Clinical trial NCT04235335: Healing Circles: An Intervention for Canadian Indigenous Mothers & Children Affected by IPV
Official title: Healing Circles: An Evaluation of an Intervention for Canadian Indigenous Mothers and Children Affected by Intimate Partner Violence
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Violence, Domestic
Keywords: domestic violence
exposure to violence
Lead sponsor: University of Manitoba
Sponsor class: OTHER
Collaborators: name: Canadian Institutes of Health Research (CIHR)
First posted: 2020-01-21
Enrollment: 160
Sex: ALL
Minimum age (years): 6
Maximum age (years): 13
Standard ages: CHILD
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: Evaluation of Mother's Empowerment Program and Kid's Club Program adapted specifically for Indigenous mothers and children affected by intimate partner violence in Canada

Detailed description: Research Goals \& Objectives. Our overall goal is to conduct a feasibility study of two successful evidence-based interventions (Mother's Empowerment Program and Kid's Club Program) designed specifically to meet the needs of Indigenous mothers and their children who have experienced intimate partner violence (IPV).

Specifically, our objectives are:

1. To successfully adapt two existing effective evidence-based interventions for mothers and children who have experienced IPV for Indigenous mothers and children who have experienced IPV. Our adaptation process reflects our overall integrated knowledge translation (iKT) approach, undertaken in close partnership with our Community Advisory Council (CAC) and in consultation with Elders at both sites. As outlined by the Canadian Institutes of Health Research (CIHR), it follows a two-eyed seeing approach, incorporating Western and Indigenous knowledge, ways of knowing and being.
2. To pilot and evaluate our adapted interventions with mothers and children recruited from our community partners (Wahbung Abinoonjiiag, an Indigenous non-profit organization in Winnipeg and Discovery House, a crisis shelter and second stage housing facility for women in Calgary). We plan to evaluate our adapted programs using a two-eyed seeing approach that combines Western (quantitative) and Indigenous (qualitative) methodologies. As part of our iKT approach, our mixed methods evaluation will rely upon ongoing engagement and feedback from our CAC. Quantitative methods (e.g., standardized questionnaires) will be used to assess changes in the mental and physical health and well-being of mothers and their children over time. Qualitative methods (e.g., semi-structured interviews, narratives) will be used to evaluate the intervention experience and perceived changes in self perceptions (e.g., resilience).

Hypotheses. We will determine if there is an increase, both immediately post-intervention and sustained over 6-8 months, in mothers' and children's mental (e.g., resilience) and physical well-being (e.g., perceived health status), and if there is a reduction in mothers' and children's mental health (e.g., depression, anxiety and traumatic stress symptoms) and physical difficulties (e.g., somatic symptoms such as headaches). For children, analyses will take age, gender and sex into account.

Eligibility criteria: Inclusion Criteria:

* mothers self-reported experience of past intimate partner violence, English-speaking, with at least one school-aged child

Exclusion Criteria:

-

Primary outcomes:
measure: Maternal Depression
timeFrame: Measured immediately post-intervention
measure: Maternal Depression
timeFrame: Measured 6-8 months post-intervention
measure: Child Depression
timeFrame: Measured Immediately post-intervention
measure: Child Depression
timeFrame: Measured 6-8 months post-intervention
measure: Maternal Anxiety
timeFrame: Measured Immediately post-intervention
measure: Maternal Anxiety
timeFrame: Measured 6-8 months post-intervention
measure: Child Anxiety
timeFrame: Measured immediately post-intervention
measure: Child Anxiety
timeFrame: Measured 6-8 months post-intervention
measure: Maternal trauma symptoms
timeFrame: Measured immediately post-intervention
measure: Maternal trauma symptoms
timeFrame: Measured 6-8 months post-intervention
measure: Child trauma symptoms
timeFrame: Measured immediately post-intervention
measure: Child trauma symptoms
timeFrame: Measured 6-8 months post-intervention
Secondary outcomes:
measure: Maternal resilience
timeFrame: Measured immediately post-intervention
measure: Maternal resilience
timeFrame: Measured 6-8 months post-intervention
measure: Child resilience
timeFrame: Measured immediately post-intervention
measure: Child resilience
timeFrame: Measured 6-8 months post-intervention
measure: Maternal social support
timeFrame: Measured immediately post-intervention
measure: Maternal social support
timeFrame: Measured 6-8 months post-intervention
measure: Maternal self esteem
timeFrame: Measured immediately post-intervention
measure: Maternal self esteem
timeFrame: Measured 6-8 months post-intervention
Other outcomes:
Locations:
city: Calgary
country: Canada
facility: Discovery House
state: Alberta
Study officials:
affiliation: University of Manitoba
name: Caroline Piotrowski, PhD MPH
role: PRINCIPAL_INVESTIGATOR
References:
citation: Graham-Bermann SA, Miller-Graff L. Community-based intervention for women exposed to intimate partner violence: A randomized control trial. J Fam Psychol. 2015 Aug;29(4):537-47. doi: 10.1037/fam0000091.
citation: Graham-Bermann SA, Miller-Graff LE, Howell KH, Grogan-Kaylor A. An Efficacy Trial of an Intervention Program for Children Exposed to Intimate Partner Violence. Child Psychiatry Hum Dev. 2015 Dec;46(6):928-39. doi: 10.1007/s10578-015-0532-4.
citation: Graham-Bermann SA, Lynch S, Banyard V, DeVoe ER, Halabu H. Community-based intervention for children exposed to intimate partner violence: an efficacy trial. J Consult Clin Psychol. 2007 Apr;75(2):199-209. doi: 10.1037/0022-006X.75.2.199.