Ford-Gilboe Marilyn, Varcoe Colleen, Scott-Storey Kelly, Wuest Judith, Case James, Currie Leanne M, Glass Nancy, Hodgins Marilyn, MacMillan Harriet, Perrin Nancy, Wathen C Nadine
Arthur Labatt Family School of Nursing, University of Western Ontario, FNB 2302, 1151 Richmond St., London, ON, NBA 5C1, Canada.
School of Nursing, University of British Columbia, Vancouver, BC, Canada.
BMC Public Health. 2017 Mar 21;17(1):273. doi: 10.1186/s12889-017-4143-9.
Intimate partner violence (IPV) threatens the safety and health of women worldwide. Safety planning is a widely recommended, evidence-based intervention for women experiencing IPV, yet fewer than 1 in 5 Canadian women access safety planning through domestic violence services. Rural, Indigenous, racialized, and immigrant women, those who prioritize their privacy, and/or women who have partners other than men, face unique safety risks and access barriers. Online IPV interventions tailored to the unique features of women's lives, and to maximize choice and control, have potential to reduce access barriers, and improve fit and inclusiveness, maximizing effectiveness of these interventions for diverse groups.
METHODS/DESIGN: In this double blind randomized controlled trial, 450 Canadian women who have experienced IPV in the previous 6 months will be randomized to either a tailored, interactive online safety and health intervention (iCAN Plan 4 Safety) or general online safety information (usual care). iCAN engages women in activities designed to increase their awareness of safety risks, reflect on their plans for their relationships and priorities, and create a personalize action plan of strategies and resources for addressing their safety and health concerns. Self-reported outcome measures will be collected at baseline and 3, 6, and 12 months post-baseline. Primary outcomes are depressive symptoms (Center for Epidemiological Studies Depression Scale, Revised) and PTSD Symptoms (PTSD Checklist, Civilian Version). Secondary outcomes include helpful safety actions, safety planning self-efficacy, mastery, and decisional conflict. In-depth qualitative interviews with approximately 60 women who have completed the trial and website utilization data will be used to explore women's engagement with the intervention and processes of change.
This trial will contribute timely evidence about the effectiveness of online safety and health interventions appropriate for diverse life contexts. If effective, iCAN could be readily adopted by health and social services and/or accessed by women to work through options independently. This study will produce contextualized knowledge about how women engage with the intervention; its strengths and weaknesses; whether specific groups benefit more than others; and the processes explaining any positive outcomes. Such information is critical for effective scale up of any complex intervention.
Clinicaltrials.gov ID NCT02258841 (Registered on Oct 2, 2014).
亲密伴侣暴力（IPV）威胁着全球女性的安全与健康。安全规划是一项广泛推荐的、基于证据的针对遭受亲密伴侣暴力的女性的干预措施，但在加拿大，每五名女性中通过家庭暴力服务获得安全规划的不到一人。农村、原住民、种族化和移民女性，那些重视隐私的女性，以及/或者拥有男性以外伴侣的女性，面临着独特的安全风险和获取障碍。针对女性生活的独特特征量身定制、旨在最大限度地增加选择和控制权的在线亲密伴侣暴力干预措施，有可能减少获取障碍，提高适应性和包容性，从而最大限度地提高这些干预措施对不同群体的有效性。
方法/设计：在这项双盲随机对照试验中，450名在过去6个月内遭受过亲密伴侣暴力的加拿大女性将被随机分为接受量身定制的交互式在线安全与健康干预（iCAN Plan 4 Safety）或一般在线安全信息（常规护理）。iCAN让女性参与旨在提高她们对安全风险的认识、思考她们的关系计划和优先事项，并制定一份针对解决她们的安全与健康问题的个性化策略和资源行动计划的活动。在基线以及基线后3个月、6个月和12个月收集自我报告的结果指标。主要结果是抑郁症状（流行病学研究中心抑郁量表，修订版）和创伤后应激障碍症状（创伤后应激障碍检查表，平民版）。次要结果包括有益的安全行动、安全规划自我效能感、掌控感和决策冲突。对大约60名完成试验的女性进行深入定性访谈以及网站使用数据，将用于探索女性对干预措施的参与情况和变化过程。
这项试验将及时提供关于适合不同生活背景的在线安全与健康干预措施有效性的证据。如果有效，iCAN可以很容易地被卫生和社会服务部门采用，或者女性可以独立获取以研究各种选择。这项研究将产生关于女性如何参与干预措施的情境化知识；其优势和劣势；特定群体是否比其他群体受益更多；以及解释任何积极结果的过程。此类信息对于有效扩大任何复杂干预措施的规模至关重要。
Clinicaltrials.gov标识符NCT02258841（于2014年10月2日注册）。
