Does Routine Screening for Intimate Partner Violence Against Women in Health Care Settings do More Good Than Harm?
This study has been completed.
Sponsor:
McMaster University
Collaborator:
Echo: Improving Women's Health in Ontario (formerly Ontario Women's Health Council)
Information provided by:
McMaster University
ClinicalTrials.gov Identifier:
NCT00182468
First received: September 13, 2005
Last updated: September 8, 2009
Last verified: September 2009
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Purpose
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.
| Condition | Intervention |
|---|---|
|
Intimate Partner Violence Against Women |
Other: Screening for intimate partner violence |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Screening |
| Official Title: | If, When and How to Ask the Question(s): Assessing Screening Approaches to Identifying Woman Abuse in Health Care Settings |
Further study details as provided by McMaster University:
Primary Outcome Measures:
- Recurrence of intimate partner violence [ Time Frame: 18 months ]
- Health-specific quality of life [ Time Frame: 18 months ]
- Harms of screening and/or usual care [ Time Frame: 18 months ]
Secondary Outcome Measures:
- Mental health (depression, post-traumatic stress disorder [PTSD], anxiety, somatic complaints, substance use) [ Time Frame: 18 months ]
- Global physical and emotional health and well-being [ Time Frame: 18 months ]
- Health services utilization [ Time Frame: 18 months ]
- Safety behaviours [ Time Frame: 18 months ]
- Use of information and resources [ Time Frame: 18 months ]
- Child quality of life [ Time Frame: 18 months ]
- Stage in process of identifying and resolving abuse [ Time Frame: 18 months ]
- Exposure to maltreatment as a child [ Time Frame: 18 months ]
| Enrollment: | 5681 |
| Study Start Date: | April 2005 |
| Study Completion Date: | July 2008 |
| Primary Completion Date: | July 2008 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1
Women are screened for intimate partner violence prior to seeing a health care provider.
|
Other: Screening for intimate partner violence
Women are screened for intimate partner violence prior to seeing a health care provider.
|
|
No Intervention: 2
Women see their health care provider without being asked about intimate partner violence.
|
Eligibility| Ages Eligible for Study: | 18 Years to 64 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | Yes |
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
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00182468
Locations
| Canada, Ontario | |
| Brantford Aboriginal Health Centre | |
| Brantford, Ontario, Canada, N3T 3C4 | |
| Joseph Brant Hospital | |
| Burlington, Ontario, Canada, L7R 4C4 | |
| West Lincoln Memorial Hospital | |
| Grimsby, Ontario, Canada, L3M 1P3 | |
| Grimsby Medical Associates | |
| Grimsby, Ontario, Canada, L3M 1P2 | |
| St. Joseph's Centre for Ambulatory Health Services | |
| Hamilton, Ontario, Canada, L8G 5E4 | |
| North Hamilton Community Health Centre | |
| Hamilton, Ontario, Canada, L8L 4S1 | |
| Aboriginal Health Centre | |
| Hamilton, Ontario, Canada, L8M 1K2 | |
| HART Clinic | |
| Hamilton, Ontario, Canada, L8S 1B7 | |
| McMaster University Medical Centre | |
| Hamilton, Ontario, Canada, L8N 3Z5 | |
| West End Clinic | |
| Hamilton, Ontario, Canada, L8S 1A4 | |
| Rosedale Medical Group | |
| Hamilton, Ontario, Canada, L8K 1W2 | |
| Hamilton Urban Core Community Health Centre | |
| Hamilton, Ontario, Canada, L8R 1B6 | |
| City of Hamilton Public Health and Community Services Department | |
| Hamilton, Ontario, Canada, L8R 3L5 | |
| St. Joseph's Urgent Care | |
| London, Ontario, Canada, N6A 4V2 | |
| St. Joseph's Family Medical & Dental Centre | |
| London, Ontario, Canada, N6G 1J1 | |
| Victoria Hospital | |
| London, Ontario, Canada, N6A 4G5 | |
| University Hospital | |
| London, Ontario, Canada, N6A 5A5 | |
| St. Joseph's Health Care - Women's Ambulatory Health Centre | |
| London, Ontario, Canada, N6A 4V2 | |
| London Family Practice - Dr. Bhayana | |
| London, Ontario, Canada, N6A 5R9 | |
| Willett Hospital Urgent Care | |
| Paris, Ontario, Canada, N3L 2N7 | |
| Niagara Health Prompt Care | |
| St. Catharines, Ontario, Canada, L2R 5K2 | |
| Hopital Regional de Sudbury Regional Hospital, Emergency Services | |
| Sudbury, Ontario, Canada, P3E 3B5 | |
| Sudbury Brady Clinic | |
| Sudbury, Ontario, Canada, P3E 1H5 | |
| Sudbury District Health Unit | |
| Sudbury, Ontario, Canada, P3E 3A3 | |
| Sudbury Family Physicians | |
| Sudbury, Ontario, Canada, P3B 1R6 | |
| Central Toronto Community Health Centre | |
| Toronto, Ontario, Canada, M5V 2R4 | |
| Mt. Sinai Hospital, Obstetrics & Gynecology Clinic | |
| Toronto, Ontario, Canada, L8G 5E4 | |
| Mt. Sinai Hospital | |
| Toronto, Ontario, Canada, M5G 1X5 | |
Sponsors and Collaborators
McMaster University
Echo: Improving Women's Health in Ontario (formerly Ontario Women's Health Council)
Investigators
| Principal Investigator: | Harriet L MacMillan, MD, MSc | McMaster University |
More Information
Additional Information:
No publications provided by McMaster University
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Dr. Harriet L. MacMillan, McMaster University |
| ClinicalTrials.gov Identifier: | NCT00182468 History of Changes |
| Other Study ID Numbers: | MacMillan_VAW_RCT |
| Study First Received: | September 13, 2005 |
| Last Updated: | September 8, 2009 |
| Health Authority: | Canada: Ethics Review Committee |
Keywords provided by McMaster University:
|
Domestic violence Spouse Abuse |
ClinicalTrials.gov processed this record on October 16, 2012
