Nurse-family Partnership (NFP) Curriculum Study

McMaster University

Status: Completed

Conditions: Domestic Violence

Treatments: Behavioral: NFP + IPV intervention

Study type: Interventional

Funder types: Other; Other U.S. Federal agency

Identifiers

NCT01372098

MacMillan_NFP_IPVI_RCT

Details and patient eligibility

About

The purpose of this study is to determine whether the Intimate Partner Violence (IPV) intervention in the context of Nurse-Family Partnership (NFP) program improves women's quality of life and reduces violence relative to the NFP alone using a cluster randomized controlled trial. Our hypothesis is that an IPV intervention can be designed that is acceptable to participants in the NFP, feasible to implement, and that this intervention will improve quality of life for women and reduce exposure to violence.

Enrollment: 492 patients

Sex: Female

Ages: 16+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age 16 years and older
• NFP program participants (woman with first live birth and living in poverty)
• English speaker

Exclusion criteria

• Woman who cannot communicate in English

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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492 participants in 2 patient groups

NFP + IPV intervention

Experimental group

Description:

The protocol for number and timing of visits will be the same for both NFP+IPVI and Standard Care, as follows: weekly for the first four visits, every other week for the remainder of the pregnancy, every week for six weeks in the postpartum and every other week until the infant is 21 months old after which it is once a month for the last three months. We recognize that the intervention might prompt the nurse and mother to alter the regular visit schedule if IPV is present.

Treatment:

Behavioral: NFP + IPV intervention

NFP (standard care)

No Intervention group

Description:

The NFP nurses currently receive some training regarding IPV, but it is minimal. Between intake and when the child is 3 months and 12 months old, there is a brief instruction that the nurse assess for IPV. If the client acknowledges current abuse when completing the Abuse Assessment Screen, the nurse should "assist her to evaluate threats to personal safety and make referrals as needed". There is a prompt to be mindful of client safety, and to make referrals as needed.