Violence, Domestic Clinical Trial
Official title:
Impact of Culturally-Specific Danger Assessment on Safety, Mental Health and Empowerment
This study evaluates the impact of administering culturally-specific versions of the Danger Assessment (DA) tool followed by the tailored safety planning/referral via use of internet/smartphone-based safety decision aid (SDA) on immigrant, refugee and indigenous women's empowerment, safety and mental health. Half of survivors will receive tailored safety planning/referral based on their level of risk assessed by the DA, while the other half will receive non-DA informed usual safety planning/referral.
The DA is a tool to assess risk for homicide, near homicide, re-assault or severe re-assault
by an intimate partner. In the culturally adapted DA-informed safety decision aid
intervention, women answer questions on the DA, receive immediate feedback on their level of
danger as well as personalized messages about safety based on their scores on the DA. The
risk factors and scores on the DA are then combined with the safety priorities of women to
develop a tailored safety action with links to community resources. Using a computerized
randomization scheme, women are randomly assigned to either the internet and/or smartphone
app accessible SDA website or control website.
This trial is being conducted in various geographical regions in the US to address the
following aims:
1. Evaluate the impact of administering culturally adapted DA-informed interactive
internet-based SDA intervention on abused women's safety compared to women assigned to
the control website. It is hypothesized that at 3, 6, and 12 months post-baseline, the
intervention group will have increased safety seeking behaviors and reduced exposure to
intimate partner violence in comparison to the control group.
2. Evaluate the impact of administering culturally adapted DA-informed interactive
internet-based SDA intervention on abused women's mental health compared to women
assigned to the control website. It is hypothesized that at 3, 6, and 12 months
post-baseline, the intervention group will have improved mental health in comparison to
the control group.
3. Evaluate the impact of administering culturally adapted DA-informed interactive
internet-based SDA intervention on promoting abused women's empowerment compared to
women assigned to the control website. It is hypothesized that at 3, 6, and 12 months
post-baseline, the intervention group will have increased empowerment in comparison to
the control group.
The study will establish evidence base for a culturally-informed intervention for immigrant,
refugee and indigenous women. The intervention will not only prevent future exposure to
intimate partner violence, it will also promote abused women's mental health and empowerment.
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