MOthers' AdvocateS In the Community for Mothers with Experience of intimate partner violence

社区中的母亲倡导者为有亲密伴侣暴力经历的母亲提供帮助

• 批准号: 10285663
• 负责人: Maji Hailemariam DEBENA
• 金额: $ 25.41万
• 依托单位: MICHIGAN STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-01 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10285663
• 关键词: Address; Advocacy; Advocate; Affect; Age; Australia; Child; Chronic; Communication; Communities; Confidence Intervals; Development; Discipline of obstetrics; Educational Intervention; Effectiveness; Elements; Enrollment; Evidence based intervention; Exhibits; Exposure to; Family Nursing; Focus Groups; Future; Health; Health Benefit; Human Rights; Intervention; Intervention Studies; Manuals; Measures; Medical center; Mental Depression; Mental Health; Mentors; Methods; Morbidity - disease rate; Mothers; National Institute of Mental Health; Outcome; Perinatal; Personal Satisfaction; Pilot Projects; Post-Traumatic Stress Disorders; Pregnancy; Pregnant Women; Procedures; Provider; Public Health; Randomized Controlled Trials; Reporting; Research Design; Research Proposals; Resources; Risk; Sampling; Self Care; Self-Injurious Behavior; Social support; Support System; Symptoms; Testing; Training Programs; United States; Violence; Woman; Women' s Group; Work; acceptability and feasibility; depressive symptoms; design; effectiveness evaluation; experience; health service use; improved; interpersonal therapy; intimate partner violence; maternal depression; motherhood; obstetric outcomes; perinatal period; physical conditioning; prevent; psychologic; randomized trial; recruit; reduce symptoms; reproductive; sexual violence; skills; treatment as usual; violence against women

In the United States, as many as 5 million women report experience of intimate partner violence (IPV; referring to sexual or physical violence by current or former partners) annually. Depression and posttraumatic stress disorder (PTSD) are the two most common mental health consequences of IPV. Developing depressive and PTSD symptoms after experiencing IPV also increases future risks of IPV. Motherhood and pregnancy increase the risk for prolonged exposure to physical, psychological and sexual IPV. With as many as 4% to 8% of pregnant women reporting IPV during pregnancy, IPV can start or worsen during the perinatal period. Pregnant women and mothers with children under 5 who experienced IPV exhibit poor physical health, mental health and obstetric outcomes; leading to increased utilization of health services; even after the IPV ends. There is only one intervention (Mother ADvocateS In the Community; MOSAIC) that effectively reduces IPV among Pregnant women and mothers with children under 5 with experience of IPV; it forms the basis of this proposal. The MOSAIC intervention uses non-professional mentor support provided by mothers in the community to reduce IPV. It combines elements of social support, advocacy and mentoring. MOSAIC has been found to be effective for reducing IPV in a previous large randomized trial. However, no existing intervention addresses both IPV and the depressive and PTSD symptoms that often follow IPV, are associated with suffering and morbidity, and potentiate future IPV risk among pregnant women and mothers with children under 5 or any group of women. Thus, there is a need for an integrated intervention that addresses depressive and PTSD symptoms while reducing subsequent IPV. The proposed project aims to create a MOSAIC Plus intervention by expanding the original MOSAIC intervention to include elements of interpersonal psychotherapy (IPT) to enhance mental health outcomes. The project will develop a mentoring intervention and explore its feasibility, acceptability, and potential engagement of target mechanisms for reducing depressive and PTSD symptoms and reducing subsequent risk of IPV among pregnant women and mothers with children under 5 who report IPV and elevated symptoms of maternal depression and PTSD. The control condition for the pilot randomized trial will be Enhanced Treatment As Usual (ETAU). Potential target mechanisms include increased social support and effectiveness obtaining resources. Interventions to improve mental health challenges experienced by pregnant women and mothers with children under 5 who report IPV are of great public health significance. Reducing symptoms of maternal depression and PTSD in women with the experience of IPV has significant public health benefits for mothers and their children.

在美国，多达500万妇女报告亲密伴侣暴力的经验（IPV；参考 每年对现有或以前的伴侣进行性暴力或身体暴力。抑郁和创伤后压力 疾病（PTSD）是IPV最常见的心理健康后果。发展抑郁和 经历IPV后的PTSD症状也增加了IPV的未来风险。孕产和妊娠增加 长期暴露于身体，心理和性爱IPV的风险。多达4％至8％的怀孕 在怀孕期间举报IPV的妇女可以在围产期开始或恶化。孕妇 5岁以下的儿童经历IPV的母亲的身体健康，心理健康和产科表现不佳 结果；导致卫生服务的利用增加；即使在IPV结束之后。只有一个 干预（社区中的母亲倡导；马赛克）有效地减少了怀孕的IPV 有5岁以下的儿童的妇女和母亲具有IPV经验；它构成了该提议的基础。这 马赛克干预使用社区母亲提供的非专业导师支持来减少 IPV。它结合了社会支持，倡导和指导的要素。已经发现马赛克有效 用于在先前的大型随机试验中减少IPV。但是，没有现有的干预措施均解决IPV和 经常遵循IPV的抑郁症和PTSD症状与痛苦和发病率有关，以及 增强未来的IPV风险，孕妇和5岁以下儿童或任何妇女的母亲。 因此，需要进行综合干预措施来解决抑郁症和PTSD症状，而 减少随后的IPV。拟议的项目旨在通过扩展 原始的马赛克干预措施包括人际心理治疗（IPT）的元素以增强心理健康 结果。该项目将开发指导干预，并探索其可行性，可接受性和潜力 参与降低抑郁症和PTSD症状的目标机制并降低随后的风险 孕妇IPV和5岁以下儿童的母亲报告IPV和升高的症状 孕产妇抑郁症和PTSD。试验随机试验的控制条件将得到增强治疗 像往常一样（etau）。潜在的目标机制包括增加社会支持和获得有效性 资源。干预措施，以改善孕妇和母亲经历的心理健康挑战 报告IPV的5岁以下儿童具有很高的公共卫生意义。减少母亲的症状 具有IPV经验的女性的抑郁症和PTSD对母亲具有巨大的公共卫生益处 和他们的孩子。