Photo-experiencing and Reflective Listening (PEARL) to Promote Healing Engagement for Survivors of Violence

NCT ID: NCT07277816

Last Updated: 2025-12-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-12-01

Study Completion Date

2026-08-01

Brief Summary

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The goal of this clinical trial is to learn if a photo-elicitation intervention called PEARL (Photo-experiencing and Reflective Listening) can promote healing engagement in survivors of interpersonal violence. It will also learn about the feasibility and acceptability of PEARL. The main questions it aims to answer are:

Does PEARL reduce barriers to help-seeking for trauma? Does PEARL improve trauma coping self-efficacy? Does PEARL change post-trauma cognitions and readiness for recovery? Is PEARL feasible and acceptable to survivors of interpersonal violence?

Researchers will compare people who receive PEARL immediately to people on a waitlist (who receive PEARL three months later) to see if PEARL improves healing engagement and help-seeking behaviors.

Participants will:

* Complete baseline surveys about their trauma history, mental health, healing, and help-seeking behaviors
* Be randomly assigned to receive PEARL immediately or after a 3-month wait
* Receive a photography-focusing prompt and create photos over two weeks (those in the immediate group or after the waiting period)
* Participate in a reflective listening interview about their photos
* Complete follow-up surveys immediately after the intervention and one month later
* Participate in a one-month follow-up interview about their experience

Detailed Description

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This is a randomized waitlist control feasibility study of the PEARL (Photo-experiencing and Reflective Listening) intervention for women survivors of interpersonal violence. The study will enroll 40 participants recruited through local community organizations, interpersonal violence email listservs, and social media platforms.

Randomization and Study Arms:

Interested participants will complete an online baseline questionnaire through Qualtrics and be randomly assigned (1:1) to either:

1. Immediate Intervention Group (n=20): Receives PEARL within two weeks of enrollment
2. Waitlist Control Group (n=20): Receives a resource referral list (standard of care) and completes PEARL three months later

Intervention Protocol:

The PEARL intervention consists of two components:

1. Participants receive a photography-focusing prompt and have two weeks to create photographs
2. Participants complete a reflective listening interview about their photographs

Assessment Schedule:

* Baseline: Demographics, trauma history, and outcome measures
* Post-intervention: Outcome measures completed immediately after the intervention (trauma coping self-efficacy, post trauma cognitions, healing)
* One-month follow-up: Outcome measures and qualitative interview (trauma coping self-efficacy, post trauma cognitions, healing, help-seeking actions, depression, anxiety, PTSD).

The waitlist control group completes an additional baseline survey three months after initial enrollment, which serves as their pre-intervention assessment.

Data Analysis: Feasibility will be assessed through completion rates, and research assistant evaluations. Acceptability will be evaluated through participant surveys and follow-up interviews. Preliminary impact on healing engagement and help-seeking will be analyzed using descriptive statistics and nonparametric tests. Qualitative data from open-ended survey questions, research assistant evaluations, and follow-up interviews will undergo thematic analysis. Quantitative and qualitative findings will be integrated to provide a comprehensive understanding of PEARL's feasibility, acceptability, and potential impact.

Community Engagement: The study incorporates feedback from Community Advisory Board (CAB) and Scientific Advisory Board (SAB) members throughout the research process. Purposive sampling strategies will be employed to achieve maximum diversity in participant age.

Conditions

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Violence and Victimization

Keywords

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healing recovery violence trauma

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Participants are randomized to receive the PEARL intervention either immediately or after a 3-month waiting period, with the waitlist control group crossing over to receive the intervention after their waiting period ends.
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Immediate Intervention Group

Participants randomized to this arm receive the PEARL intervention within two weeks of enrollment. They are given a photography-focusing prompt and two weeks to create photographs reflecting their healing journey. After two weeks, they participate in a reflective listening interview about their photographs. Participants complete surveys at baseline, immediately post-intervention, and at one-month follow-up, as well as a qualitative interview at one-month follow-up.

Group Type EXPERIMENTAL

PEARL (Photo-experiencing and Reflective Listening)

Intervention Type BEHAVIORAL

PEARL is a two-component behavioral intervention designed to promote healing engagement among survivors of interpersonal violence. Participants receive a photography-focusing prompt and are given two weeks to create photographs that reflect their healing journey and experiences. After the two-week photography period, participants engage in a one-on-one reflective listening interview where they discuss the photographs they created and co-create a healing action plan based on these discussions. The interview provides a structured opportunity for participants to explore and articulate their healing process through photo-elicitation, allowing them to express their experiences visually and verbally. The intervention is delivered by trained research assistants with fidelity monitoring through audio recording and independent evaluation of a random sample of sessions.

Waitlist Control Group

Participants randomized to this arm receive a resource referral list (standard of care) and wait three months before receiving the PEARL intervention. They complete baseline surveys at enrollment and again at three months (pre-intervention baseline). After the three-month waiting period, they receive the same PEARL intervention as the immediate group: a photography-focusing prompt, two weeks to create photographs, and a reflective listening interview. They complete post-intervention and one-month follow-up assessments following their intervention.

Group Type ACTIVE_COMPARATOR

PEARL (Photo-experiencing and Reflective Listening)

Intervention Type BEHAVIORAL

PEARL is a two-component behavioral intervention designed to promote healing engagement among survivors of interpersonal violence. Participants receive a photography-focusing prompt and are given two weeks to create photographs that reflect their healing journey and experiences. After the two-week photography period, participants engage in a one-on-one reflective listening interview where they discuss the photographs they created and co-create a healing action plan based on these discussions. The interview provides a structured opportunity for participants to explore and articulate their healing process through photo-elicitation, allowing them to express their experiences visually and verbally. The intervention is delivered by trained research assistants with fidelity monitoring through audio recording and independent evaluation of a random sample of sessions.

Interventions

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PEARL (Photo-experiencing and Reflective Listening)

PEARL is a two-component behavioral intervention designed to promote healing engagement among survivors of interpersonal violence. Participants receive a photography-focusing prompt and are given two weeks to create photographs that reflect their healing journey and experiences. After the two-week photography period, participants engage in a one-on-one reflective listening interview where they discuss the photographs they created and co-create a healing action plan based on these discussions. The interview provides a structured opportunity for participants to explore and articulate their healing process through photo-elicitation, allowing them to express their experiences visually and verbally. The intervention is delivered by trained research assistants with fidelity monitoring through audio recording and independent evaluation of a random sample of sessions.

Intervention Type BEHAVIORAL

Other Intervention Names

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Photo-elicitation intervention for trauma survivors

Eligibility Criteria

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Inclusion Criteria

* Age 18 years or older
* History of interpersonal violence (IV) - identifies as a survivor of interpersonal violence
* Able to complete an interview in English
* Able to provide informed consent

Exclusion Criteria

* Under 18 years of age
* Does not identify as a woman (male participants excluded)
* No history of interpersonal violence
* Unable to complete an interview in English
* Unable to provide informed consent
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Institute of Nursing Research (NINR)

NIH

Sponsor Role collaborator

Temple University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Laura Sinko, PhD, MSHP, RN

Role: PRINCIPAL_INVESTIGATOR

Temple University

Locations

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Women in Transition

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Laura M Sinko, PhD, MSHP, RN

Role: CONTACT

Phone: 9732140617

Email: [email protected]

Kayleigh Izzo, BS

Role: CONTACT

Phone: 6105501648

Email: [email protected]

Facility Contacts

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Melissa McDermott, MSW

Role: primary

References

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Sinko L, Saint Arnault D. Photo-experiencing and reflective listening: A trauma-informed photo-elicitation method to explore day-to-day health experiences. Public Health Nurs. 2021 Jul;38(4):661-670. doi: 10.1111/phn.12904. Epub 2021 Apr 4.

Reference Type BACKGROUND
PMID: 33813744 (View on PubMed)

Other Identifiers

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5K01NR021275-02

Identifier Type: NIH

Identifier Source: secondary_id

View Link

272926

Identifier Type: -

Identifier Source: org_study_id