Children witnessing the intimate partner violence (IPV) of their mothers are known to have serious long term physical health, mental health and behavioral consequences. Half of child witnesses to IPV are less than six years old. Little is known about appropriate interventions for infants/toddlers and their abused mothers. This study will rigorously test the effectiveness of the structured IPV intervention (DOVE intervention) in 360 mothers and infants, in three different settings using three different designs. There are two experimental designs: 1) random assignment to DOVE or Usual Care in urban Baltimore City Health Department and 2) random assignment by health departments, six to DOVE and six to Usual Care in rural Missouri. In urban Baltimore and rural Missouri, 160 families at each site will receive either DOVE or Usual Care. In the third setting, Kansas City, Missiouri, a cohort design with a matched control analysis will be implemented. Twenty families will receive DOVE enhanced Nurse Family Partnership (NFR-DOVE) (based on David Olds'nurse home visitation research) and outcomes compared to a group of 20 families selected from the national NFP database and matched on key demographic variables. Health department home visitor teams will be trained to deliver the DOVE intervention. Mothers and infants/toddlers will be assessed at birth, 3, 6, 12, 18, and 24 months postpartum. Maternal outcome measures include history of IPV, level of danger, adopted safety behaviors, resources used, mental health (depression, PTSD) parenting (knowledge,attitudes, practices), and parenting stress (high risk parenting, attachment, and perceived adaptability of the infant/toddler). The infant/toddler dependent measures are physical and mental development as well as physical and mental health problems, including injury. Analyses will include mixed linear models, ANCOVA, MANOVA procedures and logistic regression with generalized estimating equations, as well as constant comparative techniques for the qualitative data. Outcomes will provide intervention efficacy data and prospective information about patterns of IPV, maternal health, and infant/toddler development in homes where there is IPV. This innovative intervention designed to reduce maternal IPV and infant/toddler exposure has the potential to improve the health of the more than 15% of women who experience IPV during pregnancy and the 3-10 million children who witness this violence each year.

Agency
National Institute of Health (NIH)
Institute
National Institute of Nursing Research (NINR)
Type
Research Project (R01)
Project #
5R01NR009093-05
Application #
7742184
Study Section
Nursing Science: Children and Families Study Section (NSCF)
Program Officer
Hardy, Lynda R
Project Start
2006-02-01
Project End
2011-11-30
Budget Start
2009-12-01
Budget End
2011-11-30
Support Year
5
Fiscal Year
2010
Total Cost
$665,323
Indirect Cost
Name
Johns Hopkins University
Department
Type
Schools of Nursing
DUNS #
001910777
City
Baltimore
State
MD
Country
United States
Zip Code
21218
St Ivany, Amanda; Kools, Susan; Sharps, Phyllis et al. (2018) Extreme Control and Instability: Insight Into Head Injury From Intimate Partner Violence. J Forensic Nurs 14:198-205
Ivany, Amanda St; Bullock, Linda; Schminkey, Donna et al. (2018) Living in Fear and Prioritizing Safety: Exploring Women's Lives After Traumatic Brain Injury From Intimate Partner Violence. Qual Health Res 28:1708-1718
Sharps, Phyllis W; Bullock, Linda F; Campbell, Jacquelyn C et al. (2016) Domestic Violence Enhanced Perinatal Home Visits: The DOVE Randomized Clinical Trial. J Womens Health (Larchmt) 25:1129-1138
Udo, Ifeyinwa E; Sharps, Phyllis; Bronner, Yvonne et al. (2016) Maternal Intimate Partner Violence: Relationships with Language and Neurological Development of Infants and Toddlers. Matern Child Health J 20:1424-31
Bhandari, Shreya; Bullock, Linda F C; Richardson, Jeanita W et al. (2015) Comparison of abuse experiences of rural and urban African American women during perinatal period. J Interpers Violence 30:2087-108
Alhusen, Jeanne L; Ray, Ellen; Sharps, Phyllis et al. (2015) Intimate partner violence during pregnancy: maternal and neonatal outcomes. J Womens Health (Larchmt) 24:100-6
Alhusen, Jeanne L; Bullock, Linda; Sharps, Phyllis et al. (2014) Intimate partner violence during pregnancy and adverse neonatal outcomes in low-income women. J Womens Health (Larchmt) 23:920-6
Sharps, Phyllis; Alhusen, Jeanne L; Bullock, Linda et al. (2013) Engaging and retaining abused women in perinatal home visitation programs. Pediatrics 132 Suppl 2:S134-9
Bhandari, Shreya; Bullock, Linda F C; Bair-Merritt, Megan et al. (2012) Pregnant women experiencing IPV: impact of supportive and non-supportive relationships with their mothers and other supportive adults on perinatal depression: a mixed methods analysis. Issues Ment Health Nurs 33:827-37
Bhandari, Shreya; Bullock, Linda F C; Anderson, Kim M et al. (2011) Pregnancy and intimate partner violence: how do rural, low-income women cope? Health Care Women Int 32:833-54

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