The effect of training problem-solving skills for pregnant women experiencing intimate partner violence: a randomized control trial

Abstract

IntroductionIntimate partner violence (IPV) in pregnancy is considered as an additional threat to the maternal/fetal health. The present study was aimed to investigate the effectiveness of training problem-solving skills on IPV against pregnant women.MethodsThe present randomized clinical trial was conducted on 125 and 132 women visiting the health centers of Tehran as the intervention and the control groups, respectively; samples were selected using random stratified cluster sampling. The intervention group underwent four problem-solving training sessions. Three months later, both groups completed the revised Conflict Tactics Scale questionnaire. Data were analyzed using SPSS v.16.ResultsThe mean (SD) ages of the participants were 27.51 (4.26) and 27.02 (4.26) years, respectively, in the control and the intervention groups. The rates of the physical and psychological violence were significantly reduced after the intervention in the intervention group. Risk differences of the physical, psychological and sexual violence before and after the intervention were 3% (95% CI: -8.23 to14.13, P = 0.6), 1.5% (95% CI: -4.93 to 8.03, P = 0.6) and 4.8% (95% CI: -7.11 to 16.52, P = 0.4) in the control group and 8.8% (95% CI: -3.47 to 20.71, P = 0.1), 25.4% (95% CI: 15.77 to 34.66, P < 0.001) and 4.9% (95% CI: -7.38 to16.97, P = 0.4) in the intervention group, respectively.ConclusionIt seems that training this skill as a part of the routine prenatal care could be effective in reducing intimate partner violence.

Women's strategies for managing domestic violence in pregnancy: A qualitative study in Iran

“…The result was similar to the previous study by Din Mohammad (53,54). The result of the present study recommended that life skills training classes should be held for abused pregnant women in health centers to reduce the prevalence of prenatal domestic violence which was similar to the study conducted by Taghizadeh et al (55).…”

Interventions in sexual and reproductive health services addressing violence against women in low- and middle- income countries: a mixed-methods systematic review

“…Of the 26 studies, 18 were from sub-Saharan Africa, 28 31–34 38 42 45–47 49 52–54 56 57 59 60 three from the Middle East, 40 55 58 three from South Asia, 29 39 50 and two from South America. 30 35 Twelve quantitative evaluations were randomised controlled trials (RCTs), 32 34 35 38 40 47 50 52 55 58–60 six were uncontrolled before-after (UBA) studies, 29 30 39 42 46 54 six cross sectional studies, 31 45 49 53 56 57 and one was a controlled before-after evaluation (CBA).…”

“…Of the 26 studies, 18 were from sub-Saharan Africa, 28 31–34 38 42 45–47 49 52–54 56 57 59 60 three from the Middle East, 40 55 58 three from South Asia, 29 39 50 and two from South America. 30 35 Twelve quantitative evaluations were randomised controlled trials (RCTs), 32 34 35 38 40 47 50 52 55 58–60 six were uncontrolled before-after (UBA) studies, 29 30 39 42 46 54 six cross sectional studies, 31 45 49 53 56 57 and one was a controlled before-after evaluation (CBA). 28 Nine qualitative evaluations were components of mixed-methods studies: three embedded in RCTs, 38 44 51 two carried out alongside UBA studies, 30 54 three alongside cross-sectional studies, 49 56 57 and one standalone qualitative study.…”

“…52 55 An Iranian RCT of four 90-minute group sessions reported a reduction in re-exposure to physical IPV (RR 0.78; 95% CI 0.63-0.83) and psychological IPV (RR 0.73; 95% CI 0.64-0.83), but null effect on sexual IPV (RR 0.87; 95% CI 0.69-1.09). 55 A South African RCT of seven 90-minute sessions reported null effect on coping behaviour, use of SRH services, post-traumatic stress disorder (PTSD)…”

Effect of Psychoeducation Group Training Based on Problem-Solving Skills for Women Experiencing Bipolar Spouse Abuse

“…Our results are in harmony with the findings of Maddoux et al (23), who emphasized the use of interventions that address the problem-solving ability may be beneficial in increasing abilities of abused women to manage the daily stressors of life following abuse (23). Also, the results of studies revealed that psychoeducation intervention such as training of problemsolving skills can reduce the physical and psychological types of committed violence against pregnant women in Iran (28) and China (29). Also, as Hajian et al (30) have reported, a high level of resilience and the use of problem-oriented coping can have a major role in reducing the likelihood of suicide attempt in Iranian females reporting spouse-related abuse (30).…”