Title: Women's experience of meaningful change following domestic abuse: A longitudinal qualitative study nested in a trial of a specialist psychological advocacy intervention, the PATH trial

Saturday, March 21, 2015: 9:50 AM-11:10 AM
Room 4 (Renaissance Washington, DC Downtown Hotel)
Speaker:
Maggie A. Evans, PhD, University of Bristol

Author:
Gene S. Feder, MD, FRCGP, University of Bristol

PDF file

Presentation Format:
Scientific Program Report

Learning Objectives:
  1. Understand the importance of including a nested qualitative study within a DV trial in order to investigate the individual impact of the intervention, reasons for non-adherence, and outcomes that participants felt were important. This will inform and help to interpret the quantitative outcomes of the trial.
  2. Appreciate participants’ ‘inside stories’ of participating in a trial in addition to the overall results of the trial. This nuanced understanding of participants’ experiences will make an important contribution to realistic plans for implementation or further development of an intervention.
  3. Recognize that a negative or non-significant trial outcome does not necessarily mean that the intervention is not effective. It may reflect the way in which the intervention was delivered or the impact of other contextual factors in participants lives.
Description:
The UK PATH trial is the first to compare advocacy plus a specially designed psychological intervention delivered by domestic violence advocates, with advocacy alone, for women experiencing DV. This presentation reports the nested qualitative study. Thirty-one participants, interviewed three times during the follow-up year, found the intervention intense and difficult but rewarding and ‘life-changing’ if they felt psychologically ‘ready’. Benefits included accepting and exploring emotions, learning life skills and rebuilding self-confidence. Women also valued the close relationship with their advocate.