Efficacy of a web-based safety decision aid for women experiencing intimate partner violence : randomized controlled trial Jane Koziol-McLain, Alain C. Vandal, Denise Wilson, Shyamala Nada-Raja, Terry Dobbs, Christine McLean, Rose Sisk, Karen B. Eden and Nancy E. Glass
By: Koziol-McLain, Jane
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Contributor(s): Vandal, Alain C | Wilson, Denise | Nada-Raja, Shyamala | Dobbs, Terry | McLean, Christine | Sisk, Rose | Eden, Karen E | Glass, Nancy E.
Material type: 
ArticleSeries: Journal of Medical Internet Research.Publisher: JMIR Publications, 2018Subject(s): ONLINE TOOLS | ABUSED WOMEN | DEPRESSION | DOMESTIC VIOLENCE | EVALUATION | INTERVENTION | INTIMATE PARTNER VIOLENCE | MĀORI | RANDOMISED CONTROLLED TRIALS | SAFETY PLANNING | HAUMARUTANGA | NGĀKAU PŌURI | PĀRURENGA | RANGAHAU MĀORI | RAUEMI-Ā-IPURANGI | TŪKINOTANGA Ā-WHĀNAU | WĀHINE | NEW ZEALANDOnline resources: Click here to access online
In:
Journal of Medical Internet Research, 2018, 20(1): e8Summary: Background: Intimate partner violence (IPV) is a human rights violation and leading health burden for women. Safety planning is a hallmark of specialist family violence intervention, yet only a small proportion of women access formal services. A Web-based safety decision aid may reach a wide audience of women experiencing IPV and offer the opportunity to prioritize and plan for safety for themselves and their families.
Objective: The aim of this study was to test the efficacy of a Web-based safety decision aid (isafe) for women experiencing IPV.
Methods: We conducted a fully automated Web-based two-arm parallel randomized controlled trial (RCT) in a general population of New Zealand women who had experienced IPV in the past 6 months. Computer-generated randomization was based on a minimization scheme with stratification by severity of violence and children. Women were randomly assigned to the password-protected intervention website (safety priority setting, danger assessment, and tailored action plan components) or control website (standard, nonindividualized information). Primary endpoints were self-reported mental health (Center for Epidemiologic Studies Depression Scale-Revised, CESD-R) and IPV exposure (Severity of Violence Against Women Scale, SVAWS) at 12-month follow-up. Analyses were by intention to treat.
Results: Women were recruited from September 2012 to September 2014. Participants were aged between 16 and 60 years, 27% (111/412) self-identified as Māori (indigenous New Zealand), and 51% (210/412) reported at baseline that they were unsure of their future plans for their partner relationship. Among the 412 women recruited, retention at 12 months was 87%. The adjusted estimated intervention effect for SVAWS was −12.44 (95% CI −23.35 to −1.54) for Māori and 0.76 (95% CI −5.57 to 7.09) for non-Māori. The adjusted intervention effect for CESD-R was −7.75 (95% CI −15.57 to 0.07) for Māori and 1.36 (−3.16 to 5.88) for non-Māori. No study-related adverse events were reported.
Conclusions: The interactive, individualized Web-based isafe decision aid was effective in reducing IPV exposure limited to indigenous Māori women. Discovery of a treatment effect in a population group that experiences significant health disparities is a welcome, important finding. (Authors' abstract). Record #5720
| Item type | Current location | Call number | Status | Date due | Barcode |
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Access online
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Family Violence library | Online | Available | ON18010012 |
Journal of Medical Internet Research, 2018, 20(1): e8
Background: Intimate partner violence (IPV) is a human rights violation and leading health burden for women. Safety planning is a hallmark of specialist family violence intervention, yet only a small proportion of women access formal services. A Web-based safety decision aid may reach a wide audience of women experiencing IPV and offer the opportunity to prioritize and plan for safety for themselves and their families.
Objective: The aim of this study was to test the efficacy of a Web-based safety decision aid (isafe) for women experiencing IPV.
Methods: We conducted a fully automated Web-based two-arm parallel randomized controlled trial (RCT) in a general population of New Zealand women who had experienced IPV in the past 6 months. Computer-generated randomization was based on a minimization scheme with stratification by severity of violence and children. Women were randomly assigned to the password-protected intervention website (safety priority setting, danger assessment, and tailored action plan components) or control website (standard, nonindividualized information). Primary endpoints were self-reported mental health (Center for Epidemiologic Studies Depression Scale-Revised, CESD-R) and IPV exposure (Severity of Violence Against Women Scale, SVAWS) at 12-month follow-up. Analyses were by intention to treat.
Results: Women were recruited from September 2012 to September 2014. Participants were aged between 16 and 60 years, 27% (111/412) self-identified as Māori (indigenous New Zealand), and 51% (210/412) reported at baseline that they were unsure of their future plans for their partner relationship. Among the 412 women recruited, retention at 12 months was 87%. The adjusted estimated intervention effect for SVAWS was −12.44 (95% CI −23.35 to −1.54) for Māori and 0.76 (95% CI −5.57 to 7.09) for non-Māori. The adjusted intervention effect for CESD-R was −7.75 (95% CI −15.57 to 0.07) for Māori and 1.36 (−3.16 to 5.88) for non-Māori. No study-related adverse events were reported.
Conclusions: The interactive, individualized Web-based isafe decision aid was effective in reducing IPV exposure limited to indigenous Māori women. Discovery of a treatment effect in a population group that experiences significant health disparities is a welcome, important finding. (Authors' abstract). Record #5720
