Enhanced First Connections for Preventing Child Abuse and Domestic Violence Exposure
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial aims to evaluate the effectiveness of a program called Enhanced First Connections in preventing child abuse and domestic violence. The program involves home visits for expectant mothers who have experienced adversity or trauma. It seeks to prevent child maltreatment and violence exposure, promote family involvement in long-term support, and enhance parenting skills and relationships. Pregnant women in their second or third trimester who have faced adversity or trauma and speak English or Spanish may be suitable candidates for this trial. As an unphased trial, it offers participants the chance to contribute to significant research that could improve support programs for families in need.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications.
What prior data suggests that the Enhanced First Connections program is safe?
Research has shown that programs like Enhanced First Connections, which focus on early childhood support, lead to positive safety outcomes. Studies indicate that similar programs can reduce child abuse and neglect, suggesting general safety. Enhanced First Connections includes home visits and mental health support to assist families with a history of trauma.
Although specific safety data for Enhanced First Connections is unavailable, similar programs have been used safely. Participants often feel more supported and connected to community resources, reducing stress and improving family relationships—especially crucial for those with past trauma.
While specific data on Enhanced First Connections is limited, the safe use of similar programs suggests it is likely a safe and beneficial program for participants.12345Why are researchers excited about this trial?
Researchers are excited about Enhanced First Connections because it offers a proactive and personalized approach to preventing child abuse and domestic violence exposure. Unlike typical care options that might not be as targeted, this program focuses on early identification of families at risk and provides tailored support through home visits. By directly linking families to community resources and addressing mental health needs early on, Enhanced First Connections aims to create a stronger safety net for vulnerable families, potentially leading to better long-term outcomes.
What evidence suggests that Enhanced First Connections is effective for preventing child abuse and domestic violence exposure?
Research has shown that programs like Enhanced First Connections, a treatment option in this trial, focus on early help and home visits, effectively preventing child abuse and domestic violence. Studies have found that these programs improve family communication and problem-solving, reducing partner violence and harm to children. Evidence also suggests that involving families in supportive services lowers risks for mothers and encourages positive parenting. For families with a history of trauma, these programs significantly connect them to community resources and support networks. Overall, these interventions create safer and more supportive environments for both children and mothers.56789
Who Is on the Research Team?
Stephanie H Parade, PhD
Principal Investigator
E.P. Bradley Hospital
Are You a Good Fit for This Trial?
This trial is for English or Spanish-speaking pregnant women in their second or third trimester, eligible for WIC, and who have faced adversity or trauma. Women not meeting these criteria cannot participate.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Enhanced First Connections
Participants receive between four and eight home visits for risk assessment and response, including mental health consultation
Follow-up
Participants are monitored for outcomes such as child maltreatment prevention and maternal mental health at 6 months postpartum
What Are the Treatments Tested in This Trial?
Interventions
- Enhanced First Connections
Trial Overview
The study tests Enhanced First Connections, a home visiting program aiming to prevent child maltreatment and domestic violence exposure by supporting mothers with histories of adversity through mental health consultation.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
Enhanced First Connections is a short-term risk assessment and response home visiting referral program. The goal of Enhanced First Connections is to identify family needs and link families to community resources, including evidence based home visiting models. Enhanced First Connections includes prenatal identification and engagement of women with an adversity or trauma history, and infant and early childhood mental health consultation. Women who enroll in Enhanced First Connections are expected to receive between four and eight home visits before being referred to other community resources.
Women who receive Treatment as Usual will follow the usual course of clinical care throughout their pregnancy and into the postpartum period, and will be eligible for the typical array of community services that may be offered to them.
Find a Clinic Near You
Who Is Running the Clinical Trial?
Bradley Hospital
Lead Sponsor
Published Research Related to This Trial
Citations
Effectiveness of Violence Prevention Interventions
Regardless of the level of intervention, violence prevention programs need to be supported by evidence of their efficacy (,World Health Organization, 2022).
Appendix Preventing Adverse Childhood Experiences
Appendix Table 1. Examples of Recent CDC-Supported Etiological Research Findings Focused on Adverse Childhood Experiences. (ACEs). Focus area. Research aims.
IMPRoving Outcomes for children exposed to domestic ... - NCBI
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Data & Research
DART is responsible for collecting, processing, analyzing, and disseminating program data including AFCARS, NYTD, Family First Prevention Data, and NCANDS.
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cdc.gov
cdc.gov/violence-prevention/media/pdf/resources-for-action/CV-Prevention-Resource-for-Action_508.pdfCommunity Violence Prevention Resource for Action
Policies and programs that improve the social and economic conditions of youth, young adults, families, and communities can have the largest impacts on health.
Pathways to prevention: Early Head Start outcomes in the ...
Short term impacts of early childhood programs can lead to reduced child maltreatment. · Children who benefited from Early Head Start's positive effects on ...
Child Protection Responses to Domestic Violence Exposure
Childhood exposure to domestic violence (CEDV) poses significant risks to children's safety and wellbeing, yet its prevalence and impact on ...
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