Clinical trial NCT05490121: RISE With Residents
Official title: Evaluating an Educational Intervention for Improving Residents' Recognition and Response to Child Maltreatment - A Mixed Method Acceptability and Feasibility Study With a Pilot Randomized Trial
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Domestic Violence
Child Maltreatment
Pediatric ALL
Psychiatry
Education, Medical, Graduate
Keywords: Family Violence
Medical Education
Education Scholarship
Health Professions Education
Mandatory Reporting
Child Maltreatment
Lead sponsor: McMaster University
Sponsor class: OTHER
Collaborators: name: Royal College of Physicians and Surgeons of Canada
First posted: 2022-08-05
Enrollment: 71
Sex: ALL
Minimum age (years): 18
Maximum age (years): 100
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: To determine the feasibility of evaluating the effectiveness of both of VEGA's educational approaches, as well as to generate preliminary estimates of effect for sampling and effect size calculations, a two-arm pilot randomized controlled trial (RCT) will be used (Eldridge et al., 2016). Eligible participants will be randomly assigned to receive either self-directed (i.e., experimental) or facilitator-led (i.e., active control (AC)) VEGA.
Primary purpose: OTHER

Brief summary: Prevention of child maltreatment (CM) remains a public health priority in Canada; approximately one-third of Canadians report exposure to at least one form of CM. Physicians play an important role in recognizing and responding to CM and its associated sequelae. However, increasing evidence indicates that physicians receive insufficient training related to recognizing and responding to CM. CM education is especially pertinent during the pediatric and psychiatry residency period but it remains unclear what the optimal approach is for preparing Canadian physicians with the knowledge and skills to effectively recognize and respond to CM. Those educational interventions that have been evaluated in medical education contexts have comparatively little emphasis on the complex overlap between IPV, children's exposure to IPV, and other forms of CM. The Violence, Evidence, Guidance, Action Project (VEGA) is a novel educational intervention that has the potential to improve the preparation of physicians to be able to effectively recognize and respond to CM in their clinical encounters and takes into account this complex overlap. The purpose of this study is to assess the acceptability and feasibility of a future randomized-controlled trial comparing two approaches to administering the VEGA intervention, facilitator-led or self-directed VEGA and whether/how these approaches can support residents' education.

The investigators hypothesize that there will be significant increases in preparedness, knowledge and skills, and self-efficacy to recognize and respond to CM in both the experimental and AC arms from Time 1 (baseline) to Time 2 (immediately after the intervention) and Time 1 (baseline) to Time 3 (3 month follow-up). The investigators also predict that these improvements will be slightly attenuated in the experimental arm. Qualitative data pertaining to perceived value and impact will corroborate the quantitative findings.


Eligibility criteria: Inclusion Criteria:

* Participant is a resident at a Canadian University.
* Participant is fluent in written and spoken English.

Exclusion Criteria:

* Participant has previously accessed VEGA intervention materials.
* Participant is currently enrolled in or plans to enroll in any other educational intervention focused on family violence within the study time period (approximately next 3 months).

Primary outcomes:
measure: Number of Residents Who Meet Eligibility Criteria
timeFrame: Through study completion, an average of 4 months
measure: Number of Residents who Consent
timeFrame: Through study completion, an average of 4 months
measure: Number of Residents who Complete Assigned Intervention
timeFrame: Through study completion, an average of 4 months
measure: Number of Residents who Complete Assessments
timeFrame: Through study completion, an average of 4 months
Secondary outcomes:
measure: Child Maltreatment Vignette Scale
timeFrame: Time 1 (one week before intervention), Time 2 (immediately after the intervention), Time 3 (3 month follow-up)
measure: Child Maltreatment Knowledge and Skills Questions (Developed by VEGA Team)
timeFrame: Time 1 (one week before intervention), Time 2 (immediately after the intervention), Time 3 (3 month follow-up)
measure: The Physician Readiness to Manage Intimate Partner Violence Survey: Preparedness Subscale
timeFrame: Time 1 (one week before intervention), Time 3 (3 month follow-up)
measure: Mandatory Reporting Self-Efficacy Scale (MRSES)
timeFrame: Time 1 (one week before intervention), Time 2 (immediately after the intervention), Time 3 (3 month follow-up)
measure: Brief Individual Readiness for Change Scale (BIRCS)
timeFrame: Time 1 (one week before intervention)
measure: Achievement Goals for Work Domain (AGWD)
timeFrame: Time 1 (one week before intervention)
Other outcomes:
measure: Demographics
timeFrame: Pre-Intervention
measure: Previous Training in Child Maltreatment
timeFrame: Time 1 (one week before intervention)
measure: Thoughts and Beliefs about Recognizing and Responding to CM in Professional Roles
timeFrame: Time 1 (one week before intervention)
measure: Satisfaction with VEGA Training
timeFrame: Time 2 (immediately after the intervention)
Locations:
city: Hamilton
country: Canada
facility: McMaster University
state: Ontario
Study officials:
affiliation: McMaster University
name: Melissa Kimber, PhD, MSW, RSW
role: PRINCIPAL_INVESTIGATOR
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