Effectiveness of an Online Safety Tool for Canadian Women Experiencing Intimate Partner Violence
2019년 4월 23일 업데이트: 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.
연구 개요
상태
상태
완전한
정황
정황
개입 / 치료
개입 / 치료
상세 설명
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.
연구 유형
연구 유형
중재적
등록 (실제)
등록
462
단계
단계
- 해당 없음
연락처 및 위치
이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.
연구 장소
-
-
British Columbia
-
Vancouver, British Columbia, 캐나다
- University of British Columbia
-
-
New Brunswick
-
Fredericton, New Brunswick, 캐나다, N5X 1V5
- University of New Brunswick
-
-
Ontario
-
London, Ontario, 캐나다, N6A 3C1
- Western University
-
-
참여기준
연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.
자격 기준
자격 기준
공부할 수 있는 나이
19년 이상 (성인, 고령자)
건강한 자원 봉사자를 받아들입니다
예
연구 대상 성별
여성
설명
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
공부 계획
이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 방지
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 더블
팔의 수
2
무기와 개입
참가자 그룹 / 팔참가자 그룹 / 팔 |
개입 / 치료개입 / 치료 |
|---|---|
|
실험적: Personalized online Safety Decision Aid
Setting priorities for safety; Danger Assessment; Personalized Action Plan
|
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.
|
|
활성 비교기: General Online Risk/Safety Information
General Risk and Safety Information; Basic Emergency Safety Plan
|
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)
|
연구는 무엇을 측정합니까?
주요 결과 측정
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Changes in depressive symptoms on the Center for Epidemiologic Studies Depression Scale, Revised
기간: 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)
기간: 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
|
2차 결과 측정
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Changes in Decisional Conflict on the low literacy version of the Decisional Conflict Scale
기간: 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
기간: 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
기간: 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
기간: baseline, 12 months
|
baseline, 12 months
|
|
|
changes in self-efficacy for safety planning on investigator developed scales
기간: 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
기간: 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
|
기타 결과 측정
기타 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Severity of violence on the Composite Abuse Scale
기간: 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
기간: 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
기간: 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)
기간: 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
|
공동 작업자 및 조사자
여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.
협력자
협력자
수사관
수사관
- 수석 연구원: Marilyn Ford-Gilboe, PhD, Western University
간행물 및 유용한 링크
연구에 대한 정보 입력을 담당하는 사람이 자발적으로 이러한 간행물을 제공합니다. 이것은 연구와 관련된 모든 것에 관한 것일 수 있습니다.
일반 간행물
- 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.
연구 기록 날짜
이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.
연구 주요 날짜
연구 시작
연구 시작
2014년 10월 1일
기본 완료 (실제)
기본 완료
2017년 1월 1일
연구 완료 (실제)
연구 완료
2017년 3월 1일
연구 등록 날짜
최초 제출
최초 제출
2014년 10월 2일
QC 기준을 충족하는 최초 제출
QC 기준을 충족하는 최초 제출
2014년 10월 7일
처음 게시됨 (추정)
처음 게시됨
2014년 10월 8일
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
마지막 업데이트 게시됨
2019년 4월 24일
QC 기준을 충족하는 마지막 업데이트 제출
QC 기준을 충족하는 마지막 업데이트 제출
2019년 4월 23일
마지막으로 확인됨
마지막으로 확인됨
2019년 4월 1일
추가 정보
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .