Evidence map›Paper›PMID 30481183›Full record

Trial reportPloS one2018

Psychological advocacy towards healing (PATH): A randomized controlled trial of a psychological intervention in a domestic violence service setting.

Giulia Ferrari, Gene Feder, Roxane Agnew-Davies, Jayne E Bailey, Sandra Hollinghurst, Louise Howard, Emma Howarth, Lynnmarie Sardinha, Debbie Sharp, Tim J Peters

Open access · goldAbstract readRandomized Controlled TrialPragmatic Clinical Trial
In one paragraph

Trial report in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Psychological therapies for women who experience intimate partner violence.The Cochrane database of systematic reviews · 2020
    Pooled it
  3. Trial
  4. Review
  5. Article
  6. Article
  7. When "Stay at Home" Can Be Dangerous: Data on Domestic Violence in Italy during COVID-19 Lockdown.International journal of environmental research and public health · 2021
    Article
  8. Review
  9. Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Giulia FerrariCentre for Academic Primary Care, Bristol Medical School, University of Bristol, Bristol, United Kingdom.
Gene FederCentre for Academic Primary Care, Bristol Medical School, University of Bristol, Bristol, United Kingdom.ORCID 0000-0002-7890-3926
Roxane Agnew-DaviesDomestic Violence Training Ltd, Surrey, United Kingdom.ORCID 0000-0002-2990-755X
Jayne E BaileyCentre for Academic Primary Care, Bristol Medical School, University of Bristol, Bristol, United Kingdom.
Sandra HollinghurstCentre for Academic Primary Care, Bristol Medical School, University of Bristol, Bristol, United Kingdom.
Louise HowardSection of Women's Mental Health, PO31 King's College London, London, United Kingdom.
Emma HowarthNIHR CLAHRC East of England, Douglas House, Cambridge, United Kingdom.
Lynnmarie SardinhaSchool for Policy Studies, University of Bristol, Bristol, United Kingdom.
Debbie SharpCentre for Academic Primary Care, Bristol Medical School, University of Bristol, Bristol, United Kingdom.ORCID 0000-0003-3071-9860
Tim J PetersCentre for Academic Primary Care, Bristol Medical School, University of Bristol, Bristol, United Kingdom.ORCID 0000-0003-2881-4180
University of Bristol · GBKing's College London · GB

Funding

Department of Health RP-PG-0108-10084
6 · The paper itself

Abstract

backgroundExperience of domestic violence and abuse (DVA) is associated with mental illness. Advocacy has little effect on mental health outcomes of female DVA survivors and there is uncertainty about the effectiveness of psychological interventions for this population.

objectiveTo test effectiveness of a psychological intervention delivered by advocates to DVA survivors. DESIGN, MASKING, SETTING,

participantsPragmatic parallel group individually randomized controlled trial of normal DVA advocacy vs. advocacy + psychological intervention. Statistician and researchers blinded to group assignment. Setting: specialist DVA agencies; two UK cities. Participants: Women aged 16 years and older accessing DVA services.

interventionEight specialist psychological advocacy (SPA) sessions with two follow up sessions. MEASUREMENTS: Primary outcomes at 12 months: depression symptoms (PHQ-9) and psychological distress (CORE-OM). Primary analysis: intention to treat linear (logistic) regression model for continuous (binary) outcomes.

results263 women recruited (78 in shelter/refuge, 185 in community), 2 withdrew (1 community, control group; 1 intervention, refuge group), 1 was excluded from the study for protocol violation (community, control group), 130 in intervention and 130 in control groups. Recruitment ended June 2013. 12-month follow up: 64%. At 12-month follow up greater improvement in mental health of women in the intervention group. Difference in average CORE-OM score between intervention and control groups: -3.3 points (95% CI -5.5 to -1.2). Difference in average PHQ-9 score between intervention and control group: -2.2 (95% CI -4.1 to -0.3). At 12 months, 35% of the intervention group and 55% of the control group were above the CORE-OM -2clinical threshold (OR 0.32, 95% CI 0.16 to 0.64); 29% of the intervention group and 46% of the control group were above the PHQ-9 clinical threshold (OR 0.41, 95% CI 0.21 to 0.81). LIMITATIONS: 64% retention at 12 months.

conclusionsAn eight-session psychological intervention delivered by DVA advocates produced clinically relevant improvement in mental health outcomes compared with normal advocacy care.

trial registrationISRCTN registry ISRCTN58561170 Original Research 3675/3750.

Indexed as

Mental HealthAdolescentAdultAgedDepressionDomestic ViolenceFemaleHumansIntimate Partner ViolenceMaleMiddle AgedPsychometricsSpouse AbuseStress Disorders, Post-TraumaticYoung Adult

Identifiers

PMID30481183
PMCPMC6258512
OpenAlexW2903223158

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.