Family-Centered Care for Domestic Violence

Recruiting at 1 trial location

Overseen By Gunjan Tiyyagura, MD, MHS

Age: Any Age

Sex: Any

Trial Phase: Academic

Sponsor: Yale University

Disqualifiers: Ward of state, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: 1

200 Participants Needed

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial compares two types of care for families dealing with domestic violence: Family-Centered Care (FCC) and Child-Centered Care (CCC). Researchers aim to assess how these approaches affect caregiver involvement in community services, feelings of empowerment, and outcomes for children exposed to intimate partner violence (IPV). The trial suits parents over 18 with a child under 5 reported to Child Protective Services for IPV exposure and who are not already working with an IPV advocate. As an unphased trial, this study allows participants to contribute to important research that could shape future care strategies for families facing domestic violence.

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 these care models are safe for families affected by IPV?

Research has shown that family-centered care (FCC) for domestic violence is generally well-received by participants. A previous study found that family-focused approaches had positive outcomes without major safety issues, suggesting that FCC is safe for those involved.

Similarly, communities have widely used child-centered care (CCC) without significant problems, indicating that both FCC and CCC have a history of safety for families dealing with domestic violence.

Overall, both treatments have been used before and are considered safe options for helping families in these difficult situations. ^{1 2 3 4 5}

Why are researchers excited about this trial?

Researchers are excited about the Family-Centered Care (FCC) model for addressing domestic violence because it shifts the focus from just the individual affected, often a child, to the entire family. This approach recognizes that healing from domestic violence can be more effective when involving all family members, providing support and resources to everyone impacted. Unlike the usual child-focused care (CCC), which primarily targets the needs of children, FCC aims to create a supportive environment that fosters healing and resilience for the whole family, possibly leading to more sustainable and comprehensive outcomes.

What evidence suggests that this trial's treatments could be effective for improving caregiver engagement and clinical outcomes for children exposed to IPV?

This trial will compare Family-Centered Care (FCC) with Child-Centered Care (CCC) for families experiencing domestic violence. Studies have shown that FCC, which participants in this trial may receive, can benefit families by focusing on the whole family, enhancing children's emotional well-being and sense of safety. These approaches also appear to assist parents with mental health and substance use issues, aiming to boost caregivers' confidence and connection to community services. In contrast, CCC, another treatment option in this trial, typically focuses solely on the child, potentially overlooking the needs of the entire family. ^{1 3 6 7 8}

Who Is on the Research Team?

Gunjan Tiyyagura, MD, MHS

Principal Investigator

Yale University

Are You a Good Fit for This Trial?

This trial is for parents over 18 with a child under 3 who's been exposed to domestic violence and reported to Child Protective Services. Participants must speak English or Spanish, agree to a medical evaluation for the child, and not already be connected to an IPV advocate or be a ward of the state.

Inclusion Criteria

Does not already have a connection to an IPV advocate

My child under 3 has been reported to CPS due to exposure to IPV.

Not a ward of department of children and families

Exclusion Criteria

Ward of the state

I prefer to communicate in a language other than English or Spanish.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Initial Visit and Assessment

Participants undergo initial assessment and receive either family-focused care or child-focused care

1 day

1 visit (in-person)

Follow-up

Participants are monitored for engagement in IPV-based community services and clinical outcomes for children

up to 1 year

Multiple visits (in-person and virtual)

Evaluation and Outcome Measurement

Evaluation of caregiver engagement, empowerment, and child clinical outcomes

up to 1 year

What Are the Treatments Tested in This Trial?

Interventions

• CCC
• FCC

Trial Overview The study compares Family-Centered Care (FCC) with Child-centered care (CCC) in terms of how they affect caregiver engagement in community services, feelings of empowerment, and clinical outcomes for children who have witnessed domestic violence.

How Is the Trial Designed?

Group I: FCC model Experimental Treatment 1 Intervention

Participants will receive family-focused care.

Group II: CCC model Active Control 1 Intervention

Participants will receive the usual child-focused care.

Who Is Running the Clinical Trial?

Yale University

Lead Sponsor

Trials

1,963

Recruited

3,046,000+

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

Collaborator

Trials

2,103

Recruited

2,760,000+

Published Research Related to This Trial

Family-centered care (FCC) for sick newborns is shifting the focus from provider-centered to client-centered care, aiming to enhance the therapeutic relationship between healthcare providers and families.

The FCC model not only empowers parents with caregiving skills during and after hospital stays but is also being tested at five sites nationwide, with outcomes expected to demonstrate its benefits for newborns, families, and healthcare staff.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Family-centered Care for Sick Newborns: A Thumbnail View. Maria, A., Dasgupta, R.[2020]

A study involving 193 parents and patients assessed the importance of family-centered care (FCC) interventions in maternal/child units, highlighting that feeling welcomed at the hospital was the most valued aspect by participants.

The results will guide the implementation of a family-centered care philosophy, addressing the challenges many institutions face in adopting this model of care.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Challenging the precepts of family-centered care: testing a philosophy. Galvin, E., Boyers, L., Schwartz, PK., et al.[2014]

Family-centered care (FCC) is recognized as the standard approach in pediatric health care, emphasizing collaboration between families and health care providers to improve decision-making.

Despite its endorsement, FCC is not fully integrated into clinical practice, highlighting the need for strategies to enhance its implementation for better health outcomes and system transformation.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Family-centered care: current applications and future directions in pediatric health care. Kuo, DZ., Houtrow, AJ., Arango, P., et al.[2022]

Both mothers and nurses perceive barriers to family-centered care (FCC) at a moderate level, with no significant difference in their perceptions, based on a study involving 60 nurses and 82 mothers.

Factors such as the age of mothers and the child's admission history significantly influence mothers' perceptions of FCC barriers, indicating a need for targeted strategies to improve collaborative care in hospitals.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Mothers and nurses' perceptions of the family-centered care barriers in pediatric departments of an educational hospital in Iran. Farokhzadian, J., Forouzi, MA., Sheikhbardsiri, H.[2021]

Family-centered care of hospitalized children (FCCHC) in Iran emphasizes the importance of active participation from both families and healthcare professionals, highlighting the need for effective communication and individualized care.

The study identified significant gaps in current practices, such as families being treated as non-participants and experiencing one-way education, which suggests that improvements in family engagement and support are crucial for enhancing FCCHC.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Family centered care of hospitalized children: A hybrid concept analysis in Iran. Khajeh, M., Dehghan Nayeri, N., Bahramnezhad, F., et al.[2020]

A study involving 476 pediatric healthcare providers from the U.S., Australia, and Turkey found that attitudes towards family-centered care (FCC) were generally more positive when working with children compared to their parents, highlighting cultural differences in perceptions of FCC.

The study identified significant differences in FCC perceptions between nurses and physicians, as well as correlations with factors like age, number of children, and education, suggesting that these factors may influence the effectiveness of FCC implementation in different healthcare systems.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

How is Family Centered Care Perceived by Healthcare Providers from Different Countries? An International Comparison Study. Feeg, VD., Paraszczuk, AM., Çavuşoğlu, H., et al.[2022]

The update of the Cochrane review found limited but moderate-quality evidence suggesting that family-centred care (FCC) can improve clinical care and parental satisfaction for hospitalized children, based on one unpublished RCT involving 288 children post-tonsillectomy.

The study indicated that children in a care-by-parent unit received better care and parents were more satisfied compared to standard inpatient care, with lower costs reported, but emphasized the need for larger, high-quality trials to confirm these findings.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Family-centred care for hospitalised children aged 0-12 years. Shields, L., Zhou, H., Pratt, J., et al.[2022]

Citations

1. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC9337671/

Family focused interventions that address parental domestic ... Our review aimed to identify family focused interventions that have combined impacts on parental DVA, MH, and/or SU.

2. pmc.ncbi.nlm.nih.gov pmc.ncbi.nlm.nih.gov/articles/PMC9486347/

Child and family-focused interventions for child maltreatment ... We developed two COSs for CM and DVA with two common outcomes (child emotional health and well-being; feelings of safety).

3. withpower.com withpower.com/trial/phase-intimate-partner-violence-ipv-10-2023-8346b

Family-Centered Care for Domestic Violence The purpose of the study will be to determine how participation in Family-Centered Care (FCC) compared to Child-centered care (CCC) will affect caregiver ...

4. link.springer.com link.springer.com/article/10.1007/s10896-023-00677-6

Exploring Factors Shaping Primary Health Care Readiness ... A rapid evidence assessment of empirical studies on FV interventions in PHC was conducted to examine outcomes of effective FV interventions.

5. sciencedirect.com sciencedirect.com/science/article/pii/S2666142X22000078

A scoping review of the healthcare provided by nurses to ... In this paper, a scoping review of the healthcare provided by nurses to people experiencing domestic and family violence (DFV) in primary health care settings ...

6. sciencedirect.com sciencedirect.com/science/article/pii/S2950193825000828

Child focused, Curious, and open to Complexity: A new ... Domestic violence, commonly referred to as 'domestic and family violence' (DFV) is a common issue in families who are involved with statutory child protection ...

7. onlinelibrary.wiley.com onlinelibrary.wiley.com/doi/10.1111/acem.14605

First steps in family‐centered care for family violence The past two decades have seen dramatic improvements in the care of victims of family violence (child abuse, intimate partner violence, ...

8. ncdvtmh.org ncdvtmh.org/wp-content/uploads/2022/10/NCDVTMH-Family-Centered-Toolkit.pdf

Family-Centered Toolkit for Domestic Violence Programs NCDVTMH promotes survivor-defined healing, liberation, and equity by transforming the systems that impact survivors of domestic and sexual violence and their ...