The Safe Pregnancy study - promoting safety behaviours in antenatal care among Norwegian, Pakistani and Somali pregnant women: a study protocol for a randomized controlled trial

Abstract Background Intimate partner violence (IPV) around the time of pregnancy is a recognized global health problem with damaging consequences. However, little is known about the effect of violence assessment and intervention during pregnancy. We hypothesise that routine enquiry about IPV during...

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Main Authors: Lena Henriksen, Eva Marie Flaathen, Jeanette Angelshaug, Lisa Garnweidner-Holme, Milada Cvancarova Småstuen, Josef Noll, Angela Taft, Berit Schei, Mirjam Lukasse
Format: Article
Language:English
Published: BMC 2019-06-01
Series:BMC Public Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12889-019-6922-y
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author Lena Henriksen
Eva Marie Flaathen
Jeanette Angelshaug
Lisa Garnweidner-Holme
Milada Cvancarova Småstuen
Josef Noll
Angela Taft
Berit Schei
Mirjam Lukasse
author_facet Lena Henriksen
Eva Marie Flaathen
Jeanette Angelshaug
Lisa Garnweidner-Holme
Milada Cvancarova Småstuen
Josef Noll
Angela Taft
Berit Schei
Mirjam Lukasse
author_sort Lena Henriksen
collection DOAJ
description Abstract Background Intimate partner violence (IPV) around the time of pregnancy is a recognized global health problem with damaging consequences. However, little is known about the effect of violence assessment and intervention during pregnancy. We hypothesise that routine enquiry about IPV during pregnancy, in combination with information about IPV and safety behaviours, has the potential to increase the use of these behaviours and prevent and reduce IPV. Methods The Safe Pregnancy study is a randomised controlled trial (RCT) to test the effectiveness of a tablet-based intervention to promote safety behaviours among pregnant women. Midwives include women who attend routine antenatal care. The intervention consists of a screening questionnaire for violence and information about violence and safety behaviours through a short video shown on a tablet. The materials are available in different languages to ensure participation of Norwegian, Urdu, Somali and English-speaking women. Eligible women answer baseline questions on the tablet including the Abuse Assessment Scale (AAS). Women who screen positive on the AAS will be randomized to an intervention video that contains information about violence and safety behaviours and women in the control group to a video with general information about a healthy and a safe pregnancy. All women receive information about referral resources. Follow up will be at three months post-partum, when the woman attends the maternal and child health centre (MCHC) for the baby’s check-up. Outcome measures are: Use of safety behaviours and quality of life (primary outcomes), prevalence of violence, mental health measures and birth outcomes (secondary outcomes). Intention to treat analysis will be performed. Discussion The project will provide evidence on whether enquiry about violence and a short video intervention on a tablet is effective and feasible to prevent or reduce harm from IPV among women who attend antenatal care. Trial registration This study is registered in ClinicalTrials.gov. Identifier: NCT03397277 (Registered 11th January 2018).
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spelling doaj.art-f07a914251ad4c7086fb78714900c6db2022-12-21T17:49:54ZengBMCBMC Public Health1471-24582019-06-011911910.1186/s12889-019-6922-yThe Safe Pregnancy study - promoting safety behaviours in antenatal care among Norwegian, Pakistani and Somali pregnant women: a study protocol for a randomized controlled trialLena Henriksen0Eva Marie Flaathen1Jeanette Angelshaug2Lisa Garnweidner-Holme3Milada Cvancarova Småstuen4Josef Noll5Angela Taft6Berit Schei7Mirjam Lukasse8Department of Nursing and Health Promotion, Oslo Metropolitan UniversityDepartment of Nursing and Health Promotion, Oslo Metropolitan UniversityDepartment of Nursing and Health Promotion, Oslo Metropolitan UniversityDepartment of Nursing and Health Promotion, Oslo Metropolitan UniversityDepartment of Nursing and Health Promotion, Oslo Metropolitan UniversityDepartment of Technology Systems, University of OsloJudith Lumley Centre, La Trobe UniversityDepartment of Public Health and General Practice at the Faculty of Medicine, The Norwegian University of Science and Technology (NTNU)Department of Nursing and Health Promotion, Oslo Metropolitan UniversityAbstract Background Intimate partner violence (IPV) around the time of pregnancy is a recognized global health problem with damaging consequences. However, little is known about the effect of violence assessment and intervention during pregnancy. We hypothesise that routine enquiry about IPV during pregnancy, in combination with information about IPV and safety behaviours, has the potential to increase the use of these behaviours and prevent and reduce IPV. Methods The Safe Pregnancy study is a randomised controlled trial (RCT) to test the effectiveness of a tablet-based intervention to promote safety behaviours among pregnant women. Midwives include women who attend routine antenatal care. The intervention consists of a screening questionnaire for violence and information about violence and safety behaviours through a short video shown on a tablet. The materials are available in different languages to ensure participation of Norwegian, Urdu, Somali and English-speaking women. Eligible women answer baseline questions on the tablet including the Abuse Assessment Scale (AAS). Women who screen positive on the AAS will be randomized to an intervention video that contains information about violence and safety behaviours and women in the control group to a video with general information about a healthy and a safe pregnancy. All women receive information about referral resources. Follow up will be at three months post-partum, when the woman attends the maternal and child health centre (MCHC) for the baby’s check-up. Outcome measures are: Use of safety behaviours and quality of life (primary outcomes), prevalence of violence, mental health measures and birth outcomes (secondary outcomes). Intention to treat analysis will be performed. Discussion The project will provide evidence on whether enquiry about violence and a short video intervention on a tablet is effective and feasible to prevent or reduce harm from IPV among women who attend antenatal care. Trial registration This study is registered in ClinicalTrials.gov. Identifier: NCT03397277 (Registered 11th January 2018).http://link.springer.com/article/10.1186/s12889-019-6922-yIntimate partner violenceAntenatal careTablet technologyVideo intervention; culture sensitivity
spellingShingle Lena Henriksen
Eva Marie Flaathen
Jeanette Angelshaug
Lisa Garnweidner-Holme
Milada Cvancarova Småstuen
Josef Noll
Angela Taft
Berit Schei
Mirjam Lukasse
The Safe Pregnancy study - promoting safety behaviours in antenatal care among Norwegian, Pakistani and Somali pregnant women: a study protocol for a randomized controlled trial
BMC Public Health
Intimate partner violence
Antenatal care
Tablet technology
Video intervention; culture sensitivity
title The Safe Pregnancy study - promoting safety behaviours in antenatal care among Norwegian, Pakistani and Somali pregnant women: a study protocol for a randomized controlled trial
title_full The Safe Pregnancy study - promoting safety behaviours in antenatal care among Norwegian, Pakistani and Somali pregnant women: a study protocol for a randomized controlled trial
title_fullStr The Safe Pregnancy study - promoting safety behaviours in antenatal care among Norwegian, Pakistani and Somali pregnant women: a study protocol for a randomized controlled trial
title_full_unstemmed The Safe Pregnancy study - promoting safety behaviours in antenatal care among Norwegian, Pakistani and Somali pregnant women: a study protocol for a randomized controlled trial
title_short The Safe Pregnancy study - promoting safety behaviours in antenatal care among Norwegian, Pakistani and Somali pregnant women: a study protocol for a randomized controlled trial
title_sort safe pregnancy study promoting safety behaviours in antenatal care among norwegian pakistani and somali pregnant women a study protocol for a randomized controlled trial
topic Intimate partner violence
Antenatal care
Tablet technology
Video intervention; culture sensitivity
url http://link.springer.com/article/10.1186/s12889-019-6922-y
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