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Domestic Violence Enhanced Perinatal Home Visits: The DOVE Randomized Clinical Trial
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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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“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]
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“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]
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“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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Metadata
- 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
- 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
- green
- www.ncbi.nlm.nih.gov
- 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
- Health Sciences › Medicine › Geriatrics and Gerontology › 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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