The Longitudinal Impact of an Internet Safety Decision Aid for Abused Women

Women experiencing intimate partner violence (IPV) navigate complex, dangerous decisions. Tailored safety information and safety planning, typically provided by domestic violence service providers, can prevent repeat IPV exposure and associated adverse health outcomes; however, few abused women acce...

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Bibliographic Details
Published in:American journal of preventive medicine Vol. 52; no. 5; pp. 606 - 615
Main Authors: Glass, Nancy E., Perrin, Nancy A., Hanson, Ginger C., Bloom, Tina L., Messing, Jill T., Clough, Amber S., Campbell, Jacquelyn C., Gielen, Andrea C., Case, James, Eden, Karen B.
Format: Journal Article
Language:English
Published: Netherlands Elsevier Inc 01.05.2017
Elsevier Science Ltd
Subjects:
Abused women
Abusers
Academic Medical Centers
Adult
Battered Women - psychology
Battered Women - statistics & numerical data
Behavior
Conflict
Data collection
Decision Making, Computer-Assisted
Decision Support Techniques
Decisions
Depression - epidemiology
Depression - psychology
Domestic violence
Domestic Violence - psychology
Domestic Violence - statistics & numerical data
Feedback
Female
Health status
Humans
Impact analysis
Information
Internal Medicine
Internet
Internet - statistics & numerical data
Intervention
Intimate partner violence
Longitudinal Studies
Mental depression
Mental health
Mental health services
Middle Aged
Military intervention
Online safety
Planning
Post traumatic stress disorder
Prioritizing
Public health
Risk Assessment
Safety
Safety behaviour
Spouse Abuse - psychology
Spouse Abuse - statistics & numerical data
Trauma
United States
Websites
Women
Womens health
Young Adult
ISSN:0749-3797, 1873-2607, 1873-2607
Online Access:Get full text
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Summary:Women experiencing intimate partner violence (IPV) navigate complex, dangerous decisions. Tailored safety information and safety planning, typically provided by domestic violence service providers, can prevent repeat IPV exposure and associated adverse health outcomes; however, few abused women access these services. The Internet represents a potentially innovative way to connect abused women with tailored safety planning resources and information. The purpose of this study was to compare safety and mental health outcomes at baseline, 6 months, and 12 months among abused women randomized to: (1) a tailored, Internet-based safety decision aid; or (2) control website (typical safety information available online). Multistate, community-based longitudinal RCT with one-to-one allocation ratio and blocked randomization. Data were collected March 2011–May 2013 and analyzed June–July 2015. Currently abused Spanish- or English-speaking women (N=720). A tailored Internet-based safety decision aid included priority-setting activities, risk assessment, and tailored feedback and safety plans. A control website offered typical safety information available online. Primary outcomes were decisional conflict, safety behaviors, and repeat IPV; secondary outcomes included depression and post-traumatic stress disorder. At 12 months, there were no significant group differences in IPV, depression, or post-traumatic stress disorder. Intervention women experienced significantly less decisional conflict after one use (β= –2.68, p=0.042) and greater increase in safety behaviors they rated as helpful from baseline to 12 months (12% vs 9%, p=0.033) and were more likely to have left the abuser (63% vs 53%, p=0.008). Women who left had higher baseline risk (14.9 vs 13.1, p=0.003) found more of the safety behaviors they tried helpful (61.1% vs 47.5%, p<0.001), and had greater reductions in psychological IPV ((11.69 vs 7.5, p=0.001) and sexual IPV (2.41 vs 1.25, p=0.001) than women who stayed. Internet-based safety planning represents a promising tool to reduce the public health impact of IPV.
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ISSN:0749-3797
1873-2607
1873-2607
DOI:10.1016/j.amepre.2016.12.014