Effectiveness of an Online Safety Tool for Canadian Women Experiencing Intimate Partner Violence
23 april 2019 uppdaterad av: 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.
Studieöversikt
Status
Avslutad
Betingelser
Detaljerad beskrivning
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.
Studietyp
Interventionell
Inskrivning (Faktisk)
462
Fas
- Inte tillämpbar
Kontakter och platser
Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.
Studieorter
-
-
British Columbia
-
Vancouver, British Columbia, Kanada
- University of British Columbia
-
-
New Brunswick
-
Fredericton, New Brunswick, Kanada, N5X 1V5
- University of New Brunswick
-
-
Ontario
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London, Ontario, Kanada, N6A 3C1
- Western University
-
-
Deltagandekriterier
Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.
Urvalskriterier
Åldrar som är berättigade till studier
19 år och äldre (Vuxen, Äldre vuxen)
Tar emot friska volontärer
Ja
Kön som är behöriga för studier
Kvinna
Beskrivning
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
Studieplan
Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Förebyggande
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Dubbel
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
|
Experimentell: 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.
|
|
Aktiv komparator: 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)
|
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Changes in depressive symptoms on the Center for Epidemiologic Studies Depression Scale, Revised
Tidsram: 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)
Tidsram: 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
|
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Changes in Decisional Conflict on the low literacy version of the Decisional Conflict Scale
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: baseline, 12 months
|
baseline, 12 months
|
|
|
changes in self-efficacy for safety planning on investigator developed scales
Tidsram: 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
Tidsram: 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
|
Andra resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
|
Severity of violence on the Composite Abuse Scale
Tidsram: 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
Tidsram: 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
Tidsram: 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)
Tidsram: 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
|
Samarbetspartners och utredare
Det är här du hittar personer och organisationer som är involverade i denna studie.
Sponsor
Samarbetspartners
Utredare
- Huvudutredare: Marilyn Ford-Gilboe, PhD, Western University
Publikationer och användbara länkar
Den som ansvarar för att lägga in information om studien tillhandahåller frivilligt dessa publikationer. Dessa kan handla om allt som har med studien att göra.
Allmänna publikationer
- 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.
Studieavstämningsdatum
Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.
Studera stora datum
Studiestart
1 oktober 2014
Primärt slutförande (Faktisk)
1 januari 2017
Avslutad studie (Faktisk)
1 mars 2017
Studieregistreringsdatum
Först inskickad
2 oktober 2014
Först inskickad som uppfyllde QC-kriterierna
7 oktober 2014
Första postat (Uppskatta)
8 oktober 2014
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
24 april 2019
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
23 april 2019
Senast verifierad
1 april 2019
Mer information
Termer relaterade till denna studie
Nyckelord
Andra studie-ID-nummer
- HSREB 105436
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