Evidence map›Paper›PMID 38326832›Full record

Trial reportBMC public health2024

Longitudinal effectiveness of a woman-led, nurse delivered health promotion intervention for women who have experienced intimate partner violence: iHEAL randomized controlled trial.

Marilyn Ford-Gilboe, Colleen Varcoe, Kelly Scott-Storey, Annette J Browne, Susan M Jack, Kim Jackson, Tara Mantler, Sue O'Donnell, Noël Patten-Lu, Victoria Smye and 2 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03573778 (iHEAL in Context), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.1field-weighted citation impact, top 14% 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.

NCT03573778 nacompletednot on this map

iHEAL in Context: Effectiveness of a Health Promotion Intervention for Women Who Have Experienced Intimate Partner Violence (iHEAL Trial)

TypeinterventionalSponsorWestern University, CanadaRan2018 to 2021Enrolled331ConditionsIntimate Partner ViolenceArmsiHEAL, Information about Community Services
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Review
  3. 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

12 authors at 5 institutions in 2 countries.

Marilyn Ford-GilboeArthur Labatt Family School of Nursing, Western University, 1151 Richmond St, London, ON, NBA 5C1, Canada. mfordg@uwo.ca.
Colleen VarcoeSchool of Nursing, University of British Columbia, Vancouver, BC, Canada.
Kelly Scott-StoreyFaculty of Nursing, University of New Brunswick, Fredericton, NB, Canada.
Annette J BrowneSchool of Nursing, University of British Columbia, Vancouver, BC, Canada.
Susan M JackSchool of Nursing, McMaster University, Hamilton, ON, Canada.
Kim JacksonArthur Labatt Family School of Nursing, Western University, 1151 Richmond St, London, ON, NBA 5C1, Canada.
Tara MantlerSchool of Health Studies, Western University, London, ON, Canada.
Sue O'DonnellFaculty of Nursing, University of New Brunswick, Fredericton, NB, Canada.
Noël Patten-LuArthur Labatt Family School of Nursing, Western University, 1151 Richmond St, London, ON, NBA 5C1, Canada.
Victoria SmyeArthur Labatt Family School of Nursing, Western University, 1151 Richmond St, London, ON, NBA 5C1, Canada.
C Nadine WathenArthur Labatt Family School of Nursing, Western University, 1151 Richmond St, London, ON, NBA 5C1, Canada.
Nancy PerrinSchool of Nursing, Johns Hopkins University, Baltimore, MD, USA.
Western University · CAUniversity of British Columbia · CAUniversity of New Brunswick · CAJohns Hopkins University · USMcMaster University · CA

Funding

Public Health Agency of Canada 1617-HQ-000036
6 · The paper itself

Abstract

backgroundIntimate partner violence (IPV) threatens the safety, health and quality of life of women worldwide. Comprehensive IPV interventions that are tailored, take a long-term view of women's needs, including health concerns, and maximize choice and control, have the potential to effectively address heath and safety concerns. Few such interventions have been tested, including in the Canadian context.

methodsA parallel randomized controlled trial of adult (age 19 + years), English-speaking, Canadian women with histories of IPV randomized either to iHEAL, a tailored health promotion intervention delivered by Registered Nurses over 6-7 months, or to community service information (usual care control). Primary (Quality of Life, PTSD symptoms) and secondary outcomes (Depression, Confidence in Managing Daily Life, Chronic Pain, IPV Severity) were measured at baseline and 6, 12 and 18 months post-intervention via an online survey. Generalized estimating equations were used to test for differences by study arm in intention-to-treat (full sample) and per protocol (1 + iHEAL visit) analyses focussing on short-term (immediately post-intervention) and longer-term (1 year post-intervention) effects. Selected process evaluation data were summarized using descriptive statistics.

resultsOf 331 women enrolled, 175 were randomized to iHEAL (135 who engaged in 1 + visits) and 156 to control. Women who received iHEAL showed significantly greater short-term improvement in Quality of Life compared to the control group, with these effects maintained 1 year later. Changes in PTSD Symptoms also differed significantly by group, with weaker initial effects that were stronger 1 year post-intervention. Significant moderate, short- and longer-term group effects were also observed for Depression and Confidence in Managing Daily Life. IPV Severity decreased for both groups, with significant immediate effects in favour of the intervention group that grew stronger 1 year post-intervention. There were no changes in Chronic Pain.

conclusioniHEAL is an effective, acceptable and safe intervention for diverse groups of women with histories of IPV. Trial results provide a foundation for implementation and ongoing evaluation in health care settings and systems. Delayed effects noted for PTSD Symptoms and IPV Severity suggest that longer-term assessment of these outcomes may be needed in trials of IPV interventions.

trial registrationClinicaltrials.gov ID NCT03573778 (Registered on June 29, 2018).

Indexed as

Chronic PainIntimate Partner ViolenceAdultCanadaFemaleHealth PromotionHumansQuality of LifeYoung AdultChronic painComplex interventionsDepressionDomestic violenceHealth outcomesIntimate partner violenceNursingPost-traumatic stress disorderQuality of lifeRandomized controlled trial

Identifiers

PMID38326832
PMCPMC10848348
OpenAlexW4391606027

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.