Support by trained mentor mothers for abused women: a promising intervention in primary care
Abstract
BACKGROUND: Intimate partner violence (IPV) against women is a major health problem and negatively affects the victim's mental and physical health. Evidence-based interventions in family practice are scarce. OBJECTIVE: We aimed to evaluate a low threshold home-visiting intervention for abused women provided by trained mentor mothers in family practice. The aim was to reduce exposure to IPV, symptoms of depression as well as to improve social support, participation in society and acceptance of mental health care. METHODS: A pre-post study of a 16-week mentoring intervention with identified abused women with children was conducted. After referral by a family doctor, a mentor mother visited the abused woman weekly. Primary outcomes are IPV assessed with the Composite Abuse Scale (CAS), depressive symptoms using the Symptom Checklist (SCL 90) and social support by the Utrecht Coping List. Secondary outcomes are analysed qualitatively: participation in society defined as employment and education and the acceptance of mental health care. RESULTS: At baseline, 63 out of 66 abused women were referred to mentor support. Forty-three participants completed the intervention programme. IPV decreased from CASt otal 46.7 (SD 24.7) to 9.0 (SD 9.1) (P ≤ 0.001) after the mentor mother support programme. Symptoms of depression decreased from 53.3 (SD 13.7) to 34.8 (SD 11.5) (P ≤ 0.001) and social support increased from 13.2 (SD 4.0) to 15.2 (SD 3.5) (P ≤ 0.001). Participation in society and the acceptance of mental health for mother and child improved. CONCLUSIONS: Sixteen weekly visits by trained mentor mothers are a promising intervention to decrease exposure to IPV and symptoms of depression, as well as to improve social support, participation in society and the acceptance of professional help for abused women and their children.
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Prosman et al's study showed evidence that the mentor mother intervention led to a decrease in experience of IPV (decreased Composite Abuse Scale mean score by 37.7 (SD 25.7) after 16 weeks), as well as in depression scores.
“Prosman et al’s study [18] specifically showed evidence that the mentor mother intervention led to a decrease of in experience of IPV (decreased Composite Abuse Scale (CAS) mean score by 37.7 (SD 25.7) after 16 weeks), as well as in depression scores.”
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 [18]
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 [18]
Many of the advocacy/case management interventions described created linkages by assisting IPV survivors identify sources of support within their existing networks and engage in forming new social relationships.
“Many of the advocacy/case management interventions described above have created these linkages by assisting IPV survivors identify sources of support within their existing networks and also engage in forming new social relationships [16, 18, 48].”
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 [18]
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- Authors
- Prosman, G.-J., Lo Fo Wong, S. H., & Lagro-Janssen, A. L.
- Affiliations
- Radboud University Medical Center (NL)
- Venue
- Family Practice
- Publisher
- Oxford University Press (OUP)
- Published
- 2013-10-16
- Volume
- 31
- Issue
- 1
- Pages
- 71-80
- ISSN
- 0263-2136 (ISSN-L)
- 1460-2229
- OpenAlex
- W2133671993
- Cited by
- 21
- References
- 34
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 1 · 2022: 3 · 2021: 1 · 2020: 2 · 2019: 2 · 2018: 2 · 2017: 3 · 2016: 1 · 2014: 2 · 2013: 1
- FWCI
- 1.52
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Family Practice (publishedVersion)
- PubMed (publishedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- Funders
- Radboud Universiteit
- Topics
- Social Sciences › Health › Intimate Partner and Family Violence
- Social Sciences › Demography › Elder Abuse and Neglect
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- intimate partner violence, battered women, home visiting intervention, depression, social support, social participation (health and rehabilitation), primary care, women with children, low-threshold intervention
- MeSH terms
- Adolescent, Adult, Depression, Female, House Calls, Humans, Mental Health Services, Mentors, Middle Aged, Mothers, Patient Acceptance of Health Care, Primary Health Care, Social Support, Spouse Abuse, Cohort Studies, Battered Women, Young Adult, Social Participation
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