RecruitingNot ApplicableNCT06065865

'Effectively Intervening in Traumatized Parents and Young Children After Structural Domestic Violence: A Multiple Baseline Analysis'

'Effectively Intervening in Traumatized Parents and Children After Structural Domestic Violence: A Multiple Baseline Analysis'


Sponsor

Universiteit Leiden

Enrollment

10 participants

Start Date

May 23, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

The goal of this study is to evaluate the effectiveness of an individualized treatment trajectory in which the order of trauma therapy for the parent (Eye movement desensitization and reprocessing (EMDR) therapy), trauma therapy for the child (EMDR therapy) and attachment-based therapy (Dutch short-term intervention for atypical parenting behavior (NIKA)) is tailored towards the complex needs of victimized parents and their young children (4-6 y/o) after domestic violence. The treatment trajectory is based on a guidance document that supports therapists to determine the optimal order of interventions based on a standardized set of factors. The primary goals of this study are: 1. To examine how post-traumatic stress disorder (PTSD)-symptoms of parent and child and parental sensitive and disruptive parenting behavior develop and interact over time, while they follow the individualized treatment trajectory. 2. To test whether the start of the treatment trajectory (e.g. the phase in which parents can receive NIKA and EMDR therapy and their child can receive EMDR therapy) leads to a decrease in disruptive parenting behavior towards the child, an increase in sensitive parenting behavior towards the child, and a decrease in PTSD symptoms of the parent in comparison to the baseline phase. 3. To test whether the start of the treatment trajectory (e.g. the phase in which children can receive EMDR therapy and their parent can receive NIKA and EMDR therapy) leads to a decrease in PTSD symptoms of the child in comparison to the baseline phase.


Eligibility

Plain Language Summary

Simplified for easier understanding

This study tests a trauma therapy program for young children (ages 4–6) and their parent/caregiver who have experienced severe domestic violence and are living in a community shelter. The goal is to reduce PTSD symptoms in both the child and the non-offending parent. **You may be eligible if...** - You are a non-offending parent/caregiver and your child is between 4 and 6 years old - You and your child are living in a community shelter due to domestic violence - Both you and your child show clinically significant PTSD symptoms (measured by standardized screening tools) - You are available and willing to attend a 14-week intervention program **You may NOT be eligible if...** - The parent/caregiver has severe mental health problems (such as psychosis) that prevent participation - The child has a significant neurological or genetic condition that would interfere - The child is currently in foster care - Your primary language is not English (for the child) Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALGuidance document

The main intervention of interest is the guidance document, which is explained under 'Arms'. Within the treatment trajectory, that is based on the guidance document, the participants can receive a combination of NIKA, and parent and child can both get EMDR-therapy. The therapies are combined in one treatment trajectory. NIKA consists of 5 weekly sessions during which participants are videotaped by a trained therapist. The therapist will provide personalized feedback to the parent, which is focused on reducing disrupted parenting behavior and increasing sensitive parenting behavior. EMDR is a brief trauma therapy (in this trial a maximum of six 90-min sessions for the parent and a maximum of six 60-min sessions for the child) aimed at reducing the negative load of the memories of traumatic events. Both parent and child can receive this therapy. During the weekly sessions, the participant is asked to bring the traumatic event to mind while the therapist provides a distracting task.


Locations(1)

HVO Querido

Amsterdam, Netherlands

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NCT06065865


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