Please use this identifier to cite or link to this item: https://anrows.intersearch.com.au/anrowsjspui/handle/1/15870
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dc.contributor.authorGold, Len
dc.contributor.authorLumley, J. Aen
dc.contributor.authorTaft, A Jen
dc.contributor.authorSmall, Ren
dc.contributor.authorHegarty, Kelsey Len
dc.contributor.authorWatson, L. Fen
dc.date.accessioned2022-06-30T23:22:09Z-
dc.date.available2022-06-30T23:22:09Z-
dc.date.issued2011en
dc.identifier.citationVol.: 11en
dc.identifier.issn14712458en
dc.identifier.urihttps://anrows.intersearch.com.au/anrowsjspui/handle/1/15870-
dc.languageenen
dc.titleMothers' AdvocateS In the Community (MOSAIC)-non-professional mentor support to reduce intimate partner violence and depression in mothers: a cluster randomised trial in primary careen
dc.title.alternativeBmc Public Healthen
dc.typeJournal Articleen
dc.identifier.doihttp://dx.doi.org/10.1186/1471-2458-11-178<Goen
dc.identifier.catalogid12449en
dc.subject.keywordcross-sectional surveyen
dc.subject.keywordnew_recorden
dc.subject.keywordChildhood abuseen
dc.subject.keywordAttending general-practiceen
dc.subject.keywordBattered womenen
dc.subject.keywordHealthen
dc.subject.keywordDomestic violenceen
dc.subject.keywordhome visitationen
dc.subject.keywordFollow upen
dc.subject.keywordInvalid URLen
dc.relation.urlISI>://000289469400001en
dc.relation.urltoen
dc.description.notesBackground: Effective interventions to increase safety and wellbeing of mothers experiencing intimate partner violence (IPV) are scarce. As much attention is focussed on professional intervention, this study aimed to determine the effectiveness of non-professional mentor support in reducing IPV and depression among pregnant and recent mothers experiencing, or at risk of IPV.Methods: MOSAIC was a cluster randomised trial in 106 primary care (maternal and child health nurse and general practitioner) clinics in Melbourne, Australia. 63/106 clinics referred 215 eligible culturally and linguistically diverse women between January 2006 and December 2007. 167 in the intervention (I) arm, and 91 in the comparison (C) arm. 174 (80.9%) were recruited. 133 (76.4%) women (90 I and 43 C) completed follow-up at 12 months. Intervention: 12 months of weekly home visiting from trained and supervised local mothers, (English & Vietnamese speaking) offering non-professional befriending, advocacy, parenting support and referrals.Main outcome measures: Primary outcomes; IPV (Composite Abuse Scale CAS) and depression (Edinburgh Postnatal Depression Scale EPDS); secondary measures included wellbeing (SF-36), parenting stress (PSI-SF) and social support (MOS-SF) at baseline and follow-up.Analysis: Intention-to-treat using multivariable logistic regression and propensity scoring.Results: There was evidence of a true difference in mean abuse scores at follow-up in the intervention compared with the comparison arm (15.9 vs 21.8, AdjDiff-8.67, CI-16.2 to -1.15). There was weak evidence for other outcomes, but a trend was evident favouring the intervention: proportions of women with CAS scores >= 7, 51/88 (58.4%) vs 27/42 (64.3%) AdjOR 0.47, CI 0.21 to 1.05); depression (EPDS score >= 13) (19/85, 22% (I) vs 14/43, 33% (C); AdjOR 0.42, CI 0.17 to 1.06); physical wellbeing mean scores (PCS-SF36: AdjDiff 2.79; CI-0.40 to 5.99); mental wellbeing mean scores (MCS-SF36: AdjDiff 2.26; CI-1.48 to 6.00). There was no observed effect on parenting stress. 82% of women mentored would recommend mentors to friends in similar situations.Conclusion: Non-professional mentor mother support appears promising for improving safety and enhancing physical and mental wellbeing among mothers experiencing intimate partner violence referred from primary care.<br/ >Electronic Resource Number:<br/ >Artn 178Doi 10.1186/1471-2458-11-178<br/ >Author's Address:<br/ >Taft, AJLa Trobe Univ, Melbourne, Vic 3000, AustraliaLa Trobe Univ, Melbourne, Vic 3000, AustraliaLa Trobe Univ, Melbourne, Vic 3000, AustraliaUniv Melbourne, Primary Care Res Unit, Dept Gen Practice, Parkville, Vic 3053, AustraliaDeakin Univ, Burwood, Vic 3125, Australia<br/ >749LUTimes Cited:10Cited References Count:39en
dc.identifier.sourceBMC public healthen
dc.date.entered2014-07-21en
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