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Psychological advocacy toward healing (PATH): study protocol for a randomized controlled trial.
Gwen Brierley1, Roxane Agnew-Davies, Jayne Bailey
1Centre for Academic Primary Care, School of Social and Community Medicine, University of Bristol, Bristol, UK.
Trials
|July 23, 2013
Summary
This study assesses a new psychological intervention for domestic violence survivors. The findings will inform better support for women experiencing abuse and improve mental health services.
Area of Science:
- Public Health
- Clinical Psychology
- Trauma Studies
Background:
- Domestic violence and abuse (DVA) is a significant public health issue with severe, lasting impacts on women's physical and mental health.
- Existing healthcare support for DVA survivors is limited, and conventional therapies may be ineffective or harmful if they don't address the abuse.
- There is a critical need for specialized interventions to manage the psychological consequences of DVA.
Purpose of the Study:
- To evaluate the effectiveness of a novel psychological intervention for DVA survivors.
- To determine the cost-effectiveness of this specialized intervention.
- To provide evidence-based recommendations for healthcare providers and DVA support agencies.
Main Methods:
- An open, pragmatic, individually randomized controlled trial involving 250 women aged 16+ experiencing DVA.
- Participants are allocated to either usual DVA agency support or usual support plus eight Specialist Psychological Advocacy (SPA) sessions.
- Primary outcomes include psychological well-being (CORE-OM) and depression severity (PHQ-9) at 1-year follow-up; secondary outcomes include anxiety, PTSD, abuse severity, quality of life, and cost-effectiveness.
Main Results:
- The study is ongoing and aims to provide crucial data on the effectiveness of the SPA intervention.
- Analysis will compare psychological well-being and depression scores between the intervention and control groups.
- Cost-effectiveness analysis will determine the economic value of the SPA intervention.
Conclusions:
- This trial will contribute vital evidence for managing the psychological needs of women experiencing DVA.
- Findings will guide healthcare commissioners and providers in implementing effective support services.
- Results will inform specialist DVA agencies on optimizing interventions for survivors.
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