Investigating the Impact of Acceptance and Commitment Therapy on Resiliency in Women Affected by Domestic Violence
Condition: Domestic Violence
Study type: Interventional

Summary: 
      This study is a randomized controlled counseling intervention with pre-test, post-test and
      control groups. After obtaining informed consent from 80 women affected by domestic violence
      that referred to the health centers of the villages covered by Al-Kooh Mashhad Health Center
      (Mashhad Al-Kooh Health Center, Michan, Mosleh Abad) and Mashhad Al-Kobeh Health Center, and
      are eligible to enter Rct are. A woman who has been subjected to domestic violence is someone
      who has obtained at least one score on the (cts2) questionnaire .

      Then, these people are randomly divided into two groups of intervention (n = 40) and control
      (n = 40). The members of the intervention group in groups of 10 are treated in 8 sessions of
      90 minutes once a week based on "acceptance and commitment treatment" based on Hayes (2006)
      approach by a trained consultant (researcher) in Mashhad AL-koubeh Health Center. The control
      group also receives 8 counseling sessions once a week by the same "health education"
      consultant in groups of 10 at the same center. One week after the end of the eighth session
      and one month later, the questionnaires are completed again by trained questioners for both
      groups.

      The instruments studied in this study include demographic questionnaire, conflict resolution
      tactics questionnaire (cts 2) and resilience questionnaire (Connor-Davidson). Data analysis
      is performed using descriptive and inferential statistics with SPSS software version 23.
    

Detailed description: 
      Sampling:

      In this project, (80 people) eligible women (with at least one score from the CTS2
      questionnaire) are selected through available health centers in the villages covered by
      Mashhad-e-Kobeh Health Center and Mashhad-e-Koboeh Health Center by available sampling
      method. They are randomly divided into intervention and control groups.

      Randomization type:

      Randomization is blockchain. 20 blocks with a volume of 4 are used, two allocations for the
      control group and two allocations for the intervention group. Random sequencing is done using
      a web-based random site (https://www.sealedenvelope.com).

      Sequence Hiding: Sequence hiding is when someone outside the research team has a random
      assignment list. As soon as a person is eligible to participate in the study, the sampler
      contacts the person who has a random assignment sequence and he / she gives the code to the
      participants to enter the study according to the sequence list.

      Acceptance and commitment therapy sessions are held by a researcher who has learned the
      workshop before starting the project. In the evaluation phase, one week and one month after
      the intervention, the questionnaires are completed by trained questioners. The statistical
      consultant who will help analyze the data is unaware of the codes of the participants in the
      groups. Therefore, the study will be of the three-blind type.

      Data collection method:

      Questionnaires are completed by pre-intervention interviews by trained researchers and
      samplers and in the evaluation phase after the intervention and follow-up by trained
      interviewers. Before starting the study, questioners with high public and social relations
      are selected for sampling and during a session, the necessary training is given to them by
      the researcher. During the briefing, the objectives of the study and the work process, the
      sampling method, the confidentiality of customer information and the privacy of the
      participant, and all ethical principles related to domestic violence research are taught to
      the samplers.

      Data collection tools:

      The instruments studied in this study include Demographic Questionnaire, CTS2 Conflict
      Resolution Tactics Questionnaire (to determine the status of violence) and Connor and
      Davidson Resilience Questionnaire (to determine the status of resilience).

      Hypothesis:

      Acceptance and commitment to therapy affect women's resilience to domestic violence.

      all purpose: The effect of treatment acceptance and commitment on the resilience of women
      affected by domestic violence is determined.

      Specific objectives:

      Determining and comparing the mean resilience score in the intervention and control groups,
      before, one week after the intervention and one month after the intervention.

      Functional purpose:

      If the effectiveness of acceptance and commitment therapy in improving the resilience of
      women affected by domestic violence is confirmed, this intervention method can be used in
      counseling centers and its use can be taught to service providers, especially midwives.
      Applying this method will probably be effective in reducing the rate of violence and mutual
      violence against women, promoting women's health, improving marital relations and marital
      satisfaction, strengthening the family and reducing the rate of divorce.
    

Intervention name(s): Acceptance and Commitment Therapy; placebo
Intervention type(s): Behavioral; Other
Intervention description(s): Investigating the impact of Acceptance and Commitment Therapy on Resiliency in women affected by domestic violence; This rct has one arm and health education is done only for the purpose of blinding the study so that the participant does not know which of the control or intervention groups it is in and has no comparative aspect and has nothing to do with resilience
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Individuals are randomly divided into two groups: intervention (n = 40) and control (n = 40). The members of the intervention group in groups of 10 will receive acceptance and commitment treatment in 8 90-minute sessions once a week according to Hayes (2006) approach in Mashhad Al-Koubeh Health Center by a consultant (researcher) trained. The control group also receives 8 counseling sessions per week by the same "Health Education" consultant in groups of 10 in the same center. One week after the end of the eighth session and one month later, the questionnaires are completed again by trained questioners for both groups
Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary purpose: Treatment
Keywords: Acceptance and commitment therapy; Resiliency; Domestic violence