Burge Sandra K, Becho Johanna, Ferrer Robert L, Wood Robert C, Talamantes Melissa, Katerndahl David A
Department of Family & Community Medicine.
South Texas Veterans Health Care System.
Fam Syst Health. 2014 Sep;32(3):259-270. doi: 10.1037/fsh0000013. Epub 2014 Jun 9.
The overall goal of this study is to use complexity science to gain a deeper understanding of the nonlinear day-to-day dynamics of intimate partner violence, with implications for clinical interventions. This report describes research methods for gathering information about partner violence in real time and assesses recruitment and retention, adherence to study protocol, data validity, and participant safety. Research assistants enrolled 200 women in moderately violent intimate relationships and asked them to report about their relationships every day for 12 weeks. Daily, participants telephoned an Interactive Voice Response (IVR) system and responded to 34 survey questions. They also completed baseline and end-of-study surveys and maintained telephone contact with the study team weekly. Forty-two participants completed qualitative end-of-study interviews to describe their relationships and the impact of the study on their lives. Of 200 enrollees, 145 women provided enough data for nonlinear analyses, averaging 63.5 daily reports of 84 possible. Participants submitted 9,201 daily reports, documenting partner's verbal or physical aggression on 39.4% of days, and their own aggression on 23.1%. Two women were withdrawn from the study for safety reasons; the remainder reported that study participation posed no additional threat. Eighty women sought assistance from community resources. Violence severity did not appear to change over the 12 weeks. The research team successfully and safely recruited and retained 145 women who provided valuable data for a study of complex dynamics of intimate partner violence.
本研究的总体目标是运用复杂性科学更深入地理解亲密伴侣暴力的非线性日常动态,这对临床干预具有重要意义。本报告描述了实时收集伴侣暴力信息的研究方法,并评估了招募与留存情况、对研究方案的依从性、数据有效性以及参与者安全性。研究助理招募了200名处于中度暴力亲密关系中的女性,并要求她们在12周内每天报告自己的关系状况。参与者每天致电一个交互式语音应答(IVR)系统,并回答34个调查问题。他们还完成了基线调查和研究结束时的调查,并每周与研究团队保持电话联系。42名参与者完成了研究结束时的定性访谈,以描述她们的关系以及该研究对其生活的影响。在200名登记者中,145名女性提供了足够的数据用于非线性分析,在可能的84份每日报告中平均提供了63.5份。参与者提交了9201份每日报告,记录了伴侣在39.4%的日子里有言语或身体攻击行为,而她们自己有攻击行为的日子占23.1%。两名女性因安全原因退出研究;其余参与者报告称参与研究并未带来额外威胁。80名女性向社区资源寻求了帮助。在这12周内,暴力严重程度似乎没有变化。研究团队成功且安全地招募并留存了145名女性,她们为亲密伴侣暴力复杂动态的研究提供了有价值的数据。