Family Planning-based Partner Abuse Intervention to Reduce Unintended Pregnancy



Status:Completed
Conditions:Women's Studies
Therapuetic Areas:Reproductive
Healthy:No
Age Range:16 - 29
Updated:4/21/2016
Start Date:October 2011
End Date:September 2015

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This is a community-based participatory study to test a brief intervention to reduce risk
for intimate partner violence (IPV) and associated unintended pregnancy among young,
medically underserved women attending family planning (FP) clinics. Women ages 16-29 years
utilizing FP clinics report higher rates of IPV compared to their same-age peers,
experiences associated with unintended pregnancy. A critical mechanism connecting IPV with
poor reproductive health is abusive partners' control of women's reproduction through condom
refusal, pressuring women to get pregnant, and birth control sabotage, a phenomenon
described as reproductive coercion. In the investigative team's pilot intervention study 53%
of young women using FP clinics reported ever experiencing IPV, and 25% reported
reproductive coercion, the combination of which was strongly associated with unintended
pregnancy. The proposed reproductive coercion/partner violence intervention was developed
collaboratively by community-based practitioners, advocates, and researchers, with
significant input from FP clients. Designed to be implemented within routine FP care,
maximizing feasibility and sustainability of this program, the intervention provides 1)
client education and assessment regarding IPV and reproductive coercion; 2) discussion of
harm reduction behaviors to reduce risk for unintended pregnancy and IPV victimization, and
3) supported referrals to IPV victim services. This is a full-scale RCT to assess the
effects of this innovative program on IPV, reproductive coercion and unintended pregnancy,
major health threats for medically underserved women. Evaluation of this intervention will
involve random assignment of 25 FP clinics (unit of randomization) in Western PA to either
intervention or control (i.e., standard-of-care) conditions. Female FP clients ages 16-29
(N=3600) will be assessed at baseline, 12-20 weeks (FU1), and 12 months (FU2) to assess
intervention effects on knowledge and behaviors related to IPV, reproductive coercion and
related harm reduction, as well as unintended pregnancy. Data will be collected via audio
computer-assisted self-interview in English or Spanish. Chart extraction will track clinic
utilization, pregnancy testing, and diagnosed pregnancies. Regression models appropriate for
longitudinal data from cluster-randomized trials will be used to estimate intervention
effects.


Inclusion:

- female clients

- ages 16-29

- English or Spanish speaking

- able to provide their own consent

- plan to be in area for the next 12 months

- willing to be contacted for follow up survey and able to provide additional contact
information

Exclusion Criteria:

- female clients not of the specified age range

- neither English nor Spanish speaking

- clients who are intoxicated or otherwise not able to provide their own consent
We found this trial at
1
site
Pittsburgh, Pennsylvania 15213
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Pittsburgh, PA
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