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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| Vydané v: | American journal of preventive medicine Ročník 52; číslo 5; s. 606 - 615 |
|---|---|
| Hlavní autori: | , , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
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Netherlands
Elsevier Inc
01.05.2017
Elsevier Science Ltd |
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| ISSN: | 0749-3797, 1873-2607, 1873-2607 |
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| Abstract | 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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| AbstractList | Introduction: 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). Design: 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. Setting/participants: Currently abused Spanish- or English-speaking women (N=720). Intervention: 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. Main outcome measures: Primary outcomes were decisional conflict, safety behaviors, and repeat IPV; secondary outcomes included depression and post-traumatic stress disorder. Results: 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. Conclusions: Internet-based safety planning represents a promising tool to reduce the public health impact of IPV. 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. 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).INTRODUCTIONWomen 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.DESIGNMultistate, 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).SETTING/PARTICIPANTSCurrently 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.INTERVENTIONA 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.MAIN OUTCOME MEASURESPrimary 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.RESULTSAt 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.CONCLUSIONSInternet-based safety planning represents a promising tool to reduce the public health impact of IPV. |
| Author | Case, James Hanson, Ginger C. Perrin, Nancy A. Gielen, Andrea C. Campbell, Jacquelyn C. Bloom, Tina L. Glass, Nancy E. Clough, Amber S. Eden, Karen B. Messing, Jill T. |
| AuthorAffiliation | 2 Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon 1 Johns Hopkins University School of Nursing, Johns Hopkins Center for Global Health, Baltimore, Maryland 3 Sinclair School of Nursing at the University of Missouri-Columbia, Columbia, Missouri 4 School of Social Work, Arizona State University, Phoenix, Arizona 5 Johns Hopkins Center for Injury Research and Policy, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland 6 Pacific Northwest Evidence-based Practice Center, Oregon Health & Science University, Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland, Oregon |
| AuthorAffiliation_xml | – name: 4 School of Social Work, Arizona State University, Phoenix, Arizona – name: 2 Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon – name: 3 Sinclair School of Nursing at the University of Missouri-Columbia, Columbia, Missouri – name: 5 Johns Hopkins Center for Injury Research and Policy, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland – name: 1 Johns Hopkins University School of Nursing, Johns Hopkins Center for Global Health, Baltimore, Maryland – name: 6 Pacific Northwest Evidence-based Practice Center, Oregon Health & Science University, Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland, Oregon |
| Author_xml | – sequence: 1 givenname: Nancy E. surname: Glass fullname: Glass, Nancy E. email: nglass1@jhu.edu organization: Johns Hopkins University School of Nursing, Johns Hopkins Center for Global Health, Baltimore, Maryland – sequence: 2 givenname: Nancy A. surname: Perrin fullname: Perrin, Nancy A. organization: Johns Hopkins University School of Nursing, Johns Hopkins Center for Global Health, Baltimore, Maryland – sequence: 3 givenname: Ginger C. surname: Hanson fullname: Hanson, Ginger C. organization: Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon – sequence: 4 givenname: Tina L. surname: Bloom fullname: Bloom, Tina L. organization: Sinclair School of Nursing at the University of Missouri-Columbia, Columbia, Missouri – sequence: 5 givenname: Jill T. surname: Messing fullname: Messing, Jill T. organization: School of Social Work, Arizona State University, Phoenix, Arizona – sequence: 6 givenname: Amber S. surname: Clough fullname: Clough, Amber S. organization: Johns Hopkins University School of Nursing, Johns Hopkins Center for Global Health, Baltimore, Maryland – sequence: 7 givenname: Jacquelyn C. surname: Campbell fullname: Campbell, Jacquelyn C. organization: Johns Hopkins University School of Nursing, Johns Hopkins Center for Global Health, Baltimore, Maryland – sequence: 8 givenname: Andrea C. surname: Gielen fullname: Gielen, Andrea C. organization: Johns Hopkins Center for Injury Research and Policy, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland – sequence: 9 givenname: James surname: Case fullname: Case, James organization: Johns Hopkins University School of Nursing, Johns Hopkins Center for Global Health, Baltimore, Maryland – sequence: 10 givenname: Karen B. surname: Eden fullname: Eden, Karen B. organization: Pacific Northwest Evidence-based Practice Center, Oregon Health & Science University, Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland, Oregon |
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| Copyright | 2017 American Journal of Preventive Medicine American Journal of Preventive Medicine Copyright © 2017 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved. Copyright Elsevier Science Ltd. May 2017 |
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| Snippet | Women experiencing intimate partner violence (IPV) navigate complex, dangerous decisions. Tailored safety information and safety planning, typically provided... Introduction Women experiencing intimate partner violence (IPV) navigate complex, dangerous decisions. Tailored safety information and safety planning,... Introduction: Women experiencing intimate partner violence (IPV) navigate complex, dangerous decisions. Tailored safety information and safety planning,... |
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| SubjectTerms | 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 |
| Title | The Longitudinal Impact of an Internet Safety Decision Aid for Abused Women |
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