Intimate Partner Violence and Electronic Health Interventions: Systematic Review and Meta-Analysis of Randomized Trials

Linde, Ditte Søndergaard; Bakiewicz, Aleksandra; Normann, Anne Katrine; Hansen, Nina Beck; Lundh, Andreas; Rasch, Vibeke

doi:10.2196/22361

Cited by 26 publications

(59 citation statements)

References 27 publications

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“…Several eHealth interventions based on safety decision-making [ 23 – 25 ] and psychological wellbeing [ 26 , 27 ] have also shown effectiveness in reducing IPVAW exposure and its psychological consequences. In contrast, some authors highlight that the evidence in favor of these type of interventions in victims of IPVAW is not consistent and flawed with methodological issues, stating that more research is needed to reach a conclusion [ 28 ].…”

Section: Introductionmentioning

confidence: 99%

Women survivors of intimate partner violence talk about using e-health during pregnancy: a focus group study

et al. 2022

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Background Pregnancy is a period of particular vulnerability to experience intimate partner violence against women (IPVAW). eHealth strategies have been implemented to identify women exposed to IPVAW and to combat the abuse and empower them, but there is a lack of evidence on the use of these strategies among pregnant women. This work aims to identify the needs, concerns and preferences of survivors about the use of eHealth strategies to counsel and empower pregnant victims of IPVAW in antenatal care. Methods A focus group of six IPVAW survivors who had been pregnant was conducted and open questions about the use of eHealth strategies were asked. The session was recorded, transcribed and thematically analyzed. We identified three main themes: needs and worries of pregnant women experiencing IPVAW, key aspects of video counseling sessions and usefulness of safety planning apps. Results Women highlighted the relevant role of healthcare professionals—especially midwives—in the identification of IPVAW and the wellbeing of their children as one of the main concerns. They perceived video counseling and safety planning apps as valuable resources. The preferred contents for a video counseling intervention were awareness-raising of the situation, self-esteem and legal advice. They also proposed safety and pregnant-related aspects that should be taken into account in the design of the video counseling sessions and the safety planning app. Conclusions Video counseling sessions and safety planning apps are potentially useful tools to counsel and empower women who experience IPVAW during pregnancy. Midwives play a key role in this endeavor.

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Section: Introductionmentioning

confidence: 99%

Women survivors of intimate partner violence talk about using e-health during pregnancy: a focus group study

et al. 2022

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“…More closely linked to our study, Linde et al (2020) conducted a meta‐analysis of digital interventions in 14 trials on IPV‐related outcomes based on studies in databases from inception until April 2019. Contrary to our findings, they discovered that eHealth interventions did not provide any superior effects to non‐digital modalities.…”

Section: Discussionmentioning

confidence: 97%

Technology‐based and digital interventions for intimate partner violence: A systematic review and meta‐analysis

Emezue

Chase

Udmuangpia

et al. 2022

Campbell Systematic Reviews

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Background A growing body of research shows the promise and efficacy of technology‐based or digital interventions in improving the health and well‐being of survivors of intimate partner violence (IPV). In addition, mental health comorbidities such as anxiety, post‐traumatic stress disorder (PTSD), and depression occur three to five times more frequently in survivors of IPV than non‐survivors, making these comorbidities prominent targets of technology‐based interventions. Still, research on the long‐term effectiveness of these interventions in reducing IPV victimization and adverse mental health effects is emergent. The significant increase in the number of trials studying technology‐based therapies on IPV‐related outcomes has allowed us to quantify the effectiveness of such interventions for mental health and victimization outcomes in survivors. This meta‐analysis and systematic review provide critical insight from several randomized controlled trials (RCTs) on the overall short and long‐term impact of technology‐based interventions on the health and well‐being of female IPV survivors. Objectives To synthesize current evidence on the effects of technology‐based or digital interventions on mental health outcomes (depression, anxiety, and PTSD) and victimization outcomes (physical, psychological, and sexual abuse) among IPV survivors. Search Methods We examined multiple traditional and grey databases for studies published from 2007 to 2021. Traditional databases (such as PubMed Central, Web of Science, CINAHL Plus, and PsychINFO) and grey databases were searched between April 2019 and February 2021. In addition, we searched clinical trial registries, government repositories, and reference lists. Authors were contacted where additional data was needed. We identified 3210 studies in traditional databases and 1257 from grey literature. Over 2198 studies were determined to be duplicates and eliminated, leaving 64 studies after screening titles and abstracts. Finally, 17 RCTs were retained for meta‐analysis. A pre‐registered protocol was developed and published before conducting this meta‐analysis. Selection Criteria We included RCTs targeting depression, anxiety, PTSD outcomes, and victimization outcomes (physical, sexual, and psychological violence) among IPV survivors using a technology‐based intervention. Eligible RCTs featured a well‐defined control group. There were no study restrictions based on participant gender, study setting, or follow‐up duration. Included studies additionally supplied outcome data for calculating effect sizes for our desired outcome. Studies were available in full text and published between 2007 and 2021 in English. Data Collection and Analysis We extracted relevant data and coded eligible studies. Using Cochrane's RevMan software, summary effect sizes (Outcome by Time) were assessed using an independent fixed‐effects model. Standardized mean difference (SMD) effect sizes (or Cohen's d) were evaluated using a Type I error rate and an alpha of 0.05. The overall intervention effects ...

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“…The Norwegian guidelines for antenatal care strongly recommend that all women should be asked about current and/or past experiences of IPV [13]. There is a lack of evidence on how health care professionals should communicate about and intervene against IPV during pregnancy [8,14]. Women exposed to IPV report weaknesses in conversations about violence with health care professionals, which could reduce the possibility to disclose their experiences [7,15,16].…”

Section: Introductionmentioning

confidence: 99%

Pregnant Women’s Attitudes Toward and Experiences With a Tablet Intervention to Promote Safety Behaviors in a Randomized Controlled Trial: Qualitative Study

Walter¹,

Indreboe²,

Lukasse³

et al. 2021

JMIR Form Res

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Background Intimate partner violence (IPV) is recognized as a global health problem. Women with low education and limited resources are more vulnerable, as are immigrant women. There is a lack of evidence on how health care professionals should communicate about and intervene against IPV during pregnancy. Earlier research has shown that when women manage digital questionnaires, they are more likely to disclose IPV. However, little is known about how women experience eHealth interventions with safety behaviors to prevent IPV. Objective The aim of this study was to explore pregnant women’s attitudes toward and experiences with a tablet intervention to promote safety behaviors in a randomized controlled trial (RCT) in antenatal care. Methods Individual semistructured interviews were conducted with 10 women who participated in the Safe Pregnancy Study. The Safe Pregnancy Study was a randomized controlled trial (RCT) using a tablet intervention containing IPV questions and a film to promote safety behaviors. Six women from the intervention group and four women from the control group were recruited. The content was available in Norwegian, Somali, and Urdu. Five of the women participating in the interviews spoke Norwegian at home and five spoke another language. The majority of the women who did not speak Norwegian at home perceived themselves as relatively well integrated. The interviews were conducted at different maternal and child health centers (MCHCs) in Norway between March 2020 and June 2020. The analysis was guided by thematic analysis. Results Women who participated in the tablet intervention appreciated being asked questions about IPV on a tablet. However, it was important to supplement the tablet intervention with face-to-face communication with a midwife. The MCHC was regarded as a suitable place to answer questions and watch a film about safety behaviors. Women suggested making the tablet intervention available in other settings where women meet health care professionals. Some women expressed uncertainty about their anonymity regarding their answers in the questionnaire. We found no real differences between ethnic Norwegian and immigrant women’s attitudes toward and experiences with the tablet intervention. Conclusions Questions about IPV and a film about safety behaviors on a tablet, as a supplement to face-to-face communication, might initiate and facilitate communication about IPV in antenatal care. Uncertainty regarding anonymity has to be addressed when questions about IPV are being asked on a tablet. Trial Registration ClinicalTrials.gov NCT03397277; https://clinicaltrials.gov/ct2/show/NCT03397277

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Intimate Partner Violence and Electronic Health Interventions: Systematic Review and Meta-Analysis of Randomized Trials

Cited by 26 publications

References 27 publications

Women survivors of intimate partner violence talk about using e-health during pregnancy: a focus group study

Women survivors of intimate partner violence talk about using e-health during pregnancy: a focus group study

Technology‐based and digital interventions for intimate partner violence: A systematic review and meta‐analysis

Pregnant Women’s Attitudes Toward and Experiences With a Tablet Intervention to Promote Safety Behaviors in a Randomized Controlled Trial: Qualitative Study

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