Psychological advocacy towards healing (PATH):A randomized controlled trial of a psychological intervention in a domestic violence service setting
| Autor: | Sandra Hollinghurst, Emma Howarth, Lynnmarie Sardinha, Gene Feder, Louise M. Howard, Roxane Agnew-Davies, Jayne E Bailey, Giulia Ferrari, Tim J Peters, Deborah Sharp |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Child abuse
Male Social Cognition 050103 clinical psychology Domestic Violence Epidemiology Psychological intervention Intimate Partner Violence Social Sciences lcsh:Medicine Criminology law.invention Stress Disorders Post-Traumatic 0302 clinical medicine Randomized controlled trial Sociology law RA0421 Public health. Hygiene. Preventive Medicine Medicine and Health Sciences Medicine Psychology Public and Occupational Health 030212 general & internal medicine Sense of Agency lcsh:Science education.field_of_study Multidisciplinary Depression 05 social sciences Traumatic Injury Risk Factors Post-Traumatic Stress Disorder Middle Aged Anxiety Disorders Substance abuse Mental Health Female Crime Research Article Adult medicine.medical_specialty Drug Research and Development Adolescent Psychometrics Social Psychology BF Psychology Population Neuropsychiatric Disorders Neuroses Research and Analysis Methods HV Social pathology. Social and public welfare. Criminology 03 medical and health sciences Young Adult Intervention (counseling) Mental Health and Psychiatry Humans 0501 psychology and cognitive sciences Clinical Trials education Violent Crime Aged Pharmacology Intention-to-treat analysis business.industry Mood Disorders lcsh:R Cognitive Psychology Biology and Life Sciences HQ The family. Marriage. Woman medicine.disease Mental health Randomized Controlled Trials Medical Risk Factors Spouse Abuse Physical therapy Cognitive Science lcsh:Q Clinical Medicine business Neuroscience |
| Zdroj: | Feder, G, Ferrari, G, Agnew-Davies, R, Bailey, J, Hollinghurst, S, Howard, L, Howarth, E, Sardinha, L, Sharp, D & Peters, TJ 2018, ' Psychological advocacy towards healing (PATH) : A randomized controlled trial of a psychological intervention in a domestic violence service setting ', PLoS ONE, vol. 13, no. 11, e0205485 . https://doi.org/10.1371/journal.pone.0205485 PLoS ONE, Vol 13, Iss 11, p e0205485 (2018) PLoS ONE PLOS ONE |
| DOI: | 10.1371/journal.pone.0205485 |
| Popis: | BackgroundExperience of domestic violence and abuse (DVA) is associated with mental illness. Advocacy has little effect on mental health outcomes of female DVA survivors and there is uncertainty about the effectiveness of psychological interventions for this population.ObjectiveTo test effectiveness of a psychological intervention delivered by advocates to DVA survivors.Design, masking, setting, participantsPragmatic parallel group individually randomized controlled trial of normal DVA advocacy vs. advocacy + psychological intervention. Statistician and researchers blinded to group assignment. Setting: specialist DVA agencies; two UK cities. Participants: Women aged 16 years and older accessing DVA services.InterventionEight specialist psychological advocacy (SPA) sessions with two follow up sessions.MeasurementsPrimary outcomes at 12 months: depression symptoms (PHQ-9) and psychological distress (CORE-OM). Primary analysis: intention to treat linear (logistic) regression model for continuous (binary) outcomes.Results263 women recruited (78 in shelter/refuge, 185 in community), 2 withdrew (1 community, control group; 1 intervention, refuge group), 1 was excluded from the study for protocol violation (community, control group), 130 in intervention and 130 in control groups. Recruitment ended June 2013. 12-month follow up: 64%. At 12-month follow up greater improvement in mental health of women in the intervention group. Difference in average CORE-OM score between intervention and control groups: -3.3 points (95% CI -5.5 to -1.2). Difference in average PHQ-9 score between intervention and control group: -2.2 (95% CI -4.1 to -0.3). At 12 months, 35% of the intervention group and 55% of the control group were above the CORE-OM -2clinical threshold (OR 0.32, 95% CI 0.16 to 0.64); 29% of the intervention group and 46% of the control group were above the PHQ-9 clinical threshold (OR 0.41, 95% CI 0.21 to 0.81),Limitations64% retention at 12 monthsConclusionsAn eight-session psychological intervention delivered by DVA advocates produced clinically relevant improvement in mental health outcomes compared with normal advocacy care.Trial registrationISRCTN registry ISRCTN58561170Original Research3675/3750 |
| Databáze: | OpenAIRE |
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