Department of Population and Family Health, Institute of Health, Jimma University, Jimma, Ethiopia.
Department of Reproductive Health, College of Medicine and Health Sciences, Wachemo University, Hossana, Ethiopia.
PLoS One. 2024 May 13;19(5):e0303009. doi: 10.1371/journal.pone.0303009. eCollection 2024.
A significant proportion of women in Ethiopia suffer from violence by their intimate partner during pregnancy, which has adverse maternal and newborn outcomes. Couple-focused interventions are effective in reducing and/or controlling violence between women and their intimate partners. However, interventions addressing intimate partners of the victims are not well studied, particularly in the Ethiopian setting. This study aims to assess the effect of couple-based violence prevention education on intimate partner violence during pregnancy.
We will use a cluster randomized controlled trial to evaluate the effectiveness of couple-based violence prevention education compared to routine care in reducing intimate partner violence during pregnancy. Sixteen kebeles will be randomly assigned to 8 interventions and 8 control groups. In the trial, 432 couples whose wife is pregnant will participate. Health extension workers (HEWs) will provide health education. Data will be collected at baseline and endline. All the collected data will be analyzed using Stata version 16.0 or SPSS version 25.0. We will use the McNemar test to assess the differences in outcomes of interest in both intervention and control groups before and after the intervention for categorical data. A paired t-test will be used to compare continuous outcome of interest in the intervention and the control groups after and before the intervention. The GEE (Generalized Estimating Equation), will be used to test the independent effect of the intervention on the outcome of the interest. Data analysis will be performed with an intention-to-treat analysis approach. During the analysis, the effect size, confidence interval, and p-value will be calculated. All tests will be two-sided, and statistical significance will be declared at p < 0.05.
We expect that the study will generate findings that can illuminate violence prevention strategies and practices in Ethiopia.
It has been registered on ClinicalTrials.gov as NCT05856214 on May 4, 2023.
在埃塞俄比亚，相当一部分孕妇遭受其亲密伴侣的暴力，这对母婴都有不良影响。以夫妻为中心的干预措施在减少和/或控制妇女与其亲密伴侣之间的暴力方面是有效的。然而，针对受害者的亲密伴侣的干预措施尚未得到充分研究，特别是在埃塞俄比亚。本研究旨在评估基于夫妻的暴力预防教育对孕期亲密伴侣暴力的影响。
我们将使用整群随机对照试验来评估基于夫妻的暴力预防教育与常规护理相比，在减少孕期亲密伴侣暴力方面的效果。将随机分配 16 个村到 8 个干预组和 8 个对照组。在试验中，将有 432 对妻子怀孕的夫妇参与。卫生推广工作者（HEWs）将提供健康教育。数据将在基线和终点收集。所有收集的数据将使用 Stata 版本 16.0 或 SPSS 版本 25.0 进行分析。我们将使用 McNemar 检验来评估干预组和对照组在干预前后感兴趣的结果的差异，对于分类数据。将使用配对 t 检验来比较干预组和对照组在干预前后感兴趣的连续结果。将使用广义估计方程（GEE）来检验干预对感兴趣结果的独立效果。数据分析将采用意向治疗分析方法进行。在分析过程中，将计算效应大小、置信区间和 p 值。所有检验均为双尾检验，p < 0.05 时为统计学显著。
我们预计该研究将产生可以阐明埃塞俄比亚暴力预防策略和实践的结果。
它于 2023 年 5 月 4 日在 ClinicalTrials.gov 上注册为 NCT05856214。
