Problem: Violence complicates 8% of pregnancies and is the leading cause of maternal deaths in the USA. Kentucky’s maternal mortality rates are our nations’ 2nd highest, thus highlighting Kentucky’s need for greater capacity to address our goal of reducing maternal injury and deaths due to violence. Our objective is to build capacity by: 1) creating and rigorously evaluating Violence Intervention and Prevention Corps training using a randomized controlled trial among undergraduate and professional students (Aim 1); and 2) developing a novel maternal injury surveillance system (MISS) as a complement to an existing maternal violent deaths registry to accurately and reliably enumerate maternal injuries and deaths due to violence (Aim 2). A Statewide Advisory Board will support data collection, interpretations and dissemination. Intervention Condition: Adaptation of two evidence-based violence intervention and prevention programs: 1) DOVE is a domestic violence intervention designed to screen women for intimate partner violence (IPV), and if IPV is detected, reduce IPV with supportive home visits. 2) Green Dot is a bystander-based violence prevention program found to prevent dating and sexual violence among youth. For the Attention Control Condition, randomized students will receive substance use disorder and IPV awareness training. All training will be delivered electronically due to COVID-19 precautions. With Kentucky’s Injury Prevention Research Center support, their maternal deaths surveillance will be expanded and evaluated as a novel maternal injury surveillance system of medical claims, public health, drug overdose, and service providers’ data. Markers of maternal morbidity due to violence will include physical or sexual injuries, substance abuse, and suicidal actions. Expected Outcomes: With VIP Corps (DOVE & Green Dot training) effectiveness evaluated, we anticipate that its dissemination, with increased IPV detection and referrals
in the short term, and reduce maternal injuries due to violence in the longer term, result in lower maternal injuries and deaths due to violence as new statewide surveillance measures.