dc.contributor.author |
Koziol-McLain, Jane |
|
dc.contributor.author |
Vandal, Alain C |
|
dc.contributor.author |
Wilson, Denise |
|
dc.contributor.author |
Nada-Raja, Shyamala |
|
dc.contributor.author |
Dobbs, Terry |
|
dc.contributor.author |
McLean, Christine |
|
dc.contributor.author |
Sisk, Rose |
|
dc.contributor.author |
Eden, Karen B |
|
dc.contributor.author |
Glass, Nancy E |
|
dc.coverage.spatial |
Canada |
|
dc.date.accessioned |
2023-07-20T04:15:39Z |
|
dc.date.available |
2023-07-20T04:15:39Z |
|
dc.date.issued |
2018-01 |
|
dc.identifier.citation |
(2018). Journal of Medical Internet Research, 19(12), e426-. |
|
dc.identifier.issn |
1439-4456 |
|
dc.identifier.uri |
https://hdl.handle.net/2292/64946 |
|
dc.description.abstract |
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. TRIAL REGISTRATION:Australian New Zealand Clinical Trials Registry (ANZCTR): ACTRN12612000708853; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?ACTRN=12612000708853 (Archived by Webcite at http://www.webcitation/61MGuVXdK). |
|
dc.format.medium |
Electronic |
|
dc.language |
eng |
|
dc.publisher |
JMIR Publications |
|
dc.relation.ispartofseries |
Journal of medical Internet research |
|
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
|
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
|
dc.rights.uri |
https://creativecommons.org/licenses/by/4.0/ |
|
dc.subject |
Humans |
|
dc.subject |
Mental Health |
|
dc.subject |
Decision Support Techniques |
|
dc.subject |
Domestic Violence |
|
dc.subject |
Internet |
|
dc.subject |
Adolescent |
|
dc.subject |
Adult |
|
dc.subject |
Middle Aged |
|
dc.subject |
Sexual Partners |
|
dc.subject |
Australia |
|
dc.subject |
New Zealand |
|
dc.subject |
Female |
|
dc.subject |
Young Adult |
|
dc.subject |
Intimate Partner Violence |
|
dc.subject |
depression |
|
dc.subject |
eHealth |
|
dc.subject |
population groups |
|
dc.subject |
randomized controlled trial |
|
dc.subject |
Violence Research |
|
dc.subject |
Clinical Trials and Supportive Activities |
|
dc.subject |
Behavioral and Social Science |
|
dc.subject |
Prevention |
|
dc.subject |
Clinical Research |
|
dc.subject |
Violence Against Women |
|
dc.subject |
5 Gender Equality |
|
dc.subject |
3 Good Health and Well Being |
|
dc.subject |
16 Peace, Justice and Strong Institutions |
|
dc.subject |
1117 Public Health and Health Services |
|
dc.subject |
Clinical |
|
dc.subject |
Public Health |
|
dc.subject |
08 Information and Computing Sciences |
|
dc.subject |
11 Medical and Health Sciences |
|
dc.subject |
17 Psychology and Cognitive Sciences |
|
dc.title |
Efficacy of a Web-Based Safety Decision Aid for Women Experiencing Intimate Partner Violence: Randomized Controlled Trial. |
|
dc.type |
Journal Article |
|
dc.identifier.doi |
10.2196/jmir.8617 |
|
pubs.issue |
12 |
|
pubs.begin-page |
e426 |
|
pubs.volume |
19 |
|
dc.date.updated |
2023-06-28T03:53:52Z |
|
dc.rights.holder |
Copyright: The authors |
en |
dc.identifier.pmid |
29321125 (pubmed) |
|
pubs.author-url |
https://www.ncbi.nlm.nih.gov/pubmed/29321125 |
|
pubs.publication-status |
Published |
|
dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |
pubs.subtype |
Research Support, Non-U.S. Gov't |
|
pubs.subtype |
research-article |
|
pubs.subtype |
Randomized Controlled Trial |
|
pubs.subtype |
Journal Article |
|
pubs.elements-id |
721139 |
|
pubs.org-id |
Science |
|
pubs.org-id |
Statistics |
|
dc.identifier.eissn |
1438-8871 |
|
dc.identifier.pii |
v19i12e426 |
|
pubs.record-created-at-source-date |
2023-06-28 |
|
pubs.online-publication-date |
2018-01-10 |
|