title: Support by trained mentor mothers for abused women: a promising intervention in primary care.
abstract: BACKGROUND
  Intimate partner violence (IPV) against women is a major health problem and negatively affects the victim's mental and physical health. Evidence-based interventions in family practice are scarce.
  
  
  OBJECTIVE
  We aimed to evaluate a low threshold home-visiting intervention for abused women provided by trained mentor mothers in family practice. The aim was to reduce exposure to IPV, symptoms of depression as well as to improve social support, participation in society and acceptance of mental health care.
  
  
  METHODS
  A pre-post study of a 16-week mentoring intervention with identified abused women with children was conducted. After referral by a family doctor, a mentor mother visited the abused woman weekly. Primary outcomes are IPV assessed with the Composite Abuse Scale (CAS), depressive symptoms using the Symptom Checklist (SCL 90) and social support by the Utrecht Coping List. Secondary outcomes are analysed qualitatively: participation in society defined as employment and education and the acceptance of mental health care.
  
  
  RESULTS
  At baseline, 63 out of 66 abused women were referred to mentor support. Forty-three participants completed the intervention programme. IPV decreased from CASt otal 46.7 (SD 24.7) to 9.0 (SD 9.1) (P ≤ 0.001) after the mentor mother support programme. Symptoms of depression decreased from 53.3 (SD 13.7) to 34.8 (SD 11.5) (P ≤ 0.001) and social support increased from 13.2 (SD 4.0) to 15.2 (SD 3.5) (P ≤ 0.001). Participation in society and the acceptance of mental health for mother and child improved.
  
  
  CONCLUSIONS
  Sixteen weekly visits by trained mentor mothers are a promising intervention to decrease exposure to IPV and symptoms of depression, as well as to improve social support, participation in society and the acceptance of professional help for abused women and their children.
authors.affiliation: Department of Primary and Community Care, Unit Gender & Women's Health, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
authors.forename: Gert-Jan
authors.initials: GJ
authors.lastname: Prosman
authors.forename: Sylvie H
authors.initials: SH
authors.lastname: Lo Fo Wong
authors.forename: Antoine L M
authors.initials: AL
authors.lastname: Lagro-Janssen
mesh_terms: D000293:Adolescent; D000328:Adult; D018585:Battered Women / Q000523:psychology; D015331:Cohort Studies; D003863:Depression / Q000517:prevention & control*; D005260:Female; D006792:House Calls; D006801:Humans; D008605:Mental Health Services; D008611:Mentors; D008875:Middle Aged; D009035:Mothers; D010342:Patient Acceptance of Health Care / Q000523:psychology; D011320:Primary Health Care / Q000379:methods*; D058992:Social Participation / Q000523:psychology; D012944:Social Support; D013179:Spouse Abuse / Q000523:psychology / Q000534:rehabilitation*; D055815:Young Adult
keywords: Depression; family practice; home visiting; intimate partner violence; mentor mothering; social support.