Effectiveness of an Online Safety Tool for Canadian Women Experiencing Intimate Partner Violence
23 aprile 2019 aggiornato da: Marilyn Ford-Gilboe, Western University, Canada
Testing an Internet-based Safety Decision Aid for Women Experiencing Intimate Partner Violence
The purpose of this study is to assess the effectiveness of an interactive, online safety decision aid among diverse Canadian women who are experiencing intimate partner violence (IPV).
The investigators will also explore how the online intervention works, and whether it has different effects for different groups of women.
Panoramica dello studio
Stato
Completato
Condizioni
Descrizione dettagliata
1 in 3 Canadian women experience IPV in their lifetimes. Over time, chronic stress of living in an abusive relationship has been shown to contribute to depression, anxiety and PTSD. Safety planning to reduce the risk of physical and emotional harm in abusive situations is one of the most widely recommended interventions for women in abusive relationship. However, fewer than 1 in 5 Canadian women access support from violence services to assist them in safety planning. Rural, Aboriginal, racialized, immigrant, sexual minority women and women who prioritize their privacy face particular barriers to accessing information and support for safety planning.
We adapted an interactive, online safety decision aid (SDA) recently developed and tested in the U.S. (Glass and colleagues, 2010) so that it applies to diverse groups of Canadian women, and extends the focus on emotional safety. The tool was revised based on a pilot testing for content and usability with 30 women (15 women who had experienced IPV and 15 service providers/experts). In this study, we test the effectiveness of this new tool, called "I CAN Plan 4 Safety" in a sample of 450 women from 3 provinces (ON, BC, New Brunswick). Women will be randomly assigned to complete either the personalized online safety decision aid (intervention) or an online tool which contains general risk and safety information (usual care control). Both tools are located on a confidential, password protected website. After initial completion of the online tools, they will be asked to login to the websites 3, 6 and 12 months later to complete standard outcome assessments. Women may access the information and resources in the online tools at any time for a 12 month period after they enrol in the study.
Tipo di studio
Interventistico
Iscrizione (Effettivo)
462
Fase
- Non applicabile
Contatti e Sedi
Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.
Luoghi di studio
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British Columbia
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Vancouver, British Columbia, Canada
- University of British Columbia
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New Brunswick
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Fredericton, New Brunswick, Canada, N5X 1V5
- University of New Brunswick
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Ontario
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London, Ontario, Canada, N6A 3C1
- Western University
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Criteri di partecipazione
I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.
Criteri di ammissibilità
Età idonea allo studio
19 anni e precedenti (Adulto, Adulto più anziano)
Accetta volontari sani
Sì
Sessi ammissibili allo studio
Femmina
Descrizione
Inclusion Criteria:
- Women
- 19 years and older,
- English-speaking,
- Living in Ontario, New Brunswick, or British Columbia,
- Reports current physical, sexual or emotional abuse in the context of coercive control from a current or former partner (boyfriend, girlfriend, husband, wife, or intimate/sexual partner)
- Expresses comfort with and access to a safe computer with internet
- Access to safe email and mailing address
Exclusion Criteria:
- Men
- Under 19 years of age
- Cannot read/speak English
- Living outside of the 3 study sites
- Uncomfortable using a computer or internet
- No access to a safe computer with internet
- No access to safe email and mailing address
- Does not report current violence from an intimate partner
Piano di studio
Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Prevenzione
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Doppio
Armi e interventi
Gruppo di partecipanti / Arm |
Intervento / Trattamento |
|---|---|
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Sperimentale: Personalized online Safety Decision Aid
Setting priorities for safety; Danger Assessment; Personalized Action Plan
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Participants rate the importance of 5 priorities to decision-making about their unsafe relationship by comparing the relative importance of each pair of priorities.
Weights for each priority are computed and provided to the woman, along with examples of safety strategies that fit with her top ranked priority.
Participants complete a calendar to show episodes of physical and/or sexual violence they have experienced in the past 12, along with 20 questions assessing risk of serious or lethal violence.
A standardized weighted score is provided, along with a brief explanation about her level of danger and appropriate actions she may take.
Women create a tailored action plan for themselves by selecting strategies from 8 different groups, including those which are recommended to them based on their responses to previous questions.
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Comparatore attivo: General Online Risk/Safety Information
General Risk and Safety Information; Basic Emergency Safety Plan
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Participants receive general information about the importance of priorities in making safety decisions and risk factors for intimate partner violence.
Participants are provided with a basic emergency plan including information about local DV resources.
The information is not personalized but is consistent with online information which women could find on their own (usual care)
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Changes in depressive symptoms on the Center for Epidemiologic Studies Depression Scale, Revised
Lasso di tempo: baseline, 12 months
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20 item self-report measure used to measure depressive symptoms in community samples and assess the probability of meeting criteria for major depressive disorder
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baseline, 12 months
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Changes in PTSD symptomology on the PTSD Checklist (Civilian Version)
Lasso di tempo: baseline, 12 months
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17 item self-report measure of PTSD symptoms designed for use in community samples and to assess probability of meeting DSM-IV diagnostic criterial for PTSD
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baseline, 12 months
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Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Changes in Decisional Conflict on the low literacy version of the Decisional Conflict Scale
Lasso di tempo: baseline, immediately post-intervention
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The low literacy version of the Decisional Conflict Scale is an established, self-report measure developed by the Ottawa Patient Decision Aids Research Group.
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baseline, immediately post-intervention
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Changes in use of safety strategies on a Safety Behavior Checklist
Lasso di tempo: baseline, 6 months
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self-report measure of use and helpfulness of strategies to deal with violence, adapted from Goodman et als (2003) Intimate Partner Violence Strategies Index
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baseline, 6 months
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Changes in use of safety strategies on a Safety Behavior Checklist
Lasso di tempo: baseline, 12 months
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self-report measure of use and helpfulness of strategies to deal with violence, adapted from Goodman et als (2003) Intimate Partner Violence Strategies Index
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baseline, 12 months
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Change in Mastery on Pearlin's Mastery Scale
Lasso di tempo: baseline, 12 months
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baseline, 12 months
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changes in self-efficacy for safety planning on investigator developed scales
Lasso di tempo: baseline, 6 months
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2 self-report items which assess self-efficacy in making a safety plan for self and for children on a 100 mm visual analogue scale (range 0-100).
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baseline, 6 months
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changes in self-efficacy for safety planning on investigator developed scales
Lasso di tempo: baseline, 12 months
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2 self-report items which assess self-efficacy in making a safety plan for self and for children on a 100 mm visual analogue scale (range 0-100).
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baseline, 12 months
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Altre misure di risultato
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Severity of violence on the Composite Abuse Scale
Lasso di tempo: baseline, 6, 12 months
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30 item validated measure of severity of intimate partner violence
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baseline, 6, 12 months
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Social support on the Medical Outcomes Study Social Support Survey
Lasso di tempo: baseline, 3, 6, 12 months
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5 item self-report measure of perceived social support, adapted by McCarrier et al (2011) from the MOS-SS scale
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baseline, 3, 6, 12 months
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Helpfulness of the online tool to decision making on the Preparation for Decision making scale
Lasso di tempo: immediately post-intervention, 6, 12 months
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10 item self-report measure of helpfulness of the online tool, adapted to IPV context by Glass et al (2010) from the standardized measure developed by the Ottawa Patient Decision Aids Research Group.
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immediately post-intervention, 6, 12 months
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Coercive control on the Women's Experiences of Battering Scale (WEB)
Lasso di tempo: baseline, 3, 6, 12 months
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10 item self-report measure of women's responses to partner violence which is a proxy for current level of coercive control
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baseline, 3, 6, 12 months
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Collaboratori e investigatori
Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.
Sponsor
Collaboratori
Investigatori
- Investigatore principale: Marilyn Ford-Gilboe, PhD, Western University
Pubblicazioni e link utili
La persona responsabile dell'inserimento delle informazioni sullo studio fornisce volontariamente queste pubblicazioni. Questi possono riguardare qualsiasi cosa relativa allo studio.
Pubblicazioni generali
- Ford-Gilboe M, Varcoe C, Scott-Storey K, Perrin N, Wuest J, Wathen CN, Case J, Glass N. Longitudinal impacts of an online safety and health intervention for women experiencing intimate partner violence: randomized controlled trial. BMC Public Health. 2020 Feb 26;20(1):260. doi: 10.1186/s12889-020-8152-8.
- Ford-Gilboe M, Varcoe C, Scott-Storey K, Wuest J, Case J, Currie LM, Glass N, Hodgins M, MacMillan H, Perrin N, Wathen CN. A tailored online safety and health intervention for women experiencing intimate partner violence: the iCAN Plan 4 Safety randomized controlled trial protocol. BMC Public Health. 2017 Mar 21;17(1):273. doi: 10.1186/s12889-017-4143-9.
Studiare le date dei record
Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.
Studia le date principali
Inizio studio
1 ottobre 2014
Completamento primario (Effettivo)
1 gennaio 2017
Completamento dello studio (Effettivo)
1 marzo 2017
Date di iscrizione allo studio
Primo inviato
2 ottobre 2014
Primo inviato che soddisfa i criteri di controllo qualità
7 ottobre 2014
Primo Inserito (Stima)
8 ottobre 2014
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
24 aprile 2019
Ultimo aggiornamento inviato che soddisfa i criteri QC
23 aprile 2019
Ultimo verificato
1 aprile 2019
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Altri numeri di identificazione dello studio
- HSREB 105436
Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .