Trial Outcomes & Findings for Recovering From Intimate Partner Violence Through Strengths and Empowerment (RISE) (NCT NCT03261700)

NCT ID: NCT03261700

Last Updated: 2023-07-27

Results Overview

Measures change in sense of personal empowerment; minimum value = 28 and maximum score = 196; higher scores indicate higher personal empowerment

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

60 participants

Primary outcome timeframe

Baseline,10-week follow-up, and 14-week follow-up assessments

Results posted on

2023-07-27

Participant Flow

Participant milestones

Participant milestones
Measure
RISE
This provider- administered brief- counseling intervention program will increase Women Veterans self- efficacy and personal empowerment in addressing violence in their current or past relationships. The variable length (up to six- session) modular-based intervention aims at providing resources for women veterans in the relevant domains of: 1) safety planning, 2) education on health effects of IPV, 3) improving coping and self- care and red flags, 4) enhancing social support, 5) making difficult decisions, and 5) connecting with resources and moving forward. RISE: This provider- administered brief- counseling intervention program will increase Women Veteran's self- efficacy in addressing violence in their current or past relationships. The variable length (up to six- session) modular-based intervention aims at providing resources for WVs in the relevant domains of: 1) safety planning, 2) education on health effects of IPV and red flags, 3) improving coping and self- care, 4) enhancing social support, 5) making difficult decisions, and 5) connecting with resources.
Enhanced Care as Usual Condition
This brochure-based intervention includes education about IPV, health effects of IPV, resources and referral options to address a wide-array of health and social issues associated with IPV, and safety planning. Participants randomized to this arm are offered resources and referrals to VA and community resources. Information and referral condition: Participants randomized to this arm will receive a brochure-based intervention, consisting of education, support and problem solving, safety planning as well as resources and referrals to address an array of health and social issues associated with IPV (including in VA and the community).
Overall Study
STARTED
30
30
Overall Study
COMPLETED
29
30
Overall Study
NOT COMPLETED
1
0

Reasons for withdrawal

Reasons for withdrawal
Measure
RISE
This provider- administered brief- counseling intervention program will increase Women Veterans self- efficacy and personal empowerment in addressing violence in their current or past relationships. The variable length (up to six- session) modular-based intervention aims at providing resources for women veterans in the relevant domains of: 1) safety planning, 2) education on health effects of IPV, 3) improving coping and self- care and red flags, 4) enhancing social support, 5) making difficult decisions, and 5) connecting with resources and moving forward. RISE: This provider- administered brief- counseling intervention program will increase Women Veteran's self- efficacy in addressing violence in their current or past relationships. The variable length (up to six- session) modular-based intervention aims at providing resources for WVs in the relevant domains of: 1) safety planning, 2) education on health effects of IPV and red flags, 3) improving coping and self- care, 4) enhancing social support, 5) making difficult decisions, and 5) connecting with resources.
Enhanced Care as Usual Condition
This brochure-based intervention includes education about IPV, health effects of IPV, resources and referral options to address a wide-array of health and social issues associated with IPV, and safety planning. Participants randomized to this arm are offered resources and referrals to VA and community resources. Information and referral condition: Participants randomized to this arm will receive a brochure-based intervention, consisting of education, support and problem solving, safety planning as well as resources and referrals to address an array of health and social issues associated with IPV (including in VA and the community).
Overall Study
The participant was not able to participate due to COVID-19 related stressors.
1
0

Baseline Characteristics

Recovering From Intimate Partner Violence Through Strengths and Empowerment (RISE)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
RISE
n=30 Participants
This provider- administered brief- counseling intervention program will increase Women Veterans self- efficacy and personal empowerment in addressing violence in their current or past relationships. The variable length (up to six- session) modular-based intervention aims at providing resources for women veterans in the relevant domains of: 1) safety planning, 2) education on health effects of IPV, 3) improving coping and self- care and red flags, 4) enhancing social support, 5) making difficult decisions, and 5) connecting with resources and moving forward. RISE: This provider- administered brief- counseling intervention program will increase Women Veteran's self- efficacy in addressing violence in their current or past relationships. The variable length (up to six- session) modular-based intervention aims at providing resources for WVs in the relevant domains of: 1) safety planning, 2) education on health effects of IPV and red flags, 3) improving coping and self- care, 4) enhancing social support, 5) making difficult decisions, and 5) connecting with resources.
Enhanced Care as Usual Condition
n=30 Participants
This brochure-based intervention includes education about IPV, health effects of IPV, resources and referral options to address a wide-array of health and social issues associated with IPV, and safety planning. Participants randomized to this arm are offered resources and referrals to VA and community resources. Information and referral condition: Participants randomized to this arm will receive a brochure-based intervention, consisting of education, support and problem solving, safety planning as well as resources and referrals to address an array of health and social issues associated with IPV (including in VA and the community).
Total
n=60 Participants
Total of all reporting groups
Age, Continuous
37.7 years
STANDARD_DEVIATION 10.8 • n=93 Participants
40.5 years
STANDARD_DEVIATION 13.0 • n=4 Participants
39.1 years
STANDARD_DEVIATION 11.9 • n=27 Participants
Sex: Female, Male
Female
30 Participants
n=93 Participants
30 Participants
n=4 Participants
60 Participants
n=27 Participants
Sex: Female, Male
Male
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
7 Participants
n=93 Participants
5 Participants
n=4 Participants
12 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
23 Participants
n=93 Participants
25 Participants
n=4 Participants
48 Participants
n=27 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=93 Participants
1 Participants
n=4 Participants
2 Participants
n=27 Participants
Race (NIH/OMB)
Asian
0 Participants
n=93 Participants
2 Participants
n=4 Participants
2 Participants
n=27 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=93 Participants
1 Participants
n=4 Participants
2 Participants
n=27 Participants
Race (NIH/OMB)
Black or African American
8 Participants
n=93 Participants
5 Participants
n=4 Participants
13 Participants
n=27 Participants
Race (NIH/OMB)
White
17 Participants
n=93 Participants
16 Participants
n=4 Participants
33 Participants
n=27 Participants
Race (NIH/OMB)
More than one race
3 Participants
n=93 Participants
5 Participants
n=4 Participants
8 Participants
n=27 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
0 Participants
n=4 Participants
0 Participants
n=27 Participants
Region of Enrollment
United States
30 Participants
n=93 Participants
30 Participants
n=4 Participants
60 Participants
n=27 Participants
Sexual orientation
Heterosexual
19 Participants
n=93 Participants
24 Participants
n=4 Participants
43 Participants
n=27 Participants
Sexual orientation
Lesbian/Gay
3 Participants
n=93 Participants
1 Participants
n=4 Participants
4 Participants
n=27 Participants
Sexual orientation
Bisexual
5 Participants
n=93 Participants
4 Participants
n=4 Participants
9 Participants
n=27 Participants
Sexual orientation
Pansexual
3 Participants
n=93 Participants
1 Participants
n=4 Participants
4 Participants
n=27 Participants

PRIMARY outcome

Timeframe: Baseline,10-week follow-up, and 14-week follow-up assessments

Population: Intent-to-treat (ITT) sample

Measures change in sense of personal empowerment; minimum value = 28 and maximum score = 196; higher scores indicate higher personal empowerment

Outcome measures

Outcome measures
Measure
RISE
n=29 Participants
This provider- administered brief- counseling intervention program will increase Women Veterans self- efficacy and personal empowerment in addressing violence in their current or past relationships. The variable length (up to six- session) modular-based intervention aims at providing resources for women veterans in the relevant domains of: 1) safety planning, 2) education on health effects of IPV, 3) improving coping and self- care and red flags, 4) enhancing social support, 5) making difficult decisions, and 5) connecting with resources and moving forward. RISE: This provider- administered brief- counseling intervention program will increase Women Veteran's self- efficacy in addressing violence in their current or past relationships. The variable length (up to six- session) modular-based intervention aims at providing resources for WVs in the relevant domains of: 1) safety planning, 2) education on health effects of IPV and red flags, 3) improving coping and self- care, 4) enhancing social support, 5) making difficult decisions, and 5) connecting with resources.
Enhanced Care as Usual Condition
n=30 Participants
This brochure-based intervention includes education about IPV, health effects of IPV, resources and referral options to address a wide-array of health and social issues associated with IPV, and safety planning. Participants randomized to this arm are offered resources and referrals to VA and community resources. Information and referral condition: Participants randomized to this arm will receive a brochure-based intervention, consisting of education, support and problem solving, safety planning as well as resources and referrals to address an array of health and social issues associated with IPV (including in VA and the community).
Empowerment Via the Personal Progress Scale Revised
Baseline
129.82 score on a scale
Interval 121.91 to 137.73
132.25 score on a scale
Interval 123.64 to 140.87
Empowerment Via the Personal Progress Scale Revised
10-Week Follow-up
146.13 score on a scale
Interval 137.8 to 154.46
137.24 score on a scale
Interval 129.85 to 144.63
Empowerment Via the Personal Progress Scale Revised
14-Week Follow-up
148.07 score on a scale
Interval 139.62 to 156.52
137.66 score on a scale
Interval 130.15 to 145.17

PRIMARY outcome

Timeframe: Baseline, 10-week follow-up, and 14-week follow-up assessments

Population: Intent-to-Treat (ITT) sample

This scale is a self-report of change in general self-efficacy; minimum score = 4 and maximum score = 40; higher scores indicate higher self-efficacy

Outcome measures

Outcome measures
Measure
RISE
n=29 Participants
This provider- administered brief- counseling intervention program will increase Women Veterans self- efficacy and personal empowerment in addressing violence in their current or past relationships. The variable length (up to six- session) modular-based intervention aims at providing resources for women veterans in the relevant domains of: 1) safety planning, 2) education on health effects of IPV, 3) improving coping and self- care and red flags, 4) enhancing social support, 5) making difficult decisions, and 5) connecting with resources and moving forward. RISE: This provider- administered brief- counseling intervention program will increase Women Veteran's self- efficacy in addressing violence in their current or past relationships. The variable length (up to six- session) modular-based intervention aims at providing resources for WVs in the relevant domains of: 1) safety planning, 2) education on health effects of IPV and red flags, 3) improving coping and self- care, 4) enhancing social support, 5) making difficult decisions, and 5) connecting with resources.
Enhanced Care as Usual Condition
n=30 Participants
This brochure-based intervention includes education about IPV, health effects of IPV, resources and referral options to address a wide-array of health and social issues associated with IPV, and safety planning. Participants randomized to this arm are offered resources and referrals to VA and community resources. Information and referral condition: Participants randomized to this arm will receive a brochure-based intervention, consisting of education, support and problem solving, safety planning as well as resources and referrals to address an array of health and social issues associated with IPV (including in VA and the community).
Self-efficacy Via the General Self-Efficacy Scale
Baseline
28.7 score on a scale
Interval 27.04 to 30.36
29.90 score on a scale
Interval 27.98 to 31.82
Self-efficacy Via the General Self-Efficacy Scale
10-Week Follow-up
33.33 score on a scale
Interval 31.75 to 34.91
30.66 score on a scale
Interval 29.01 to 32.31
Self-efficacy Via the General Self-Efficacy Scale
14-Week Follow-up
34.07 score on a scale
Interval 32.53 to 35.61
30.52 score on a scale
Interval 28.95 to 32.09

PRIMARY outcome

Timeframe: Baseline, 10-week follow-up, and 14-week follow-up assessments

Population: Intent-to-Treat (ITT) sample

Measures change in valued living, and congruence between stated values and past-week valued behavior; Composite scores range from 10 (minimum) to 100 (maximum). Higher scores reflect higher valued living (i.e., an indicator of higher quality of life)

Outcome measures

Outcome measures
Measure
RISE
n=29 Participants
This provider- administered brief- counseling intervention program will increase Women Veterans self- efficacy and personal empowerment in addressing violence in their current or past relationships. The variable length (up to six- session) modular-based intervention aims at providing resources for women veterans in the relevant domains of: 1) safety planning, 2) education on health effects of IPV, 3) improving coping and self- care and red flags, 4) enhancing social support, 5) making difficult decisions, and 5) connecting with resources and moving forward. RISE: This provider- administered brief- counseling intervention program will increase Women Veteran's self- efficacy in addressing violence in their current or past relationships. The variable length (up to six- session) modular-based intervention aims at providing resources for WVs in the relevant domains of: 1) safety planning, 2) education on health effects of IPV and red flags, 3) improving coping and self- care, 4) enhancing social support, 5) making difficult decisions, and 5) connecting with resources.
Enhanced Care as Usual Condition
n=30 Participants
This brochure-based intervention includes education about IPV, health effects of IPV, resources and referral options to address a wide-array of health and social issues associated with IPV, and safety planning. Participants randomized to this arm are offered resources and referrals to VA and community resources. Information and referral condition: Participants randomized to this arm will receive a brochure-based intervention, consisting of education, support and problem solving, safety planning as well as resources and referrals to address an array of health and social issues associated with IPV (including in VA and the community).
Valued Living Questionnaire
Baseline
49.88 score on a scale
Interval 42.97 to 56.79
48.88 score on a scale
Interval 42.87 to 54.89
Valued Living Questionnaire
10-Week Follow-up
63.27 score on a scale
Interval 56.68 to 69.86
53.44 score on a scale
Interval 46.86 to 60.02
Valued Living Questionnaire
14-Week Follow-Up
60.96 score on a scale
Interval 52.62 to 69.3
57.23 score on a scale
Interval 50.51 to 63.95

PRIMARY outcome

Timeframe: Baseline, 10-week follow-up, and 14-week follow-up assessments

Population: Intent-to-Treat (ITT) Sample

Measures change in patient engagement in needed health care; scores are transferred to a theoretical 0-100 scale; higher scores indicate higher patient activation.

Outcome measures

Outcome measures
Measure
RISE
n=29 Participants
This provider- administered brief- counseling intervention program will increase Women Veterans self- efficacy and personal empowerment in addressing violence in their current or past relationships. The variable length (up to six- session) modular-based intervention aims at providing resources for women veterans in the relevant domains of: 1) safety planning, 2) education on health effects of IPV, 3) improving coping and self- care and red flags, 4) enhancing social support, 5) making difficult decisions, and 5) connecting with resources and moving forward. RISE: This provider- administered brief- counseling intervention program will increase Women Veteran's self- efficacy in addressing violence in their current or past relationships. The variable length (up to six- session) modular-based intervention aims at providing resources for WVs in the relevant domains of: 1) safety planning, 2) education on health effects of IPV and red flags, 3) improving coping and self- care, 4) enhancing social support, 5) making difficult decisions, and 5) connecting with resources.
Enhanced Care as Usual Condition
n=30 Participants
This brochure-based intervention includes education about IPV, health effects of IPV, resources and referral options to address a wide-array of health and social issues associated with IPV, and safety planning. Participants randomized to this arm are offered resources and referrals to VA and community resources. Information and referral condition: Participants randomized to this arm will receive a brochure-based intervention, consisting of education, support and problem solving, safety planning as well as resources and referrals to address an array of health and social issues associated with IPV (including in VA and the community).
Patient Activation Measure (PAM-13)
Baseline
65.89 score on a scale
Interval 59.19 to 72.58
64.62 score on a scale
Interval 58.64 to 70.61
Patient Activation Measure (PAM-13)
10-week follow-up assessment
76.5 score on a scale
Interval 69.49 to 83.51
69.24 score on a scale
Interval 64.3 to 74.19
Patient Activation Measure (PAM-13)
14-week follow-up assessment
75.5 score on a scale
Interval 67.87 to 83.13
70.12 score on a scale
Interval 65.5 to 74.65

SECONDARY outcome

Timeframe: Baseline, 10-week follow-up, and 14-week follow-up assessments

Population: Intent-to-Treat (ITT) Sample

Measures change in DSM-5 PTSD symptom severity. Scores range from 0-80; higher scores reflect higher/worse PTSD symptoms.

Outcome measures

Outcome measures
Measure
RISE
n=29 Participants
This provider- administered brief- counseling intervention program will increase Women Veterans self- efficacy and personal empowerment in addressing violence in their current or past relationships. The variable length (up to six- session) modular-based intervention aims at providing resources for women veterans in the relevant domains of: 1) safety planning, 2) education on health effects of IPV, 3) improving coping and self- care and red flags, 4) enhancing social support, 5) making difficult decisions, and 5) connecting with resources and moving forward. RISE: This provider- administered brief- counseling intervention program will increase Women Veteran's self- efficacy in addressing violence in their current or past relationships. The variable length (up to six- session) modular-based intervention aims at providing resources for WVs in the relevant domains of: 1) safety planning, 2) education on health effects of IPV and red flags, 3) improving coping and self- care, 4) enhancing social support, 5) making difficult decisions, and 5) connecting with resources.
Enhanced Care as Usual Condition
n=30 Participants
This brochure-based intervention includes education about IPV, health effects of IPV, resources and referral options to address a wide-array of health and social issues associated with IPV, and safety planning. Participants randomized to this arm are offered resources and referrals to VA and community resources. Information and referral condition: Participants randomized to this arm will receive a brochure-based intervention, consisting of education, support and problem solving, safety planning as well as resources and referrals to address an array of health and social issues associated with IPV (including in VA and the community).
PTSD Checklist for DSM-5
Baseline
41.92 score on a scale
Interval 35.98 to 47.85
39.97 score on a scale
Interval 34.2 to 45.73
PTSD Checklist for DSM-5
10-week assessment
29.97 score on a scale
Interval 22.69 to 36.72
36.97 score on a scale
Interval 31.25 to 42.68
PTSD Checklist for DSM-5
14-week assessment
32.73 score on a scale
Interval 25.11 to 40.35
32.13 score on a scale
Interval 25.61 to 38.65

SECONDARY outcome

Timeframe: Baseline, 10-week follow-up, and 14-week follow-up assessments

Population: Intent-to-treat (ITT) sample

Measures change in depressive symptoms; This measure ranges from 0-60; higher scores reflect (worse) higher levels of symptoms

Outcome measures

Outcome measures
Measure
RISE
n=29 Participants
This provider- administered brief- counseling intervention program will increase Women Veterans self- efficacy and personal empowerment in addressing violence in their current or past relationships. The variable length (up to six- session) modular-based intervention aims at providing resources for women veterans in the relevant domains of: 1) safety planning, 2) education on health effects of IPV, 3) improving coping and self- care and red flags, 4) enhancing social support, 5) making difficult decisions, and 5) connecting with resources and moving forward. RISE: This provider- administered brief- counseling intervention program will increase Women Veteran's self- efficacy in addressing violence in their current or past relationships. The variable length (up to six- session) modular-based intervention aims at providing resources for WVs in the relevant domains of: 1) safety planning, 2) education on health effects of IPV and red flags, 3) improving coping and self- care, 4) enhancing social support, 5) making difficult decisions, and 5) connecting with resources.
Enhanced Care as Usual Condition
n=30 Participants
This brochure-based intervention includes education about IPV, health effects of IPV, resources and referral options to address a wide-array of health and social issues associated with IPV, and safety planning. Participants randomized to this arm are offered resources and referrals to VA and community resources. Information and referral condition: Participants randomized to this arm will receive a brochure-based intervention, consisting of education, support and problem solving, safety planning as well as resources and referrals to address an array of health and social issues associated with IPV (including in VA and the community).
Center for Epidemiological Studies-Depression Scale
Baseline
27.21 score on a scale
Interval 23.38 to 31.04
24.50 score on a scale
Interval 20.29 to 28.71
Center for Epidemiological Studies-Depression Scale
10-week follow-up
19.59 score on a scale
Interval 14.84 to 24.34
22.76 score on a scale
Interval 19.36 to 26.16
Center for Epidemiological Studies-Depression Scale
14-week follow-up
21.12 score on a scale
Interval 15.77 to 26.47
19.72 score on a scale
Interval 15.32 to 24.12

SECONDARY outcome

Timeframe: Baseline, 10-Week follow-up, and 14-Week follow-up Assessments

Population: Intent-to-treat (ITT) sample

Measures change in physical-health related quality of life. Specifically, quantitative ratings of overall physical health functioning were rated on a Likert scale of 1-5 (1 = excellent, 2 = very good, 3 = good, 4 = fair, 5 = poor).

Outcome measures

Outcome measures
Measure
RISE
n=29 Participants
This provider- administered brief- counseling intervention program will increase Women Veterans self- efficacy and personal empowerment in addressing violence in their current or past relationships. The variable length (up to six- session) modular-based intervention aims at providing resources for women veterans in the relevant domains of: 1) safety planning, 2) education on health effects of IPV, 3) improving coping and self- care and red flags, 4) enhancing social support, 5) making difficult decisions, and 5) connecting with resources and moving forward. RISE: This provider- administered brief- counseling intervention program will increase Women Veteran's self- efficacy in addressing violence in their current or past relationships. The variable length (up to six- session) modular-based intervention aims at providing resources for WVs in the relevant domains of: 1) safety planning, 2) education on health effects of IPV and red flags, 3) improving coping and self- care, 4) enhancing social support, 5) making difficult decisions, and 5) connecting with resources.
Enhanced Care as Usual Condition
n=30 Participants
This brochure-based intervention includes education about IPV, health effects of IPV, resources and referral options to address a wide-array of health and social issues associated with IPV, and safety planning. Participants randomized to this arm are offered resources and referrals to VA and community resources. Information and referral condition: Participants randomized to this arm will receive a brochure-based intervention, consisting of education, support and problem solving, safety planning as well as resources and referrals to address an array of health and social issues associated with IPV (including in VA and the community).
SF-12 Health Survey
Baseline
3 score on a scale
Standard Deviation .87
3 score on a scale
Standard Deviation .77
SF-12 Health Survey
10-Week Follow-Up
3 score on a scale
Standard Deviation .87
2 score on a scale
Standard Deviation .74
SF-12 Health Survey
14-Week Follow-Up
3 score on a scale
Standard Deviation .76
3 score on a scale
Standard Deviation .87

SECONDARY outcome

Timeframe: Baseline, 10-week follow-up, and 14-week follow-up assessments

Population: ITT sample

Measures change in overall number of different IPV acts over time (i.e., total count score). This measure ranges from 0-33; higher scores reflect higher levels of IPV (i.e., a worse outcome).

Outcome measures

Outcome measures
Measure
RISE
n=29 Participants
This provider- administered brief- counseling intervention program will increase Women Veterans self- efficacy and personal empowerment in addressing violence in their current or past relationships. The variable length (up to six- session) modular-based intervention aims at providing resources for women veterans in the relevant domains of: 1) safety planning, 2) education on health effects of IPV, 3) improving coping and self- care and red flags, 4) enhancing social support, 5) making difficult decisions, and 5) connecting with resources and moving forward. RISE: This provider- administered brief- counseling intervention program will increase Women Veteran's self- efficacy in addressing violence in their current or past relationships. The variable length (up to six- session) modular-based intervention aims at providing resources for WVs in the relevant domains of: 1) safety planning, 2) education on health effects of IPV and red flags, 3) improving coping and self- care, 4) enhancing social support, 5) making difficult decisions, and 5) connecting with resources.
Enhanced Care as Usual Condition
n=30 Participants
This brochure-based intervention includes education about IPV, health effects of IPV, resources and referral options to address a wide-array of health and social issues associated with IPV, and safety planning. Participants randomized to this arm are offered resources and referrals to VA and community resources. Information and referral condition: Participants randomized to this arm will receive a brochure-based intervention, consisting of education, support and problem solving, safety planning as well as resources and referrals to address an array of health and social issues associated with IPV (including in VA and the community).
Conflict Tactic Scales Revised
Baseline
11.17 units on a scale (count scores)
Interval 8.15 to 14.2
11.67 units on a scale (count scores)
Interval 9.14 to 14.2
Conflict Tactic Scales Revised
10-Week Follow-up
3.37 units on a scale (count scores)
Interval 2.2 to 4.54
4.93 units on a scale (count scores)
Interval 2.56 to 7.3
Conflict Tactic Scales Revised
14-Week Follow-up
3.34 units on a scale (count scores)
Interval 1.17 to 5.51
2.8 units on a scale (count scores)
Interval 1.76 to 3.84

SECONDARY outcome

Timeframe: Baseline, 10-week follow-up, and 14-week follow-up assessments

Population: Intent-to-treat (ITT) sample

Measures overall number of VA and non-VA health care visits (inclusive of physical, mental health, and social service use visits).

Outcome measures

Outcome measures
Measure
RISE
n=29 Participants
This provider- administered brief- counseling intervention program will increase Women Veterans self- efficacy and personal empowerment in addressing violence in their current or past relationships. The variable length (up to six- session) modular-based intervention aims at providing resources for women veterans in the relevant domains of: 1) safety planning, 2) education on health effects of IPV, 3) improving coping and self- care and red flags, 4) enhancing social support, 5) making difficult decisions, and 5) connecting with resources and moving forward. RISE: This provider- administered brief- counseling intervention program will increase Women Veteran's self- efficacy in addressing violence in their current or past relationships. The variable length (up to six- session) modular-based intervention aims at providing resources for WVs in the relevant domains of: 1) safety planning, 2) education on health effects of IPV and red flags, 3) improving coping and self- care, 4) enhancing social support, 5) making difficult decisions, and 5) connecting with resources.
Enhanced Care as Usual Condition
n=30 Participants
This brochure-based intervention includes education about IPV, health effects of IPV, resources and referral options to address a wide-array of health and social issues associated with IPV, and safety planning. Participants randomized to this arm are offered resources and referrals to VA and community resources. Information and referral condition: Participants randomized to this arm will receive a brochure-based intervention, consisting of education, support and problem solving, safety planning as well as resources and referrals to address an array of health and social issues associated with IPV (including in VA and the community).
Physical, Mental and Social Service Care Use
Baseline
8.27 visits
Interval 6.31 to 10.23
7.03 visits
Interval 5.29 to 8.77
Physical, Mental and Social Service Care Use
10-Week Follow-Up
6.15 visits
Interval 4.44 to 7.86
6.24 visits
Interval 4.69 to 7.79
Physical, Mental and Social Service Care Use
14-Week Follow-Up
4.62 visits
Interval 3.18 to 6.05
4.93 visits
Interval 3.35 to 6.52

SECONDARY outcome

Timeframe: 10-week follow-up assessment

Population: Intent-to-Treat (ITT) Sample

Measures satisfaction with treatment; Scores range from 8 to 32; higher scores reflect higher satisfaction with treatment (i.e., a better outcome)

Outcome measures

Outcome measures
Measure
RISE
n=29 Participants
This provider- administered brief- counseling intervention program will increase Women Veterans self- efficacy and personal empowerment in addressing violence in their current or past relationships. The variable length (up to six- session) modular-based intervention aims at providing resources for women veterans in the relevant domains of: 1) safety planning, 2) education on health effects of IPV, 3) improving coping and self- care and red flags, 4) enhancing social support, 5) making difficult decisions, and 5) connecting with resources and moving forward. RISE: This provider- administered brief- counseling intervention program will increase Women Veteran's self- efficacy in addressing violence in their current or past relationships. The variable length (up to six- session) modular-based intervention aims at providing resources for WVs in the relevant domains of: 1) safety planning, 2) education on health effects of IPV and red flags, 3) improving coping and self- care, 4) enhancing social support, 5) making difficult decisions, and 5) connecting with resources.
Enhanced Care as Usual Condition
n=30 Participants
This brochure-based intervention includes education about IPV, health effects of IPV, resources and referral options to address a wide-array of health and social issues associated with IPV, and safety planning. Participants randomized to this arm are offered resources and referrals to VA and community resources. Information and referral condition: Participants randomized to this arm will receive a brochure-based intervention, consisting of education, support and problem solving, safety planning as well as resources and referrals to address an array of health and social issues associated with IPV (including in VA and the community).
Client Services Questionnaire (CSQ-8)
29.30 score on a scale
Standard Deviation 2.78
25.07 score on a scale
Standard Deviation 4.85

SECONDARY outcome

Timeframe: Baseline, 10-week follow-up, and 14-week follow-up assessments

Population: Intent-to-treat (ITT) sample

Measures change in somatic and physical health symptoms; score ranges from 0 to 30, with higher scores representing higher levels of physical health problems

Outcome measures

Outcome measures
Measure
RISE
n=29 Participants
This provider- administered brief- counseling intervention program will increase Women Veterans self- efficacy and personal empowerment in addressing violence in their current or past relationships. The variable length (up to six- session) modular-based intervention aims at providing resources for women veterans in the relevant domains of: 1) safety planning, 2) education on health effects of IPV, 3) improving coping and self- care and red flags, 4) enhancing social support, 5) making difficult decisions, and 5) connecting with resources and moving forward. RISE: This provider- administered brief- counseling intervention program will increase Women Veteran's self- efficacy in addressing violence in their current or past relationships. The variable length (up to six- session) modular-based intervention aims at providing resources for WVs in the relevant domains of: 1) safety planning, 2) education on health effects of IPV and red flags, 3) improving coping and self- care, 4) enhancing social support, 5) making difficult decisions, and 5) connecting with resources.
Enhanced Care as Usual Condition
n=30 Participants
This brochure-based intervention includes education about IPV, health effects of IPV, resources and referral options to address a wide-array of health and social issues associated with IPV, and safety planning. Participants randomized to this arm are offered resources and referrals to VA and community resources. Information and referral condition: Participants randomized to this arm will receive a brochure-based intervention, consisting of education, support and problem solving, safety planning as well as resources and referrals to address an array of health and social issues associated with IPV (including in VA and the community).
Patient Health Questionnaire
Baseline
12.52 score on a scale
Interval 10.41 to 14.63
10.60 score on a scale
Interval 9.03 to 12.16
Patient Health Questionnaire
10-Week Follow-Up
11.37 score on a scale
Interval 9.33 to 13.41
12.01 score on a scale
Interval 10.27 to 13.75
Patient Health Questionnaire
14-Week Follow-Up
11.42 score on a scale
Interval 8.99 to 13.85
9.69 score on a scale
Interval 8.01 to 11.36

SECONDARY outcome

Timeframe: Baseline, 10-week follow-up, and 14-week follow-up assessments

Population: Intent-to-treat (ITT) sample

Measures the present use of safety behaviors participants are currently using to protect themselves. Each of the 15 items of this measure corresponds to a specific safety behavior. Participant indicates whether they have used each behavior using a dichotomous response option (yes = 1; no = 0). Scores are summed, with total scores ranging from 0-15. Higher scores indicate a higher number of safety behaviors enacted.

Outcome measures

Outcome measures
Measure
RISE
n=29 Participants
This provider- administered brief- counseling intervention program will increase Women Veterans self- efficacy and personal empowerment in addressing violence in their current or past relationships. The variable length (up to six- session) modular-based intervention aims at providing resources for women veterans in the relevant domains of: 1) safety planning, 2) education on health effects of IPV, 3) improving coping and self- care and red flags, 4) enhancing social support, 5) making difficult decisions, and 5) connecting with resources and moving forward. RISE: This provider- administered brief- counseling intervention program will increase Women Veteran's self- efficacy in addressing violence in their current or past relationships. The variable length (up to six- session) modular-based intervention aims at providing resources for WVs in the relevant domains of: 1) safety planning, 2) education on health effects of IPV and red flags, 3) improving coping and self- care, 4) enhancing social support, 5) making difficult decisions, and 5) connecting with resources.
Enhanced Care as Usual Condition
n=30 Participants
This brochure-based intervention includes education about IPV, health effects of IPV, resources and referral options to address a wide-array of health and social issues associated with IPV, and safety planning. Participants randomized to this arm are offered resources and referrals to VA and community resources. Information and referral condition: Participants randomized to this arm will receive a brochure-based intervention, consisting of education, support and problem solving, safety planning as well as resources and referrals to address an array of health and social issues associated with IPV (including in VA and the community).
Safety Behaviors Checklist
Baseline
12.87 score on a scale
Interval 11.97 to 13.77
12.94 score on a scale
Interval 12.09 to 13.79
Safety Behaviors Checklist
10-Week Follow-Up
13.04 score on a scale
Interval 11.59 to 14.49
12.39 score on a scale
Interval 10.79 to 13.99
Safety Behaviors Checklist
14-Week Follow-Up
9.4 score on a scale
Interval 6.85 to 11.95
12.34 score on a scale
Interval 10.75 to 13.93

SECONDARY outcome

Timeframe: Baseline, 10-week follow-up, and 14-week follow-up assessments

Population: Intent-to-treat (ITT) sample

Measures patient resilience; Scores range from 0-100,with higher scores reflecting higher resilience

Outcome measures

Outcome measures
Measure
RISE
n=29 Participants
This provider- administered brief- counseling intervention program will increase Women Veterans self- efficacy and personal empowerment in addressing violence in their current or past relationships. The variable length (up to six- session) modular-based intervention aims at providing resources for women veterans in the relevant domains of: 1) safety planning, 2) education on health effects of IPV, 3) improving coping and self- care and red flags, 4) enhancing social support, 5) making difficult decisions, and 5) connecting with resources and moving forward. RISE: This provider- administered brief- counseling intervention program will increase Women Veteran's self- efficacy in addressing violence in their current or past relationships. The variable length (up to six- session) modular-based intervention aims at providing resources for WVs in the relevant domains of: 1) safety planning, 2) education on health effects of IPV and red flags, 3) improving coping and self- care, 4) enhancing social support, 5) making difficult decisions, and 5) connecting with resources.
Enhanced Care as Usual Condition
n=30 Participants
This brochure-based intervention includes education about IPV, health effects of IPV, resources and referral options to address a wide-array of health and social issues associated with IPV, and safety planning. Participants randomized to this arm are offered resources and referrals to VA and community resources. Information and referral condition: Participants randomized to this arm will receive a brochure-based intervention, consisting of education, support and problem solving, safety planning as well as resources and referrals to address an array of health and social issues associated with IPV (including in VA and the community).
Connor-Davidson Resilience Scale
10-Week Follow-Up
29.67 score on a scale
Interval 27.24 to 32.09
26 score on a scale
Interval 23.9 to 28.1
Connor-Davidson Resilience Scale
14-Week Follow-Up
29.65 score on a scale
Interval 26.9 to 32.41
26.07 score on a scale
Interval 23.8 to 28.34
Connor-Davidson Resilience Scale
Baseline
25.43 score on a scale
Interval 23.28 to 27.59
24.1 score on a scale
Interval 21.87 to 26.33

SECONDARY outcome

Timeframe: Baseline, 10-week follow-up, and 14-week follow-up assessments

Population: Intent-to-treat (ITT) sample

Measures anxiety symptom severity; Scores range from 0-42, with higher scores indicating higher levels of anxiety.

Outcome measures

Outcome measures
Measure
RISE
n=29 Participants
This provider- administered brief- counseling intervention program will increase Women Veterans self- efficacy and personal empowerment in addressing violence in their current or past relationships. The variable length (up to six- session) modular-based intervention aims at providing resources for women veterans in the relevant domains of: 1) safety planning, 2) education on health effects of IPV, 3) improving coping and self- care and red flags, 4) enhancing social support, 5) making difficult decisions, and 5) connecting with resources and moving forward. RISE: This provider- administered brief- counseling intervention program will increase Women Veteran's self- efficacy in addressing violence in their current or past relationships. The variable length (up to six- session) modular-based intervention aims at providing resources for WVs in the relevant domains of: 1) safety planning, 2) education on health effects of IPV and red flags, 3) improving coping and self- care, 4) enhancing social support, 5) making difficult decisions, and 5) connecting with resources.
Enhanced Care as Usual Condition
n=30 Participants
This brochure-based intervention includes education about IPV, health effects of IPV, resources and referral options to address a wide-array of health and social issues associated with IPV, and safety planning. Participants randomized to this arm are offered resources and referrals to VA and community resources. Information and referral condition: Participants randomized to this arm will receive a brochure-based intervention, consisting of education, support and problem solving, safety planning as well as resources and referrals to address an array of health and social issues associated with IPV (including in VA and the community).
Depression Anxiety Stress Scale- Anxiety Subscale
Baseline
25.11 score on a scale
Interval 21.83 to 28.38
23.4 score on a scale
Interval 20.68 to 26.12
Depression Anxiety Stress Scale- Anxiety Subscale
10-Week Follow-Up
22.67 score on a scale
Interval 18.92 to 26.41
22.98 score on a scale
Interval 20.72 to 25.24
Depression Anxiety Stress Scale- Anxiety Subscale
14-Week Follow-Up
23.58 score on a scale
Interval 19.88 to 27.28
21.22 score on a scale
Interval 19.02 to 23.42

SECONDARY outcome

Timeframe: Baseline, 10-week follow-up, and 14-week follow-up assessments

Population: Intent-to-treat (ITT) sample

Measures engagement coping skills; Scores range from 8-40, with higher score reflecting better coping

Outcome measures

Outcome measures
Measure
RISE
n=29 Participants
This provider- administered brief- counseling intervention program will increase Women Veterans self- efficacy and personal empowerment in addressing violence in their current or past relationships. The variable length (up to six- session) modular-based intervention aims at providing resources for women veterans in the relevant domains of: 1) safety planning, 2) education on health effects of IPV, 3) improving coping and self- care and red flags, 4) enhancing social support, 5) making difficult decisions, and 5) connecting with resources and moving forward. RISE: This provider- administered brief- counseling intervention program will increase Women Veteran's self- efficacy in addressing violence in their current or past relationships. The variable length (up to six- session) modular-based intervention aims at providing resources for WVs in the relevant domains of: 1) safety planning, 2) education on health effects of IPV and red flags, 3) improving coping and self- care, 4) enhancing social support, 5) making difficult decisions, and 5) connecting with resources.
Enhanced Care as Usual Condition
n=30 Participants
This brochure-based intervention includes education about IPV, health effects of IPV, resources and referral options to address a wide-array of health and social issues associated with IPV, and safety planning. Participants randomized to this arm are offered resources and referrals to VA and community resources. Information and referral condition: Participants randomized to this arm will receive a brochure-based intervention, consisting of education, support and problem solving, safety planning as well as resources and referrals to address an array of health and social issues associated with IPV (including in VA and the community).
Coping Strategies Inventory - Short Form
Baseline
26.42 mean score on a scale
Interval 25.22 to 27.61
25.69 mean score on a scale
Interval 24.66 to 26.71
Coping Strategies Inventory - Short Form
14-Week Follow-Up
26.92 mean score on a scale
Interval 25.72 to 28.13
25.4 mean score on a scale
Interval 24.5 to 26.3
Coping Strategies Inventory - Short Form
10-Week Follow-Up
27.30 mean score on a scale
Interval 25.99 to 28.61
25.74 mean score on a scale
Interval 24.71 to 26.78

SECONDARY outcome

Timeframe: Assessed at 10-week follow-up or 14-week follow-up, values at the end of 14 weeks reported

Population: Intent-to-Treat sample with completed helpfulness ratings at the 10- or 14-week follow-up assessments. From the RISE condition, 26 participants completed this assessment at the 10-week follow-up, and the remaining 3 completed it at the 14-week follow-up. From the Information and Referral condition, 29 participants completed this assessment at the 10-week follow-up and 1 participant completed it at the 14-week follow-up. Thus, the data represents summed count scores for each endorsed answer.

Semi-structured qualitative interview questions developed for the purpose of this study to assess participants' perceptions of the acceptability, with a particular item to assess overall helpfulness of the intervention. Specifically, quantitative ratings of overall helpfulness were rated on a Likert scale of 1-5 (1=highly helpful, 2 = somewhat helpful, 3 = neither helpful nor unhelpful, 4 = somewhat unhelpful, 5=highly unhelpful).

Outcome measures

Outcome measures
Measure
RISE
n=29 Participants
This provider- administered brief- counseling intervention program will increase Women Veterans self- efficacy and personal empowerment in addressing violence in their current or past relationships. The variable length (up to six- session) modular-based intervention aims at providing resources for women veterans in the relevant domains of: 1) safety planning, 2) education on health effects of IPV, 3) improving coping and self- care and red flags, 4) enhancing social support, 5) making difficult decisions, and 5) connecting with resources and moving forward. RISE: This provider- administered brief- counseling intervention program will increase Women Veteran's self- efficacy in addressing violence in their current or past relationships. The variable length (up to six- session) modular-based intervention aims at providing resources for WVs in the relevant domains of: 1) safety planning, 2) education on health effects of IPV and red flags, 3) improving coping and self- care, 4) enhancing social support, 5) making difficult decisions, and 5) connecting with resources.
Enhanced Care as Usual Condition
n=30 Participants
This brochure-based intervention includes education about IPV, health effects of IPV, resources and referral options to address a wide-array of health and social issues associated with IPV, and safety planning. Participants randomized to this arm are offered resources and referrals to VA and community resources. Information and referral condition: Participants randomized to this arm will receive a brochure-based intervention, consisting of education, support and problem solving, safety planning as well as resources and referrals to address an array of health and social issues associated with IPV (including in VA and the community).
Brief Semi-structured Interview to Assess Acceptability and Feasibility of the Intervention, With Perceived Helpfulness Rating.
'Neither helpful or unhelpful'
0 Participants
0 Participants
Brief Semi-structured Interview to Assess Acceptability and Feasibility of the Intervention, With Perceived Helpfulness Rating.
'Somewhat unhelpful'
0 Participants
0 Participants
Brief Semi-structured Interview to Assess Acceptability and Feasibility of the Intervention, With Perceived Helpfulness Rating.
'Highly helpful'
23 Participants
16 Participants
Brief Semi-structured Interview to Assess Acceptability and Feasibility of the Intervention, With Perceived Helpfulness Rating.
'Somewhat helpful'
6 Participants
14 Participants
Brief Semi-structured Interview to Assess Acceptability and Feasibility of the Intervention, With Perceived Helpfulness Rating.
'Highly unhelpful'
0 Participants
0 Participants

Adverse Events

RISE

Serious events: 4 serious events
Other events: 0 other events
Deaths: 0 deaths

Enhanced Care as Usual Condition

Serious events: 1 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
RISE
n=30 participants at risk
This provider- administered brief- counseling intervention program will increase Women Veterans self- efficacy and personal empowerment in addressing violence in their current or past relationships. The variable length (up to six- session) modular-based intervention aims at providing resources for women veterans in the relevant domains of: 1) safety planning, 2) education on health effects of IPV, 3) improving coping and self- care and red flags, 4) enhancing social support, 5) making difficult decisions, and 5) connecting with resources and moving forward. RISE: This provider- administered brief- counseling intervention program will increase Women Veteran's self- efficacy in addressing violence in their current or past relationships. The variable length (up to six- session) modular-based intervention aims at providing resources for WVs in the relevant domains of: 1) safety planning, 2) education on health effects of IPV and red flags, 3) improving coping and self- care, 4) enhancing social support, 5) making difficult decisions, and 5) connecting with resources.
Enhanced Care as Usual Condition
n=30 participants at risk
This brochure-based intervention includes education about IPV, health effects of IPV, resources and referral options to address a wide-array of health and social issues associated with IPV, and safety planning. Participants randomized to this arm are offered resources and referrals to VA and community resources. Information and referral condition: Participants randomized to this arm will receive a brochure-based intervention, consisting of education, support and problem solving, safety planning as well as resources and referrals to address an array of health and social issues associated with IPV (including in VA and the community).
General disorders
hospitalized for medical condition
13.3%
4/30 • 10-14 weeks following enrollment
3.3%
1/30 • 10-14 weeks following enrollment

Other adverse events

Adverse event data not reported

Additional Information

Dr. Katherine Iverson, PI

National Center for PTSD, located at the VA Boston Healthcare System

Phone: 857-364-2066

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place