Preventing intimate partner violence among foreign-born Latinx mothers through relationship education during nurse home visiting.

AIMS: This study aimed to examine the effectiveness of an augmented home visiting programme in preventing intimate partner violence among Latinx mothers by nativity. BACKGROUND: Intimate partner violence diminishes home visit programmes' effectiveness. Immigrant Latinx mothers are especially vulnerable and need culturally tailored prevention. METHODS: We performed secondary analyses of 33 US-born and 86 foreign-born Latinx mothers at baseline and 1- and 2-year follow-up in a longitudinal randomized controlled trial of the Nurse-Family Partnership programme augmented with nurse-delivered Within My Reach relationship education curriculum and violence screening and referrals in Oregon. We estimated proportional odds models via generalized estimating equations on total physical and sexual victimization and/or perpetration forms (an ordinal variable), adjusting for intervention, wave, age and education. RESULTS: The intervention-nativity interaction was not significant (p = .953). Foreign-born status was associated with lower reported violence at baseline (adjusted odds ratio: 0.29, 95% confidence interval: 0.13-0.67, p = .004). This association was marginally significant at 1-year follow-up (0.43, 0.17-1.08, p = .072) and not significant at 2-year follow-up (0.75, 0.33-1.67, p = .475). CONCLUSIONS: This augmented programme was not effective for Latinx mothers by nativity. Their nativity gap diminished over time. IMPLICATIONS FOR NURSING MANAGEMENT: Nursing leaders should support culturally tailored home visiting programmes to detect and prevent intimate partner violence affecting Latinx immigrants. CLINICAL TRIAL REGISTRATION: This study is registered at www. CLINICALTRIALS: gov NCT01811719. The full trial protocol can be accessed at https://clinicaltrials.gov/ct2/show/NCT01811719.

Court-mandated interventions for individuals convicted of domestic violence: An updated Campbell systematic review.

Background: Survey research and analysis of police records, hospital emergency rooms, and women's shelters have clearly established the severity of the intimate partner violence problem and the need to find programs to address this issue. Roughly 1 in 4 women in an intimate relationship is a victim of intimate partner violence. Court-mandated batterer intervention programs (BIPs) have been implemented throughout the United States as a leading method to address this problem. These programs are also now implemented in Canada and Europe. These programs emerged from the women's shelter movement leading to programs with a strong feminist orientation, such as the Duluth Model. The programs that were developed were group-based and relied on psychoeducational methods. Their aim was to get men to take responsibility for their sexist beliefs and stop abusing their partners by teaching them alternative responses for handling their anger. More recent programs draw from cognitive-behavioral therapeutic principles or a mix of the latter with feminist components as well. Objectives: This is an update of our prior review. The aim was to assess the effects of postarrest court-mandated interventions for intimate partner violence offenders that target, in part or exclusively, male batterers. Our focus was on studies aimed at reducing intimate partner violence, above and beyond what would have been expected by routine legal procedures (e.g., probation monitoring, etc.). Search Methods: We searched numerous databases and websites, bibliographies of published reviews of related literature, and a scrutiny of annotated bibliographies of related literature. Our goal was to identify all published and unpublished literature that met our selection criteria. The original review identified nine eligible studies. The updated search identified two new studies. The total sample size across these 11 studies was 4824. Selection Criteria: We included experimental (random assignment) and quasi-experimental evaluations of court-mandated BIPs that measured official or victim reports of future intimate partner violence. Rigorous quasi-experimental designs were defined as those that either used matching or statistical controls to improve the comparability of the treated (program) and untreated (comparison) groups. The original review also included quasi-experimental designs that used treatment drop-outs as the comparison group. Given the serious selection bias of such studies, these have not been included in this update. Data Collection and Analysis: We coded characteristics of the treatment, sample, outcomes, and research methods. Findings were extracted in the form of an effect size and effect sizes were analyzed using the inverse-variance weight method of meta-analysis. Official report and victim report outcomes were analyzed separately as were the different design types (i.e., random assignment and quasi-experimental designs with a no treatment comparison). Results: The mean effect for official reports of intimate partner violence from experimental studies showed a modest (but statistically nonsignificant) benefit for the program group (odds ratio, 0.79; 95% confidence interval [CI] [0.49-1.28], k = 7) whereas the mean effect for victim reported outcomes showed equal outcomes for both groups (e.g., no benefit or harm; odds ratio, 0.99; 95% CI, [0.74-1.32], k = 7). The quasi-experimental studies showed a small but not statistically significant benefit for the program group on official reports (odds ratio, 0.54; 95% CI [0.24-1.22], k = 7). One quasi-experiment reported a nonsignificant effect for a victim report outcome (odds ratio, 1.76; 95% CI [0.50-6.14], k = 1). None of the analyses were statistically significant. Thus, there is insufficient evidence to conclude that these programs are effective. Both the official measure and the victim reported measures have potential sources of bias, increasing the uncertainty regarding any benefits or harms related to these programs. Authors' Conclusions: The findings, we believe, raise doubts about the effectiveness of court-mandated BIPs in reducing re-assault among men convicted of misdemeanor intimate partner violence. New programs and/or entirely new approaches to this important social problem should be explored.

An Intimate Partner Violence Prevention Intervention in a Nurse Home Visitation Program: A Randomized Clinical Trial.

BACKGROUND: Intimate partner violence (IPV) is a significant public health problem with many negative consequences, particularly for pregnant women. This randomized trial investigated the effectiveness of an IPV preventive intervention embedded within the Nurse Family Partnership (NFP) program. MATERIALS AND METHODS: Participants enrolled over a 20-month period and were interviewed at baseline and 1- and 2-year follow-up. Eligibility criteria included first pregnancy, eligible for the nutrition program Women, Infants, and Children (WIC), English or Spanish speaking, and at least 15 years of age. All women initially referred and screened were randomized to either intervention (NFP+) or control (NFP only) condition. The final sample consisted of 238 women completing baseline assessments; retention was 81% at 2-year follow-up. RESULTS: Analyses indicated that there were no main effects: the intervention affected participants differently depending on their baseline experience with IPV. For physical violence victimization, an interaction between baseline victimization and treatment was found; the intervention reduced victimization at 1 year (and approached significance at 2 years), but only among women who had not experienced past-year physical victimization at baseline. For sexual violence victimization, another interaction emerged; women in the intervention group were more likely to report sexual violence victimization at 2-year follow-up, but only among participants who had reported sexual victimization at baseline. The only effect on IPV perpetration was psychological perpetration at 2-year follow-up; again, the treatment effect was moderated by baseline perpetration. The intervention reduced psychological perpetration for participants who were nonperpetrators at baseline, but had no effect on those reporting perpetration. CONCLUSIONS: Overall, findings suggest that the intervention was effective in reducing some forms of violence among those not experiencing IPV at baseline, but was ineffective or potentially harmful for those already experiencing IPV.

The Need for Experimental Methodology in Intimate Partner Violence: Finding Programs That Effectively Prevent IPV.

The lack of rigorous evaluations of intimate partner violence (IPV) programs has severely limited our knowledge about what works. However, IPV programs can be rigorously evaluated through randomized controlled trials (RCTs) conducted ethically and safely. This article provides an example of how a RCT to test an IPV preventive intervention-the Enhanced Nurse Family Partnership Study (ENFPS)-was successfully implemented by a partnership of researchers and practitioners. The article concludes with some recommendations, arrived at by the researchers and practitioners on the ENFPS team, for achieving a successful collaboration thought to be essential in executing a field experiment.

A comparison of male and female dually arrested domestic violence offenders.

This research provides information on dually arrested female defendants in domestic violence cases. The data comes from all heterosexual domestic violence cases resulting in a dual arrest from one large mid-South city during a 28-month period. Information on matched pairs of dually arrested male and female defendants (N = 317) came from multiple sources, including official criminal justice records (arrest reports and local criminal histories) as well as victim/offender interviews with both the arrestee and his/her partner. Comparisons were made between males and females in terms of their demographics, criminal histories, prior history of domestic violence (as both victim and offender), and behavior during the instant offense. Analyses revealed that these couples had ample contact, whether as victim or offender, with the criminal justice system. While there were no significant differences in partners' reports of minor and severe physical abuse, criminal justice date indicated that male arrestees demonstrated a significantly higher overall level of severity of violence than their female counterparts. Additionally, male arrestees had a more serious history of intimate partner and extrafamilial violence as well as other indicators of an antisocial lifestyle in comparison to female arrestees. To the extent that females in our cohort demonstrated less overall criminality and engaged in less severe domestic aggression, the idea of equivalency of violence between male and female arrestees must remain questionable.