Clinical trial NCT00182468: Does Routine Screening for Intimate Partner Violence Against Women in Health Care Settings do More Good Than Harm?
Official title: If, When and How to Ask the Question(s): Assessing Screening Approaches to Identifying Woman Abuse in Health Care Settings
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Intimate Partner Violence Against Women
Keywords: Domestic violence
Spouse Abuse
Lead sponsor: McMaster University
Sponsor class: OTHER
Collaborators: name: Echo: Improving Women's Health in Ontario (formerly Ontario Women's Health Council)
First posted: 2005-09-16
Enrollment: 5681
Sex: FEMALE
Minimum age (years): 18
Maximum age (years): 64
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SCREENING

Brief summary: The purpose of the research is to evaluate whether routine screening for woman abuse in health care settings, as compared to no screening, does more good than harm. Recent reviews have identified the need for high quality research to understand 1) the actual impact on all women of instituting mass screening procedures to identify woman abuse and 2) the extent to which early identification through screening is effective in preventing or ameliorating important outcomes. The main outcomes for the study are reduction in violence, improvement in life quality, and potential harms of screening. A number of secondary outcomes to help understand the process by which screening and usual care might lead to changes in the primary outcomes will also be assessed.


Eligibility criteria: Inclusion Criteria:

* Women aged 18-64 years
* Patients at the health care site
* Able to participate in English
* Able to separate from accompanying person(s)

Exclusion Criteria:

* Too ill to participate
* Unable to separate from accompanying person(s)
* Unable to speak, read, or write English

Primary outcomes:
measure: Recurrence of intimate partner violence
timeFrame: 18 months
measure: Health-specific quality of life
timeFrame: 18 months
measure: Harms of screening and/or usual care
timeFrame: 18 months
Secondary outcomes:
measure: Mental health (depression, post-traumatic stress disorder [PTSD], anxiety, somatic complaints, substance use)
timeFrame: 18 months
measure: Global physical and emotional health and well-being
timeFrame: 18 months
measure: Health services utilization
timeFrame: 18 months
measure: Safety behaviours
timeFrame: 18 months
measure: Use of information and resources
timeFrame: 18 months
measure: Child quality of life
timeFrame: 18 months
measure: Stage in process of identifying and resolving abuse
timeFrame: 18 months
measure: Exposure to maltreatment as a child
timeFrame: 18 months
Other outcomes:
Locations:
city: Brantford
country: Canada
facility: Brantford Aboriginal Health Centre
state: Ontario
city: Burlington
country: Canada
facility: Joseph Brant Hospital
state: Ontario
city: Grimsby
country: Canada
facility: Grimsby Medical Associates
state: Ontario
city: Grimsby
country: Canada
facility: West Lincoln Memorial Hospital
state: Ontario
city: Hamilton
country: Canada
facility: St. Joseph's Centre for Ambulatory Health Services
state: Ontario
city: Hamilton
country: Canada
facility: Rosedale Medical Group
state: Ontario
city: Hamilton
country: Canada
facility: North Hamilton Community Health Centre
state: Ontario
city: Hamilton
country: Canada
facility: Aboriginal Health Centre
state: Ontario
city: Hamilton
country: Canada
facility: McMaster University Medical Centre
state: Ontario
city: Hamilton
country: Canada
facility: Hamilton Urban Core Community Health Centre
state: Ontario
city: Hamilton
country: Canada
facility: City of Hamilton Public Health and Community Services Department
state: Ontario
city: Hamilton
country: Canada
facility: West End Clinic
state: Ontario
city: Hamilton
country: Canada
facility: HART Clinic
state: Ontario
city: London
country: Canada
facility: Victoria Hospital
state: Ontario
city: London
country: Canada
facility: St. Joseph's Health Care - Women's Ambulatory Health Centre
state: Ontario
city: London
country: Canada
facility: St. Joseph's Urgent Care
state: Ontario
city: London
country: Canada
facility: University Hospital
state: Ontario
city: London
country: Canada
facility: London Family Practice - Dr. Bhayana
state: Ontario
city: London
country: Canada
facility: St. Joseph's Family Medical & Dental Centre
state: Ontario
city: Paris
country: Canada
facility: Willett Hospital Urgent Care
state: Ontario
city: St. Catharines
country: Canada
facility: Niagara Health Prompt Care
state: Ontario
city: Sudbury
country: Canada
facility: Sudbury Family Physicians
state: Ontario
city: Sudbury
country: Canada
facility: Sudbury Brady Clinic
state: Ontario
city: Sudbury
country: Canada
facility: Sudbury District Health Unit
state: Ontario
city: Sudbury
country: Canada
facility: Hopital Regional de Sudbury Regional Hospital, Emergency Services
state: Ontario
city: Toronto
country: Canada
facility: Mt. Sinai Hospital, Obstetrics & Gynecology Clinic
state: Ontario
city: Toronto
country: Canada
facility: Mt. Sinai Hospital
state: Ontario
city: Toronto
country: Canada
facility: Central Toronto Community Health Centre
state: Ontario
Study officials:
affiliation: McMaster University
name: Harriet L MacMillan, MD, MSc
role: PRINCIPAL_INVESTIGATOR
References:
citation: MacMillan HL, Wathen CN, Jamieson E, Boyle MH, Shannon HS, Ford-Gilboe M, Worster A, Lent B, Coben JH, Campbell JC, McNutt LA; McMaster Violence Against Women Research Group. Screening for intimate partner violence in health care settings: a randomized trial. JAMA. 2009 Aug 5;302(5):493-501. doi: 10.1001/jama.2009.1089.