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

Abstract

Introduction Studies show digital interventions such as mobile and wireless platforms (e.g., smartphone apps, text messaging) and web‐based platforms (online support groups and telehealth services) can improve the mental health outcomes for victims/survivors of partner abuse. Depression, posttraumatic stress disorder (PTSD), and anxiety are three to five times higher among victims than nonvictims and are thus popular targets of digital interventions. Even then, the evidence is scant. The current review uses both narrative and quantitative (meta‐analysis) techniques to present extensive evidence on the effects of intimate partner violence (IPV) digital interventions on the mental health outcomes among survivors of partner violence across all genders and ages, specifically, depression, anxiety, and PTSD. This is the first meta‐analysis on IPV‐related mental health outcomes targeted by digital interventions. Objectives To synthesize current evidence on the intervention and treatment effects of digital and technology‐based interventions (mHealth and eHealth) addressing IPV mental health outcomes (depression, anxiety, and PTSD) among survivors of IPV. This study's research questions are as follows: (a) What are the overall average treatment effects of IPV digital interventions on IPV survivors' mental health outcomes? (b) Do these mental health outcomes vary based on methodological study designs, sample characteristics, and intervention characteristics? Methods An extensive search strategy will be utilized to find qualifying studies. Various electronic bibliographic databases will be searched for studies since 2009 (coinciding with the onset of mobile health interventions). Other databases, such as government databases, grey literature databases, trial registers, specialty journals, and citations in other studies will be searched. Also, we will search “grey databases,” such as Google Scholar. Ethical and safety concerns preclude the randomization of IPV survivors to specific intervention conditions. Therefore, we will not exclude studies based on a lack of random assignment. Studies will be full‐text accessible, published in any language (translatable into English). We will also contact researchers where needed data is missing in their report. Neither language, study location, nor study settings will be a limiter for searches. Keyword and MeSH headings will be used. Effect sizes (Hedges' g) will be estimated with a Type I error rate set at an alpha of .05. Results All studies will measure IPV‐related mental health as an outcome and provide outcome data to calculate effect sizes for PTSD, anxiety, depression, and victimization (physical, psychological, and sexual violence). Conclusion Digital interventions may clinically reduce depression, anxiety, PTSD, and IPV victimization. Summary effect sizes ranging from small to large will signal the usefulness of digital interventions to IPV survivors contending with common mental health issues. Future studies beyond this one may identify other active intervention ingr...

The Mediation Effect of Phobic Anxiety on the Treatment Outcome of Activity and Participation across Age: Comparison between Online and Face-to-Face Rehabilitation Aftercare of an RCT

“…)." [12] (p. 6). Importantly, the authors also conclude, "With the proliferation of mobile devices and the ubiquity of Internet coverage (even in some lowincome settings), .…”

“…. victimization, including suicidality, depression, anxiety disorders, PTSD, social withdrawal, low self-esteem and self-efficacy, economic self-sufficiency, and other sequelae" [12] (p. 6). Accordingly, the intervention applied in the current study appears to be such a digital intervention with several potentials.…”

“…Accordingly, the intervention applied in the current study appears to be such a digital intervention with several potentials. To make better use of IMIs, as previous digital intervention studies have also suggested, meeting the requirements of patients is of high importance for the acceptance and treatment effects of IMIs [12,56]. Individualized digital services are also needed to address the older patient groups more adequately as the needs of older patients are more difficult to imagine but should be actively involved.…”

“…Previous studies that considered multiple factors have made efforts on how to promote activity and participation regarding certain mental illnesses or disorders, such as anxiety and depression [22]. However, there is a lack of evidence that explores the mechanisms of whether phobic anxiety mediates the treatment effect of activity and participation, although meta-analyses aim to research such processes [12].…”

Atención en salud a las mujeres víctimas de violencia sexual en un municipio de Colombia

“…La Organización Mundial de la Salud (OMS), define violencia sexual como "todo acto sexual, la tentativa de consumar un acto sexual, los comentarios o insinuaciones sexuales no deseados, o las acciones para comercializar o utilizar de cualquier otro modo la sexualidad de una persona mediante coacción por otra persona, independientemente de la relación de ésta con la víctima, en cualquier ámbito, incluidos el hogar y el lugar de trabajo" [2]. Una de cada tres mujeres entre 15 y 49 años en todo el mundo, se ven afectadas negativamente por la violencia física, psicológica, sexual y el acoso a lo largo de su vida [3]. Las raíces de la violencia contra la mujer, se remontan al sistema patriarcal que reproduce relaciones desiguales de género.…”