Cluster randomized controlled trial protocol: addressing reproductive coercion in health settings (ARCHES)

BMC Women's Health

Study Protocol

Heather A. Anderson¹  Heather L. McCauley¹  Kelley A. Jones¹  Claire Raible¹  Elizabeth Miller¹  Sarah Zelazny¹  Angela Hicks¹  Samantha Ciaravino¹  Michele R. Decker²  Jay G. Silverman³  Lisa James⁴  Daniel J. Tancredi⁵ 

[1] Department of Pediatrics, Division of Adolescent Medicine, University of Pittsburgh School of Medicine, Children’s Hospital of Pittsburgh of UPMC, 3420 Fifth Ave, 15213, Pittsburgh, PA, USA;Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, E4142, 21205, Baltimore, MD, USA;Division of Global Public Health in the Department of Medicine & Center on Gender Equity and Health, University of California, San Diego, 9500 Gilman Drive #0507, 92093-0507, La Jolla, CA, USA;Futures Without Violence, 100 Montgomery Street, The Presidio, 94129, San Francisco, CA, USA;UC Davis Department of Pediatrics and Center for Healthcare Policy and Research, 2103 Stockton Blvd Suite 2224, 95817, Sacramento, CA, USA;

关键词: Intimate Partner Violence;    Harm Reduction;    Unintended Pregnancy;    Sexual Coercion;    Violence Victimization;   

DOI  :  10.1186/s12905-015-0216-z

 received in 2014-12-10, accepted in 2015-07-30,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundWomen ages 16–29 utilizing family planning clinics for medical services experience higher rates of intimate partner violence (IPV) and reproductive coercion (RC) than their same-age peers, increasing risk for unintended pregnancy and related poor reproductive health outcomes. Brief interventions integrated into routine family planning care have shown promise in reducing risk for RC, but longer-term intervention effects on partner violence victimization, RC, and unintended pregnancy have not been examined.Methods/DesignThe ‘Addressing Reproductive Coercion in Health Settings (ARCHES)’ Intervention Study is a cluster randomized controlled trial evaluating the effectiveness of a brief, clinician-delivered universal education and counseling intervention to reduce IPV, RC and unintended pregnancy compared to standard-of-care in family planning clinic settings. The ARCHES intervention was refined based on formative research. Twenty five family planning clinics were randomized (in 17 clusters) to either a three hour training for all family planning clinic staff on how to deliver the ARCHES intervention or to a standard-of-care control condition. All women ages 16–29 seeking care in these family planning clinics were eligible to participate. Consenting clients use laptop computers to answer survey questions immediately prior to their clinic visit, a brief exit survey immediately after the clinic visit, a first follow up survey 12–20 weeks after the baseline visit (T2), and a final survey 12 months after the baseline (T3). Medical record chart review provides additional data about IPV and RC assessment and disclosure, sexual and reproductive health diagnoses, and health care utilization. Of 4009 women approached and determined to be eligible based on age (16–29 years old), 3687 (92 % participation) completed the baseline survey and were included in the sample.DiscussionThe ARCHES Intervention Study is a community-partnered study designed to provide arigorous assessment of the short (3-4 months) and long-term (12 months) effects of a brief, clinician-delivered universal education and counseling intervention to reduce IPC, RC and unintended pregnancy in family planning clinic settings. The trial features a cluster randomized controlled trial design, a comprehensive data collection schedule and a large sample size with excellent retention.Trial RegistrationClinicialTrials.gov NCT01459458. Registered 10 October 2011.

【 授权许可】

CC BY   
© Tancredi et al. 2015