Domestic Violence Enhanced Home Visitation Program (DOVE)

Study Overview
=================
Brief Summary
-----------------
DOVE Home Visit Program is a brochure based intervention delivery by public health nurses which aims to prevent and reduce intimate partner violence against pregnant and postpartum women and their infants. The purpose of the study is to test the effect of home visits on reducing domestic violence and improving the lives of pregnant women and their children.

Detailed Description
-----------------
Outcomes will provide intervention efficacy data about a public health nurse home visit intervention aimed at reducing and preventing intimate partner violence and children's exposure to IVP as well as prospective information about patterns of intimate partner violence.

Official Title
-----------------
Domestic Violence Enhanced Home Visitation Program - DOVE

Conditions
-----------------
Domestic Violence

Intervention / Treatment
-----------------
* Behavioral: Public Health Nurse Home Visit
* Behavioral: Intimate Partner Violence (IPV) Protocol


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Pregnant women 31 weeks or less gestation, over age 18, with a history of intimate partner violence within the past 2 years, and who are willing to participate in the home visit program Exclusion Criteria: Age 17 or less. History of partner violence beyond 2 years. Not participating in home visit program. Does not speak English

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
Female

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: 1<br>Dove Intervention | Behavioral: Public Health Nurse Home Visit<br>* The perinatal public health nurse home visit intervention also includes a trifold brochure, printed on 8X10 inch paper, with 6 panels, that can be read with the woman in an interactive manner so that the woman is encouraged to describe her experiences and choose her options as they proceed. Participants will receive three prenatal and three postpartum sessions. The first prenatal sessions will be given during the first (enrollment), second, and third trimesters, with at least three weeks between sessions. Women entering the study after the first trimester will receive the initial session at enrollment, with two subsequent sessions spread out over the remainder of the scheduled prenatal home visitation program sessions.<br>|
| Active Comparator: 2<br>Intimate Partner Violence (IPV) Protocol | Behavioral: Intimate Partner Violence (IPV) Protocol<br>* The current protocol in use by the participating health departments when a women screens positive for intimate partner violence (IPV), current or history within the last year.<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Reducing children's exposure to Intimate Partner Violence |  | Baseline (entry into the study), birth of the infant, and 3, 6, 12 and 24 months after the infant's birth. | 
| Patterns of Intimate Partner Violence |  | Baseline (entry into the study), birth of the infant, and 3, 6, 12 and 24 months after the infant's birth. | 
| Reducing Intimate Partner Violence |  | Baseline (entry into the study), birth of the infant, and 3, 6, 12 and 24 months after the infant's birth. |