Skip to main content
OpenTrials
Recruiting

NCT Number: NCT05948631

MISC-IPV: a Community-Based Intervention for Children Traumatized by Intimate Partner Violence

This study adapts and evaluates preliminary outcomes of the Mediational Intervention for Sensitizing Caregivers (MISC) for women and children of color who have survived domestic violence.

Recruiting

Interested in participating?

Request Info

Key information

Age range

7 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Houston

Houston, Texas, 77204, United States

Location status: Recruiting

Location contact

Carla Sharp, Ph.D.

CONTACT

[email protected]

Madeleine Allman, MA

CONTACT

[email protected]

About this study

The investigators propose that the adverse effects of Intimate Partner Violence (IPV) trauma on children can be interrupted through an intervention that enhances maternal caregiving capacity delivered by paraprofessional caseworkers. The objective of this application is to adapt an established caregiver intervention program, Mediational Intervention for Sensitizing Caregivers (MISC), for the IPV context (thereafter named MISC-IPV). Guided by an evidence-based framework for adapting caregiver-child training programs, the investigators take a three-phase approach (Adapt, Process Evaluation, Outcome/Mediator Evaluation) with the central hypothesis that acceptability and feasibility of MISC-IPV will be demonstrated and that MISC-IPV will show positive preliminary outcomes through the mechanism of enhanced maternal caregiving. In acknowledgement of significant health disparities faced by IPV-affected African American women, the investigators will conduct our research with African American women and their children. Successful completion of the project will result in a scalable community-based approach to IPV exposure that may provide a model for future integration of child-focused work into existing woman-focused IPV programs.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Mother inclusion criteria:

  • Enrolled in Harris County Domestic Violence rehousing program
  • Fluency in English

Mother exclusion criteria:

  • Active suicidality
  • Intellectual disability
  • Active psychotic disorder

Child inclusion criteria:

  • Exposure to domestic violence
  • 7-11 years old in a family

Child exclusion criteria:

  • Intelligence quotient below 75,
  • Active psychosis
  • Severe autism
  • Below age 7 or above age 11

Treatment and study plan

MISC intervention

Behavioral

MISC is a semi-structured, participatory caregiver intervention following these steps: (1) Identify the mother's personal and cultural characteristics, which include a respectful discussion around the mother's child-rearing views, objectives, needs and expectations. (2) Create a baseline through videotaped interactions. (3) Create caregivers' personal interaction profile on the basis of videotaped interaction. The caseworker builds on the initial videotaped interaction and uses subsequent bi-weekly videotaped interactions to give feedback to mothers on the frequency of mediational behaviors thereby quantifying the quality of mother-child interactions. Interactional characteristics are jointly identified and conceptualized according to MISC principles. The mother learns to understand both her own and the child's behavior within a meaningful framework, enhancing reflection of caregiving practices. (4) In-service training (once a month). (5) Re-evaluate training efficacy.

Treatment as Usual (TAU)

Behavioral

TAU consists of supportive services including trauma informed, client-centered, and strength-based case management and advocacy. All services are focused on the mother and do not include any child-focused intervention. Instead, staff provide in-home intensive case management services to assess and provide safety planning, assess other social service needs, link abused mothers to community resources, and assist clients in rehousing. TAU direct contact with the mother consists of bi-weekly contact, which matches the contact frequency for the intervention group. However, MISC mothers will be receiving TAU+MISC-IPV (2 hours bi-weekly contact) compared with TAU only (30 minutes biweekly contact).

Primary outcomes

  1. Mental health problems

    Time frame: Baseline, six, 12, and 18 months.

    The primary outcome measure is change in mental health outcomes as assessed through by the Strengths and Difficulties Questionnaire (SDQ). The SDQ total score indexes the overall level of mental health problems a child is experiencing with a minimum score of 0 and a maximum score of 60. A higher the score indicates higher the levels of mental health problems.

  2. Sensitive caregiving

    Time frame: Baseline, six, 12, and 18 months.

    Change in sensitive caregiving is a primary outcome that will be assessed with an observational tool named the Observing Mediational Interaction (OMI) tool. The measure codes the frequency of caregiving behaviors that are sensitive to the child's needs. It has a minimum of 0, but has no maximum as any frequency of behaviors may be observed. A higher score indicates more sensitive caregiving.

Study contacts

Contact information is provided by the study sponsor or research team.

Carla Sharp, Ph.D.

CONTACT

[email protected]

7137438612

Madeleine Allman, MA

CONTACT

[email protected]

7137438612

Sponsors and collaborators

Lead sponsor

University of Houston

Other

Collaborators

  • Texas Women's University

Registry information

Acronym: MISC-IPV

Important dates

Study start
2023
Primary completion
2025
Study completion
2025
First posted
Jul 17, 2023
Registry last updated
Dec 9, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.