbor, MI, USA. Department of Medicine at Women and Infants Hospital, Providence, RI, USA.

Abstract summary 

Intimate partner victimization (IPV) during the perinatal period is associated with adverse outcomes for the woman, her developing fetus, and any children in her care. Maternal mental health concerns, including depression and anxiety, are prevalent during the perinatal period particularly among women experiencing IPV. Screening and interventions for IPV targeting women seeking mental health treatment are lacking. In the current study, we examine the feasibility, acceptability, and the preliminary efficacy of a brief, motivational computer-based intervention, SURE (Strength for U in Relationship Empowerment), for perinatal women with IPV seeking mental health treatment. The study design was a two-group, randomized controlled trial with 53 currently pregnant or within 6-months postpartum women seeking mental health treatment at a large urban hospital-based behavioral health clinic for perinatal women. Findings support the acceptability and feasibility of the SURE across a number of domains including content, delivery, and retention. All participants (100%) found the information and resources in SURE to be helpful. Our preliminary results found the degree of IPV decreased significantly from baseline to the 4-month follow-up for the SURE condition (paired t-test, p < 0.001), while the control group was essentially unchanged. Moreover, there was a significant reduction in emotional abuse for SURE participants (p = 0.023) relative to participants in the control condition. There were also reductions in physical abuse although non-significant (p = 0.060). Future work will test SURE in a larger, more diverse sample. ClinicalTrials.gov Identifier: NCT02370394.

Authors & Co-authors:  Zlotnick Caron C Tzilos Wernette Golfo G Raker Christina A CA

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Bacchus LJ, Bullock L, Sharps P, Burnett C, Schminkey DL, Maria Buller A, Campbell J (2016). Infusing technology into perinatal home visitation in the United States for women experiencing intimate partner violence: exploring the interpretive flexibility of an mHealth intervention. J Med Internet Res 18(11): e302 doi:10.2196/jmir.6251
Authors :  3
Identifiers
Doi : 10.1007/s00737-018-0895-1
SSN : 1435-1102
Study Population
Women
Mesh Terms
Adolescent
Other Terms
Computer intervention;Intimate partner victimization;Perinatal
Study Design
Randomized Control Trial,Case Control Trial,Cross Sectional Study
Study Approach
Country of Study
Publication Country
Austria