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比较在线与面对面的HELPP干预对遭受亲密伴侣暴力的女性的影响。

Comparing Online with Face-to-Face HELPP Intervention in Women Experiencing Intimate Partner Violence.

作者信息

Constantino Rose E, Braxter Betty, Ren Dianxu, Burroughs Joseph David, Doswell Willa Marlene, Wu Linden, Hwang Juhae Grace, Klem Mary Lou, Joshi James B D, Greene W Brian

机构信息

University of Pittsburgh, School of Nursing, Department of Health and Community Systems , Pittsburgh, PA , USA.

出版信息

Issues Ment Health Nurs. 2015 Jun;36(6):430-8. doi: 10.3109/01612840.2014.991049.


DOI:10.3109/01612840.2014.991049
PMID:26241569
Abstract

Intimate partner violence (IPV) is a public health problem. The purpose of this study was to compare the effectiveness of the HELPP (Health, Education on Safety, and Legal Support and Resources in IPV Participant Preferred) intervention among IPV survivors. A sequential, transformative mixed-methods design was used. Participants were randomly assigned to one of three study groups: Online (ONL), Face-to-Face (FTF), and Waitlist Control (WLC). The HELPP intervention was offered to 32 adult female participants who were 45.2% Asian, 32.3% White, and 22.5% Black. Outcome measures were anxiety, depression, anger, personal, and social support. In total, 64% (n  =  20) of the participants reported having experienced IPV before the age of 18. The anger mean score pre-test to post-test difference was significant for ONL (p < 0.001) and WLC (p  =  0.01). The personal and social support pre-test to post-test mean score differences were significant for ONL (p < 0.001; p < 0.001) and WLC (p  =  0.01; p  =  0.006), respectively. The HELPP intervention (1) decreased anxiety, depression, anger, and (2) increased personal and social support in the ONL group. The HELPP information and intervention was shown to be feasible, acceptable, and effective among IPV survivors compared with participants in the WLC group. The WLC participants displayed (1) increased levels of anxiety, depression, and anger and (2) decreased levels of personal and social support, post-intervention. Further research could be conducted to determine if e-mail alone or e-mail plus mobile devices are more useful modes of delivering interventions.

摘要

亲密伴侣暴力(IPV)是一个公共卫生问题。本研究的目的是比较“HELPP(IPV参与者偏好的健康、安全知识教育、法律支持及资源)干预措施”对IPV幸存者的有效性。采用了一种序列式、变革性的混合方法设计。参与者被随机分配到三个研究组之一:在线组(ONL)、面对面组(FTF)和候补对照组(WLC)。32名成年女性参与者接受了HELPP干预,其中45.2%为亚洲人,32.3%为白人,22.5%为黑人。结果指标包括焦虑、抑郁、愤怒、个人支持和社会支持。总体而言,64%(n = 20)的参与者报告在18岁之前经历过IPV。在线组(p < 0.001)和候补对照组(p = 0.01)从测试前到测试后的愤怒平均得分差异显著。在线组(p < 0.001;p < 0.001)和候补对照组(p = 0.01;p = 0.006)从测试前到测试后的个人支持和社会支持平均得分差异分别显著。HELPP干预措施(1)降低了在线组的焦虑、抑郁和愤怒水平,(2)增加了个人支持和社会支持。与候补对照组的参与者相比,HELPP信息和干预措施在IPV幸存者中被证明是可行的、可接受的且有效的。干预后,候补对照组的参与者(1)焦虑、抑郁和愤怒水平增加,(2)个人支持和社会支持水平降低。可以进行进一步的研究,以确定单独使用电子邮件或电子邮件加移动设备是否是更有效的干预传递方式。

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