000			03955nab a22004217a 4500
999			_c6086 _d6086
005			20250625151501.0
008			181204b2018 xxu||||| |||| 00| 0 eng d
040			_aAFVC
100			_aFerrari, Giulia _98019
245			_aPsychological advocacy towards healing (PATH) : _ba randomized controlled trial of a psychological intervention in a domestic violence service setting _cGiulia Ferrari, Gene Feder, Roxanne Agnew-Davies, Jayne E. Bailey, Sandra Hollinghurst, Louise Howard, Emma Howarth, Lynnmarie Sardinha, Debbie Sharp and Tim J. Peters
260			_bPLOS, _c2018
500			_aPLoS One, 2018, Online 27 November 2018
520			_aBackground: Experience of domestic violence and abuse (DVA) is associated with mental illness. Advocacy has little effect on mental health outcomes of female DVA survivors and there is uncertainty about the effectiveness of psychological interventions for this population. Objective: To test effectiveness of a psychological intervention delivered by advocates to DVA survivors. Design, masking, setting, participants: Pragmatic parallel group individually randomized controlled trial of normal DVA advocacy vs. advocacy + psychological intervention. Statistician and researchers blinded to group assignment. Setting: specialist DVA agencies; two UK cities. Participants: Women aged 16 years and older accessing DVA services. Intervention: Eight specialist psychological advocacy (SPA) sessions with two follow up sessions. Measurements: Primary outcomes at 12 months: depression symptoms (PHQ-9) and psychological distress (CORE-OM). Primary analysis: intention to treat linear (logistic) regression model for continuous (binary) outcomes. Results: 263 women recruited (78 in shelter/refuge, 185 in community), 2 withdrew (1 community, control group; 1 intervention, refuge group), 1 was excluded from the study for protocol violation (community, control group), 130 in intervention and 130 in control groups. Recruitment ended June 2013. 12-month follow up: 64%. At 12-month follow up greater improvement in mental health of women in the intervention group. Difference in average CORE-OM score between intervention and control groups: -3.3 points (95% CI -5.5 to -1.2). Difference in average PHQ-9 score between intervention and control group: -2.2 (95% CI -4.1 to -0.3). At 12 months, 35% of the intervention group and 55% of the control group were above the CORE-OM -2clinical threshold (OR 0.32, 95% CI 0.16 to 0.64); 29% of the intervention group and 46% of the control group were above the PHQ-9 clinical threshold (OR 0.41, 95% CI 0.21 to 0.81), Limitations: 64% retention at 12 months. Conclusions: An eight-session psychological intervention delivered by DVA advocates produced clinically relevant improvement in mental health outcomes compared with normal advocacy care. (Authors' abstract). See also #6087. A summary of this research is available on the University of Bristol website. Record #6086
650			_aABUSED WOMEN _925
650			_aADVOCACY _94258
650			_aDOMESTIC VIOLENCE _9203
650			_aINTERVENTION _9326
650			_aINTIMATE PARTNER VIOLENCE _9431
650			_aMENTAL HEALTH _9377
650			_aPSYCHOLOGICAL ASPECTS _9473
650			_aRANDOMISED CONTROLLED TRIALS _99368
651			_aINTERNATIONAL _93624
651		4	_aUNITED KINGDOM _92604
700			_aFeder, Gene _91134
700			_aAgnew-Davies, Roxane _92511
700			_aBailey, Jayne E. _98021
700			_aHollinghurst, Sandra _98022
700			_aHoward, Louise _98023
700			_aHowarth, Emma _96400
700			_aSardinha, LynnMarie _98024
700			_aSharp, Debbie _98025
700			_aPeters, Tim J. _98026
773	0		_tPLoS One, 2018, Online 27 November 2018
830			_94620 _aPLoS One
856			_uhttps://doi.org/10.1371/journal.pone.0205485
856			_yResearch summary _uhttp://www.bristol.ac.uk/news/2018/november/path-study.html
942			_2ddc _cARTICLE