Domestic Violence Clinical Trial
Official title:
Internet-Based Intervention to Improve Mental Health Outcomes for Abused Women
Verified date | March 2017 |
Source | Johns Hopkins University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The purpose for this trial is to test the effectiveness of the first interactive
internet-based safety decision aid on abused women's exposure to repeat intimate partner
violence (IPV) and mental health outcomes. An improved safety decision-making process (e.g.,
knowing the advantages and disadvantages of the relationship, having enough information to
make a decision) will increase safety-seeking behaviors which in turn will decrease exposure
to repeat IPV and improve mental health outcomes. Findings from the development and initial
test of our computerized safety decision aid suggests that it offered abused women privacy
to consider personalized safety options, informed them about danger in their relationship
and would be used again if they had access to it through a safe internet site.
The investigators are conducting a five year experimental trial in four states (Oregon,
Maryland, Missouri, and Arizona) to address the following aims:
1. Test the effectiveness of an interactive internet-based safety decision aid on abused
women's safety seeking behaviors and exposure to violence compared to women assigned to
control websites. The investigators hypothesize that at three, six, and 12 months
post-baseline the intervention group will have increased safety seeking behaviors and
reduced IPV exposure in comparison to the control group.
2. Test the effectiveness of an interactive internet-based safety decision aid on abused
women's mental health compared to women assigned to control websites. The investigators
hypothesize that at three, six, and 12 months post-baseline the intervention group will
have improved mental health in comparison to the control group.
3. Test if the effect of an interactive internet-based safety decision aid on abused
women's mental health and exposure to violence is mediated by the safety decision
making process and safety-seeking behaviors. The investigators hypothesize that the
intervention group will have a better decision making process and have greater safety
seeking behavior over the year in comparison to the control group, and that this better
decision process and increased safety seeking behavior will mediate improvement in
mental health and exposure to violence at 12 months post baseline.
This study will provide much needed new information about safety planning's impact on making
difficult safety decisions, exposure to violence, and mental health effects.
Status | Completed |
Enrollment | 720 |
Est. completion date | February 2016 |
Est. primary completion date | May 2014 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Female |
Age group | 18 Years to 64 Years |
Eligibility |
Inclusion Criteria: - Female - English or Spanish speaking - 18-64 years of age - Report current physical, or sexual intimate partner violence or emotional abuse within the context of threats of physical or sexual intimate partner violence - Live in one of the target states (Oregon, Arizona, Missouri, or Maryland) - Express comfort with and access to a safe computer with internet Exclusion Criteria: - Male - Younger than 18 years of age - Older than 64 years of age - Cannot read/speak English/Spanish - Live outside targeted 4 states - No access to safe computer with internet - Uncomfortable with computers - Does not report past year violence from an intimate partner |
Country | Name | City | State |
---|---|---|---|
United States | Johns Hopkins University School of Nursing | Baltimore | Maryland |
United States | University of Missouri | Columbia | Missouri |
United States | Arizona State University | Phoenix | Arizona |
United States | Oregon Health Sciences University | Portland | Oregon |
Lead Sponsor | Collaborator |
---|---|
Johns Hopkins University | Arizona State University, Kaiser Permanente, National Institute of Mental Health (NIMH), Oregon Health and Science University, University of Missouri-Columbia |
United States,
Glass N, Eden KB, Bloom T, Perrin N. Computerized aid improves safety decision process for survivors of intimate partner violence. J Interpers Violence. 2010 Nov;25(11):1947-64. doi: 10.1177/0886260509354508. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Severity of Violence Against Women | This 46-item scale has been widely used with ethnically diverse women. It is designed to address types and severity of physical and sexual violence, including the threat of violence. The frequency of violence is based on a four-point scale (1=never to 4=many times) and the participants rank the severity of violence from mild to serious. | 6 months | |
Primary | Women's Experience with Battering | The WEB is a 10-item scale designed to capture a wide variety of abuse behaviors women experience from an intimate partner, including emotional abuse. | 6 months | |
Primary | Safety Behavior Checklist | This includes a checklist of safety steps abused women may use (asking for help, removing gun from home, hiding important papers) and utilization of community resources. Questions will be asked about women's access and use of criminal justice, health, and social resources and how helpful the safety steps are in coping with abuse. | 6 months | |
Primary | Decisional Conflict Scale | The DCS consists of twelve items, with each question having three response options (yes, no, and unsure). The DCS provides a total score, which is a measure of the decision process, as well as scores for four subscales (feeling informed, certainty about decision, values clarity, and support), with higher scores on the DCS indicating a greater degree of decisional conflict (indicative of a poorer decision process). | 6 months | |
Secondary | Center for Epidemiologic Studies Depression Scale, Revised | A 20-item self report measure, designed to screen for depressive symptoms in community samples and assess the probability that an individual meets the criteria for major depressive disorder. | 6 months | |
Secondary | PTSD Checklist | A self-report measure of PTSD symptoms, designed for use in community samples to measure symptoms and assess the probability that an individual meets DSM-IV criteria for PTSD. | 6 months |
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