Promoting Safety Behaviours in Antenatal Care Using a Video

Study Overview
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Brief Summary
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This study investigates the effect of a video which teaches 15 safety behaviours for women subject to intimate partner violence (IPV) during pregnancy. Half of the women screening positive for IPV during pregnancy will view the intervention video. The other half will view a control video.

Detailed Description
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Intimate partner violence (IPV) poses a risk for the health of the woman during pregnancy also for the health of the unborn child. Pregnancy is time when nearly all women have regular contact with the healthcare system. Pregnancy is also a time during which women consider their situation and are open for change. Healthcare staff have the opportunity to ask pregnant women if they experience IPV and need to know how to respond to women experiencing IPV. Healthcare staff can refer to other services. If staff are uncertain if referral is needed or wanted they can teach women how to increase their own safety and prepare for leaving through a number of safety promoting behaviours.The safety behaviours were originally developed in the USA to counsel women who attended a family violence unit and qualified for a protection order. Women do not always disclose the true nature of their IPV to staff. However, they could still benefit from learning about safety promoting behaviours. Using a video for teaching allows for the use of pictures and sound and options for several languages.

Official Title
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Preparing for the Worst - Promoting Safety Behaviours in Antenatal Care Among Norwegian, Pakistani and Somali Pregnant Women

Conditions
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Intimate Partner Violence

Intervention / Treatment
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* Behavioral: Safety behaviour promoting video
* Behavioral: Control video


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: pregnant women attending antenatal care at the community health center, 18 years or older, understanding sufficient Norwegian, Urdu, Somali or English to complete the questionnaire and understand the video. Exclusion Criteria: women who do not speak or understand the languages provided in the study (English, Urdu, Somali and Norwegian) women who have never been in an adult intimate relationship women who are closely attended by male partner women who do not have the mental of physical capacity to answer the questionnaire. women who cannot fill out the questionnaire in privacy

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Pregnant women will be screened for IPV using a modified version of the Abuse Assessment Screening. Women who screen positive are randomized into either the intervention video or a control video. Women screening negative for violence will be shown the control video. All women receive standard care and a card with high quality websites about safe pregnancy. Hidden among these is a webside that informs women about IPV (rights, safety etc..). Three months after birth all the women screening positive for violence will receive another questionnaire to fill out. In addition will a random sample of women who screened negative for IPV be asked to fill out a questionnaire at the same time. This group will be double the size of the women screening positive.
Masking: Triple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Screened positive intervention video<br>Safety behaviour promoting video | Behavioral: Safety behaviour promoting video<br>* A 7 min. video which teaches 15 different safety behaviours to reduce violence or the effect of violence<br>|
| Sham Comparator: Screened positive control video<br>Pregnant women who screen positive for IPV using the AAS who are randomized into viewing the control video | Behavioral: Control video<br>* A 7 min. video which teaches women about safety regarding food, alcohol, smoking, medication and physical activity during pregnancy<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Adoption of safety behaviours | Number of used safety behaviours | change from pregnancy to 3 months postpartum | 
| The World Health Organisation Quality of Life Brief (WHOQOL-BREF) | A scale of 26 items assessing four dimensions of quality of life (QOL), physical, psychological, environmental and social. Low score equals low QOL. Mean scores are calculated for each domain. | Change from pregnancy to 3 months postpartum | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Prevalence of Intimate Partner Violence (IPV) measured using Composite Abuse Scale (revised) - Short Form (CAS R SF) | CAS(R)-SF is a 15-item instrument capturing physical, sexual and psychological abuse and overall IPV. Total score ranges from 0 to 75. Low score indicates less violence. Mean total score is calculated and compared. | change from pregnancy to 3 months postpartum | 
| Symptoms of depression | Edinburgh Depression Scale -5 (short version) | Change from pregnancy to 3 months postpartum. Minimum score is 0, maximum score is 15. The lower the score the fewer symptoms of depression the person has. A cut-off of 7 or more is used to indicate symptoms of depression. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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IPV