Intimate Partner Violence: Modifying an Internet-Based Safety Decision Aid to a New Zealand Context

Young‐Hauser, Amanda; Eden, Karen; Wilson, Denise; Koziol‐McLain, Jane

doi:10.1080/15228835.2014.967905

Cited by 9 publications

(16 citation statements)

References 19 publications

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“…First, our principle to “be sensitive and inclusive of diversity” meant the program needed to reflect the diversity of women in Aotearoa New Zealand. The design and language used in isafe materials was influenced by women who participated in focus groups convened during the trial planning stage [14]. We also learned that, despite our being advised to collect numerous contacts to maximize retention in longitudinal studies [33], women in our focus groups resented being asked to identify more than one contact.…”

Section: Methodsmentioning

confidence: 99%

“…eHealth interventions can provide a pathway for women to access health, justice, and civil society essential services. Innovative, interactive eHealth interventions for women who experience abuse are being developed and tested internationally [10-14]. In developing this evidence base, it is critical to examine the processes of recruiting women who are experiencing abuse for Web-based trials.…”

Section: Introductionmentioning

confidence: 99%

“…The isafe trial was part of an international collaborative concurrent replication of the Internet Resource for Intervention and Safety (IRIS) study [11] that was modified for the Aotearoa New Zealand context [14]. The New Zealand trial, tailored for the New Zealand context [14], advanced the IRIS study by offering women fully automated Web-based trial recruitment, eligibility screening, and consent [44]. Both the IRIS and isafe studies had automated Web-based delivery of intervention, violence, and mental health assessments and retention procedures.…”

Section: Introductionmentioning

confidence: 99%

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Participant Recruitment and Engagement in Automated eHealth Trial Registration: Challenges and Opportunities for Recruiting Women Who Experience Violence

Koziol‐McLain¹,

McLean²,

Rohan³

et al. 2016

J Med Internet Res

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BackgroundAutomated eHealth Web-based research trials offer people an accessible, confidential opportunity to engage in research that matters to them. eHealth trials may be particularly useful for sensitive issues when seeking health care may be accompanied by shame and mistrust. Yet little is known about people’s early engagement with eHealth trials, from recruitment to preintervention autoregistration processes. A recent randomized controlled trial that tested the effectiveness of an eHealth safety decision aid for New Zealand women in the general population who experienced intimate partner violence (isafe) provided the opportunity to examine recruitment and preintervention participant engagement with a fully automated Web-based registration process. The trial aimed to recruit 340 women within 24 months.ObjectiveThe objective of our study was to examine participant preintervention engagement and recruitment efficiency for the isafe trial, and to analyze dropout through the registration pathway, from recruitment to eligibility screening and consent, to completion of baseline measures.MethodsIn this case study, data collection sources included the trial recruitment log, Google Analytics reports, registration and program metadata, and costs. Analysis included a qualitative narrative of the recruitment experience and descriptive statistics of preintervention participant engagement and dropout rates. A Koyck model investigated the relationship between Web-based online marketing website advertisements (ads) and participant accrual.ResultsThe isafe trial was launched on September 17, 2012. Placement of ads in an online classified advertising platform increased the average number of recruited participants per month from 2 to 25. Over the 23-month recruitment period, the registration website recorded 4176 unique visitors. Among 1003 women meeting eligibility criteria, 51.55% (517) consented to participate; among the 501 women who enrolled (consented, validated, and randomized), 412 (82.2%) were accrued (completed baseline assessments). The majority (n=52, 58%) of the 89 women who dropped out between enrollment and accrual never logged in to the allocated isafe website. Of every 4 accrued women, 3 (314/412, 76.2%) identified the classified ad as their referral source, followed by friends and family (52/412, 12.6%). Women recruited through a friend or relative were more likely to self-identify as indigenous Māori and live in the highest-deprivation areas. Ads increased the accrual rate by a factor of 74 (95% CI 49–112).ConclusionsPrint advertisements, website links, and networking were costly and inefficient methods for recruiting participants to a Web-based eHealth trial. Researchers are advised to limit their recruitment efforts to Web-based online marketplace and classified advertising platforms, as in the isafe case, or to social media. Online classified advertising in “Jobs–Other–volunteers” successfully recruited a diverse sample of women experiencing intimate partner violence. Preintervention recruitment data provi...

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Participant Recruitment and Engagement in Automated eHealth Trial Registration: Challenges and Opportunities for Recruiting Women Who Experience Violence

Koziol‐McLain¹,

McLean²,

Rohan³

et al. 2016

J Med Internet Res

Self Cite

View full text Add to dashboard Cite

show abstract

“…Completion of study measures and either the safety decision aid or usual safety planning is estimated to take 45 to 60 minutes at each time point, a feasible time for participants to have web access and not be regarded as overly burdensome [ 13 , 20 , 21 ]. If women have to quit during a session they are able to log-in to the site at a later time.…”

Section: Methodsmentioning

confidence: 99%

“…The New Zealand (isafe) research study is part of an international collaborative and concurrent replication of the USA IRIS trial (NCT01312103) testing the effectiveness of an interactive web-based safety decision aid in improving mental health and reducing IPV exposure. In the first phase of the New Zealand study, focus groups with service providers and women experiencing IPV informed regionalising the IRIS safety decision aid for the New Zealand context [ 13 ]. In addition to cultural tailoring [ 14 ], the New Zealand trial advances the IRIS study by offering women fully automated online trial recruitment, eligibility screening, consent and retention procedures.…”

Section: Introductionmentioning

confidence: 99%

A web-based intervention for abused women: the New Zealand isafe randomised controlled trial protocol

et al. 2015

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BackgroundIntimate partner violence (IPV) and its associated negative mental health consequences are significant for women in New Zealand and internationally. One of the most widely recommended interventions is safety planning. However, few women experiencing violence access specialist services for safety planning. A safety decision aid, weighing the dangers of leaving or staying in an abusive relationship, gives women the opportunity to prioritise, plan and take action to increase safety for themselves and their children. This randomised controlled trial is testing the effectiveness of an innovative, interactive web-based safety decision aid. The trial is an international collaborative concurrent replication of a USA trial (IRIS study NCT01312103), regionalised for the Aotearoa New Zealand culture and offers fully automated online trial recruitment, eligibility screening and consent.Methods/DesignIn a fully automated web-based trial (isafe) 340 abused women will be randomly assigned in equal numbers to a safety decision aid intervention or usual safety planning control website. Intervention components include: (a) safety priority setting, (b) danger assessment and (c) an individually tailored safety action plan. Self-reported outcome measures are collected at baseline and 3, 6, and 12-months post-baseline.Primary outcomes are depression (measured by Center for Epidemiologic Studies Depression Scale, Revised) and IPV exposure (measured by Severity Violence Against Women Scale) at 12 months post-baseline. Secondary outcomes include PTSD, psychological abuse, decisional conflict, safety behaviors and danger in the relationship.DiscussionThis trial will provide much-needed information on the potential relationships among safety planning, improved mental health, reduced violence as well as decreased decisional conflict related to safety in the abusive relationship. The novel web-based safety decision aid intervention may provide a cost-effective, easily accessed safety-planning resource that can be translated into clinical and community practice by multiple health disciplines and advocates. The trial will also provide information about how women in abusive relationships safely access safety information and resources through the Internet. Finally, the trial will inform other research teams on the feasibility and acceptability of fully automated recruitment, eligibility screening, consent and retention procedures.Trial registrationTrial registered on 03 July 2012 on the Australian New Zealand Clinical Trials Registry ACTRN12612000708853.

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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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Intimate Partner Violence: Modifying an Internet-Based Safety Decision Aid to a New Zealand Context

Cited by 9 publications

References 19 publications

Participant Recruitment and Engagement in Automated eHealth Trial Registration: Challenges and Opportunities for Recruiting Women Who Experience Violence

Participant Recruitment and Engagement in Automated eHealth Trial Registration: Challenges and Opportunities for Recruiting Women Who Experience Violence

A web-based intervention for abused women: the New Zealand isafe randomised controlled trial protocol

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

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