Domestic Violence Intervention to Reduce Psychological Distress and Violence Among Women Experiencing IPV in Nepal (DeVI)

Global and Sexual Health (GloSH)

Status: Completed

Conditions: Problem Management Plus; Domestic Violence; Cluster Randomized Trial; Intervention; Secondary Prevention; Intimate Partner Violence; Mental Health

Treatments: Behavioral: DeVI

Study type: Interventional

Funder types: Other

Identifiers

NCT05426863

555

Details and patient eligibility

About

The aim of this study is to implement and evaluate the feasibility, acceptability, and effectiveness of a validated integrated multi-component intervention targeting secondary prevention of violence and addressing the mental health needs of women experiencing intimate partner violence.

Full description

This study's aim is to assess the feasibility and effectiveness of an integrated multicomponent intervention among women experiencing violence in Madhesh Province of Nepal.

1. To assess the feasibility of DeVI in health care centers in Nepal by exploring the views of key stakeholders, health care providers, and local women in the community.
2. To train non-specialist mental health care providers on the delivery of DeVI among women exposed to IPV.
3. To explore participants' and health care providers' experiences with DeVI Intervention and the opportunities and challenges encountered during implementation.
4. To measure the effectiveness of the DeVI intervention in addressing psychological distress, reducing the occurrence of IPV, and developing safety strategies among women experiencing IPV.
5. To measure the impact of the DeVI training on knowledge, attitudes, skills, and stigma towards IPV and its consequences, particularly on psychological trauma among health care providers.

Enrollment: 912 patients

Sex: Female

Ages: 18 to 49 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Women between the age of 18-49 years
• Having experienced abuse (physical, sexual, or psychological) in a heterosexual relationship from her husband or her family members in the last 12 months
• Non-pregnant or pregnant in the first trimester
• Score of 3 and above in the psychological distress scale (measured by General Health Questionnaire (GHQ-12))
• Living with her husband or in-laws for at least six months.

Exclusion criteria

• Have a severe cognitive impairment
• Seeking treatment for life-threatening emergency care
• Have suicidal thoughts

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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912 participants in 2 patient groups

Psychosocial Counselling

Experimental group

Description:

A multi-component intervention counseling package to prevent the reoccurrence of IPV and address psychological distress among women experiencing violence. The DeVI intervention is structured into five weekly sessions.

Treatment:

Behavioral: DeVI

Standard Usual Care

No Intervention group

Description:

Provide standard usual care and information booklet similar to that of the intervention group that contains updated contact information for the referral services.