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Effectiveness of an Online Safety Tool for Canadian Women Experiencing Intimate Partner Violence

2019年4月23日 更新者：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.

調査の概要

状態

完了

条件

介入・治療

詳細な説明

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.

研究の種類

介入

入学 (実際)

462

段階

  • 適用できない

連絡先と場所

このセクションには、調査を実施する担当者の連絡先の詳細と、この調査が実施されている場所に関する情報が記載されています。

研究場所

  • カナダ
    • British Columbia
      • Vancouver、British Columbia、カナダ
        • University of British Columbia
    • New Brunswick
      • Fredericton、New Brunswick、カナダ、N5X 1V5
        • University of New Brunswick
    • Ontario
      • London、Ontario、カナダ、N6A 3C1
        • Western University

参加基準

研究者は、適格基準と呼ばれる特定の説明に適合する人を探します。これらの基準のいくつかの例は、人の一般的な健康状態または以前の治療です。

適格基準

就学可能な年齢

19年歳以上 (大人、高齢者)

健康ボランティアの受け入れ

はい

受講資格のある性別

女性

説明

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

研究計画

このセクションでは、研究がどのように設計され、研究が何を測定しているかなど、研究計画の詳細を提供します。

研究はどのように設計されていますか？

デザインの詳細

  • 主な目的：防止
  • 割り当て：ランダム化
  • 介入モデル：並列代入
  • マスキング：ダブル

武器と介入

参加者グループ / アーム
介入・治療
実験的：Personalized online Safety Decision Aid
Setting priorities for safety; Danger Assessment; Personalized Action Plan
行動：Setting Priorities for Safety
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.
行動：Danger Assessment
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.
行動：Personalized Action Plan
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.
アクティブコンパレータ：General Online Risk/Safety Information
General Risk and Safety Information; Basic Emergency Safety Plan
行動：General risk and safety information
Participants receive general information about the importance of priorities in making safety decisions and risk factors for intimate partner violence.
行動：Basic Emergency Safety Plan
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)

この研究は何を測定していますか？

主要な結果の測定

結果測定
メジャーの説明
時間枠
Changes in depressive symptoms on the Center for Epidemiologic Studies Depression Scale, Revised
時間枠：baseline, 12 months
20 item self-report measure used to measure depressive symptoms in community samples and assess the probability of meeting criteria for major depressive disorder
baseline, 12 months
Changes in PTSD symptomology on the PTSD Checklist (Civilian Version)
時間枠：baseline, 12 months
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
baseline, 12 months

二次結果の測定

結果測定
メジャーの説明
時間枠
Changes in Decisional Conflict on the low literacy version of the Decisional Conflict Scale
時間枠：baseline, immediately post-intervention
The low literacy version of the Decisional Conflict Scale is an established, self-report measure developed by the Ottawa Patient Decision Aids Research Group.
baseline, immediately post-intervention
Changes in use of safety strategies on a Safety Behavior Checklist
時間枠：baseline, 6 months
self-report measure of use and helpfulness of strategies to deal with violence, adapted from Goodman et als (2003) Intimate Partner Violence Strategies Index
baseline, 6 months
Changes in use of safety strategies on a Safety Behavior Checklist
時間枠：baseline, 12 months
self-report measure of use and helpfulness of strategies to deal with violence, adapted from Goodman et als (2003) Intimate Partner Violence Strategies Index
baseline, 12 months
Change in Mastery on Pearlin's Mastery Scale
時間枠：baseline, 12 months
baseline, 12 months
changes in self-efficacy for safety planning on investigator developed scales
時間枠：baseline, 6 months
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).
baseline, 6 months
changes in self-efficacy for safety planning on investigator developed scales
時間枠：baseline, 12 months
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).
baseline, 12 months

その他の成果指標

結果測定
メジャーの説明
時間枠
Severity of violence on the Composite Abuse Scale
時間枠：baseline, 6, 12 months
30 item validated measure of severity of intimate partner violence
baseline, 6, 12 months
Social support on the Medical Outcomes Study Social Support Survey
時間枠：baseline, 3, 6, 12 months
5 item self-report measure of perceived social support, adapted by McCarrier et al (2011) from the MOS-SS scale
baseline, 3, 6, 12 months
Helpfulness of the online tool to decision making on the Preparation for Decision making scale
時間枠：immediately post-intervention, 6, 12 months
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.
immediately post-intervention, 6, 12 months
Coercive control on the Women's Experiences of Battering Scale (WEB)
時間枠：baseline, 3, 6, 12 months
10 item self-report measure of women's responses to partner violence which is a proxy for current level of coercive control
baseline, 3, 6, 12 months

協力者と研究者

ここでは、この調査に関係する人々や組織を見つけることができます。

スポンサー

Western University, Canada

協力者

Johns Hopkins University
University of British Columbia
Canadian Institutes of Health Research (CIHR)
McMaster University
Kaiser Permanente
University of New Brunswick

捜査官

  • 主任研究者：Marilyn Ford-Gilboe, PhD、Western University

出版物と役立つリンク

研究に関する情報を入力する責任者は、自発的にこれらの出版物を提供します。これらは、研究に関連するあらゆるものに関するものである可能性があります。

一般刊行物

研究記録日

これらの日付は、ClinicalTrials.gov への研究記録と要約結果の提出の進捗状況を追跡します。研究記録と報告された結果は、国立医学図書館 (NLM) によって審査され、公開 Web サイトに掲載される前に、特定の品質管理基準を満たしていることが確認されます。

主要日程の研究

研究開始

2014年10月1日

一次修了 (実際)

2017年1月1日

研究の完了 (実際)

2017年3月1日

試験登録日

最初に提出

2014年10月2日

QC基準を満たした最初の提出物

2014年10月7日

最初の投稿 (見積もり)

2014年10月8日

学習記録の更新

投稿された最後の更新 (実際)

2019年4月24日

QC基準を満たした最後の更新が送信されました

2019年4月23日

最終確認日

2019年4月1日

詳しくは

本研究に関する用語

キーワード

その他の研究ID番号

  • HSREB 105436

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