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Cited by 101Intimate Partner and Family ViolenceMaternal Mental Health During Pregnancy and PostpartumElder Abuse and Neglect

Domestic violence enhanced perinatal home visits: The DOVE randomized clinical trial

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Sharps, Phyllis W., Bullock, Linda F., Campbell, Jacquelyn C., Alhusen, Jeanne L., Ghazarian, Sharon R., Bhandari, Shreya S., Schminkey, Donna L.·2016·Journal of Women s Health
DOI 10.1089/jwh.2015.5547PMC PMC5116686
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Abstract

BACKGROUND: Perinatal intimate partner violence (IPV) is common and has significant negative health outcomes for mothers and infants. This study evaluated the effectiveness of an IPV intervention in reducing violence among abused women in perinatal home visiting programs. MATERIALS AND METHODS: This assessor-blinded multisite randomized control trial of 239 women experiencing perinatal IPV was conducted from 2006 to 2012 in U.S. urban and rural settings. The Domestic Violence Enhanced Home Visitation Program (DOVE) intervention group (n = 124) received a structured abuse assessment and six home visitor-delivered empowerment sessions integrated into home visits. All participants were screened for IPV and referred appropriately. IPV was measured by the Conflicts Tactics Scale2 at baseline through 24 months postpartum. RESULTS: There was a significant decrease in IPV over time (F = 114.23; p < 0.001) from baseline to 1, 3, 6, 12, 18, and 24 months postpartum (all p < 0.001). Additional models examining change in IPV from baseline indicated a significant treatment effect (F = 6.45; p < 0.01). Women in the DOVE treatment group reported a larger mean decrease in IPV scores from baseline compared to women in the usual care group (mean decline 40.82 vs. 35.87). All models accounted for age and maternal depression as covariates. CONCLUSIONS: The DOVE intervention was effective in decreasing IPV and is brief, thereby facilitating its incorporation within well-woman and well-child care visits, as well as home visiting programs, while satisfying recommendations set forth in the Affordable Care Act for IPV screening and brief counseling.

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  • Survivor-focused advocacy/case management interventions showed good to moderate evidence of positive impact on mental health outcomes and access to social support, and in a few studies a reduction in partner aggression or experience of IPV.

    “The studies showed good to moderate evidence of the positive impact of these interventions on mental health outcomes and also access to social support for the IPV survivors included in the study, and in a few studies, a reduction in partner aggression or experience of IPV (IPV scores) [15–23].”

    From A systematic review of intimate partner violence interventions focused on improving social support and/ mental health outcomes of survivors (2020) · cites this paper as [20]

    The Discussion (page not provided) reports a larger, statistically significant decrease in IPV in the DOVE intervention group, supporting the IPV-reduction portion of the claim. This is one perinatal home-visiting trial, not an assessment of evidence across studies. It does not report improved access to social support, and the Results state that depressive symptoms did not differ between groups. (LLM, conf=0.88)

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  • Only few advocate-based studies and 1 community-focused intervention reported an impact on IPV with good level of evidence.

    “However, it must be noted that only few of the advocate-based studies and 1 of the community-focused interventions reported an impact on IPV, with good level of evidence [15, 20–23, 34], similar to what has been found in other reviews of advocate-based interventions on intimate partner violence [45].”

    From A systematic review of intimate partner violence interventions focused on improving social support and/ mental health outcomes of survivors (2020) · cites this paper as [20]

    The Discussion (page unavailable) says DOVE is one of the few IPV interventions to have demonstrated efficacy, supporting the broad point that few interventions have shown an impact. It does not assess advocate-based studies, identify one community-focused intervention, or rate their level of evidence. The source is a clinical trial, not a review of advocate-based interventions as the citing sentence suggests. (LLM, conf=0.82)

    Experimental — accuracy not yet measured

  • Two studies, an in-clinic advocacy intervention by Coker et al and a home-based advocate intervention by Sharps et al, resulted in a significant reduction in the experience of intimate partner violence by the survivors.

    “Two of the studies, an in-clinic advocacy intervention by Coker et al [23] and a home-based advocate intervention by Sharps et al [20] resulted in a significant reduction in the experience of intimate partner violence by the survivors”

    From A systematic review of intimate partner violence interventions focused on improving social support and/ mental health outcomes of survivors (2020) · cites this paper as [20]

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Research works printed but not linked: 5

  1. [3]World Health Organization. Responding to intimate partner violence and sexual violence against women: WHO clinical and policy guidelines. Geneva: WHO, 2013 [PubMed] [Google Scholar]
  2. [19]Dutton MA. Empowering and healing the battered women. New York: Springer, 1992 [Google Scholar]
  3. [28]Sharps P. Domestic violence enhanced home visitation program-DOVE. Bethesda, MD: National Institutes of Health/National Institutes of Nursing Research, 2004. [NIH/NINR–R01 NR009093] [Google Scholar]
  4. [43]Chamberlain L, Levenson R. A guide for obstetric, gynecologic and reproductive health care settings, 2nd ed. American Congress of Obstetricians and Gynecologists Position Statement, 2012. Available at: www.acog.org/-/media/Departments/Violence-Against-Women/Reproguidelines.pdf?dmc=1&ts=20151229T1441508783 Accessed December1, 2015 [Google Scholar]
  5. [45]U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion. Healthy People 2020. Washington, DC, 2010. Available at: www.healthypeople.gov/2020/topics-objectives/topic/maternal-infant-and-child-health Accessed December1, 2015 [Google Scholar]

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Authors
Sharps, P. W., Bullock, L. F., Campbell, J. C., Alhusen, J. L., Ghazarian, S. R., Bhandari, S. S., & Schminkey, D. L.
Affiliations
  • Johns Hopkins University (US)
  • University of Virginia (US)
  • Wright State University (US)
Corresponding author
Sharps, Phyllis W.
ORCID
Venue
Journal of Women s Health
Publisher
SAGE Publications
Published
2016-05-20
Volume
25
Issue
11
Pages
1129-1138
ISSN
  • 1059-7115 (ISSN-L)
  • 1540-9996
  • 1931-843X
DOI
10.1089/jwh.2015.5547
PMC
PMC5116686
OpenAlex
W2407418872
Cited by
101
References
39
Citations by year
2026: 6 · 2025: 12 · 2024: 15 · 2023: 4 · 2022: 8 · 2021: 11 · 2020: 12 · 2019: 8 · 2018: 13 · 2017: 9 · 2016: 3
FWCI
14.52
Type
journal article
Language
en
Open access
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • Journal of Women s Health (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • Journal of Bioresource Management (submittedVersion, cc-by)
Funders
  • National Institutes of Health
  • National Institute of Nursing Research (R01NR009093)
Topics
  • Social Sciences › Health › Intimate Partner and Family Violence
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
  • Social Sciences › Demography › Elder Abuse and Neglect
Keywords
intimate partner violence, domestic violence intervention, abuse assessment, postpartum violence, maternal depression, well-woman care, well-child care
MeSH terms
Intimate Partner Violence, Adolescent, Adult, Animals, Female, House Calls, Humans, Power, Psychological, Pregnancy, Rural Population, United States, Urban Population, Linear Models, Domestic Violence, Battered Women, Perinatal Care, Postpartum Period, Evidence-Based Practice, Young Adult, Patient Protection and Affordable Care Act

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