Educational Program for Domestic Violence Survivors

Overseen By Maureen Sanderson, PhD

Age: 18+

Sex: Female

Trial Phase: Academic

Sponsor: Meharry Medical College

Disqualifiers: Not Black female, others

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

Approved in 3 Jurisdictions This treatment is already approved in other countries

Compensation: Varies

Number of Visits: Unknown

250 Participants Needed

Trial Summary

What is the purpose of this trial?

The purpose of this study is to adapt, implement and evaluate a trauma and violence informed care intervention designed for Black women in middle Tennessee.

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 data supports the effectiveness of the treatment Trauma and Violence Informed Care Intervention for domestic violence survivors?

Research shows that Trauma-Informed Care (TIC) and Trauma- and Violence-Informed Care (TVIC) help create safe environments and improve health outcomes by understanding the impact of trauma on health and behavior. These approaches have been shown to facilitate healing and reduce repeat injuries in people affected by violence. ^{1 2 3 4 5}

Is the educational program for domestic violence survivors safe?

The educational program, which uses trauma- and violence-informed care (TVIC), is designed to create a safe and supportive environment by understanding the effects of trauma. It aims to empower participants and minimize the risk of retraumatization, suggesting it is generally safe for human participants. ^{1 2 3 4 5}

How is the Trauma and Violence Informed Care Intervention treatment different from other treatments for domestic violence survivors?

This treatment is unique because it focuses on creating a safe and supportive environment by understanding the impact of trauma and violence on health and behavior, emphasizing principles like safety, choice, collaboration, trustworthiness, and empowerment. Unlike other treatments, it integrates education for healthcare providers to improve their ability to support and refer patients effectively. ^{1 2 3 4 6}

Eligibility Criteria

This trial is for Black women who are patients at Meharry or Matthew Walker Comprehensive Health Center, can communicate fluently in English or Spanish, and identify themselves as survivors of intimate partner violence. It's not open to those who don't meet these specific criteria.

Inclusion Criteria

Self-identify as intimate partner violence survivors

English or Spanish language fluency

Meharry or Matthew Walker Comprehensive Health Center female patients

Exclusion Criteria

Not Black female intimate partner violence survivor of Meharry or Matthew Walker Comprehensive Health Center

Those without English or Spanish language fluency

Timeline

Stakeholder Engagement

Engage a stakeholder committee of patients, providers, and experts to adapt a TVIC intervention for Black women and their healthcare providers

2 years

Provider-Level Implementation

Implement and evaluate the adapted TVIC intervention at the healthcare provider-level, measuring changes in self-efficacy and alignment with TIC knowledge, attitudes, and practices

1 year

Patient-Level Implementation

Implement the adapted TVIC intervention at the patient-level to provide trauma-informed IPV screening, brief interventions, and referrals to treatment, and evaluate its impact

2 years

Follow-up

Participants are monitored for the effectiveness of the intervention and its impact on patient-perceived usefulness and clinic-level changes

1 year

Treatment Details

Interventions

• Trauma and Violence Informed Care Intervention

Trial Overview The study is testing educational materials tailored for Black women who have experienced domestic violence. The goal is to adapt and assess how trauma and violence informed care interventions work within this community in middle Tennessee.

Participant Groups

Group I: TVIC Intervention Experimental Treatment 1 Intervention

Group II: Usual Care Active Control 1 Intervention

Trauma and Violence Informed Care Intervention is already approved in United States, Canada, European Union for the following indications:

Approved in United States as Trauma-Informed Care for:

• Domestic violence services
• Intimate partner violence support
• Trauma recovery

Approved in Canada as Trauma- and Violence-Informed Care for:

• Victim services
• Trauma support
• Violence prevention

Approved in European Union as Trauma-Informed Practice for:

• Mental health services
• Social work
• Healthcare settings

Who Is Running the Clinical Trial?

Meharry Medical College

Lead Sponsor

Trials

19

Recruited

6,000+

Matthew Walker Comprehensive Health Center

Collaborator

Trials

3

Recruited

1,300+

Findings from Research

A study involving 15 faculty interviews and surveys from 99 nursing students highlighted a strong consensus on the importance of trauma-informed care (TIC) education in nursing programs.

Despite recognizing the significance of TIC, nursing students expressed feeling unprepared to implement TIC practices in their future roles, indicating a gap in current nursing education.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Faculty, Preceptor, and Students' Perceptions of the Need for Trauma-Informed Education: Recommendations for Implementation. Kuzma, EK., Cannon, LM., Coolidge, EM., et al.[2023]

Trauma- and violence-informed care (TVIC) education significantly improved health and social service providers' understanding of the connections between trauma, pain, and substance use, leading to more empathetic and effective care practices.

Participants reported that TVIC training fostered better interactions with service users, resulting in increased trust and satisfaction, although the changes in actual behaviors were less pronounced than changes in attitudes.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Impacts of trauma- and violence-informed care education: A mixed method follow-up evaluation with health & social service professionals. Wathen, CN., MacGregor, JCD., Beyrem, S.[2022]

A study involving 95 APRN students used Q methodology to identify four distinct viewpoints on trauma-informed care (TIC), highlighting the diversity in student perceptions and comfort levels regarding TIC in their learning experiences.

All students recognized the importance of learning about TIC for effective practice, indicating a universal acknowledgment of its relevance, but also revealing varying degrees of anxiety and confidence that educators need to address to support their learning.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Trauma-informed care: Insights from a Q-methodology study of advanced practice registered nursing students. Tornwall, J., Holod, AF., Teall, AM., et al.[2023]

The integration of a violence intervention program (VIP) into two Level 1 Pediatric Trauma Centers significantly increased provider-driven referrals from 34.8% to 86.8% over four years, indicating improved identification of patients needing support.

Participants in the educational workshops reported a 21% increase in comfort levels with trauma-informed care (TIC), with medical students showing the greatest improvement, suggesting that the curriculum effectively enhanced understanding and application of TIC principles among healthcare providers.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Training Hospital Personnel in Trauma-Informed Care: Assessing an Interprofessional Workshop With Patients as Teachers. McNamara, M., Cane, R., Hoffman, Y., et al.[2021]

A simulation-based training program for 17 medical students significantly improved their confidence in applying trauma-informed care (TIC) principles in acute care settings, with statistically significant results (p ≤ .01).

Students reported feeling more familiar with TIC-specific skills, such as trauma screenings and history taking, indicating that simulation is an effective educational tool for preparing future healthcare providers to address trauma-related issues.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Trauma-Informed Care for Acute Care Settings: A Novel Simulation Training for Medical Students. Lee, CH., Santos, CD., Brown, T., et al.[2023]

Trauma-informed care (TIC) is recognized as the clinical standard for treating patients who have experienced sexual trauma, emphasizing the importance of understanding the impact of trauma on individuals.

TIC is built on five core principles: safety, choice, collaboration, trustworthiness, and empowerment, which guide healthcare providers in delivering sensitive and effective care.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

How Can a Trauma-Informed Care Approach Be Applied to Patients With Gynecologic Cancer? Wilson, CM., Parrish, H.[2023]

References

1. United States pubmed.ncbi.nlm.nih.gov

Faculty, Preceptor, and Students' Perceptions of the Need for Trauma-Informed Education: Recommendations for Implementation. [2023]

2. United States pubmed.ncbi.nlm.nih.gov

Impacts of trauma- and violence-informed care education: A mixed method follow-up evaluation with health & social service professionals. [2022]

3. Scotland pubmed.ncbi.nlm.nih.gov

Trauma-informed care: Insights from a Q-methodology study of advanced practice registered nursing students. [2023]

4. United States pubmed.ncbi.nlm.nih.gov

Training Hospital Personnel in Trauma-Informed Care: Assessing an Interprofessional Workshop With Patients as Teachers. [2021]

5. United States pubmed.ncbi.nlm.nih.gov

Trauma-Informed Care for Acute Care Settings: A Novel Simulation Training for Medical Students. [2023]

6. United States pubmed.ncbi.nlm.nih.gov

How Can a Trauma-Informed Care Approach Be Applied to Patients With Gynecologic Cancer? [2023]