Johns Hopkins University, Baltimore, MD, USA.
Arizona State University, Phoenix, AZ, USA.
J Interpers Violence. 2022 Jul;37(13-14):NP11436-NP11459. doi: 10.1177/0886260521991880. Epub 2021 Feb 12.
The objective of this study was to examine differences in change over time in health and safety outcomes among female college students randomized to myPlan, a tailored safety planning app, or usual web-based safety planning resources. Three hundred forty-six women (175 intervention, 171 control) from 41 colleges/universities in Oregon and Maryland completed surveys at baseline, 6- and 12-months from July 2015 to October 2017. Generalized estimating equations were used to test group differences across time. Both groups improved on four measure of intimate partner violence (IPV; Composite Abuse Scale [CAS], TBI-related IPV, digital abuse, reproductive coercion [RC]) and depression. Reduction in RC and improvement in suicide risk were significantly greater in the myPlan group relative to controls ( = .019 and = .46, respectively). Increases in the percent of safety behaviors tried that were helpful significantly reduced CAS scores, indicating a reduction in IPV over time in the myPlan group compared to controls ( = .006). Findings support the feasibility and importance of technology-based IPV safety planning for college women. myPlan achieved a number of its objectives related to safety planning and decision-making, the use of helpful safety behaviors, mental health, and reductions in some forms of IPV.
本研究旨在考察随机分配至 myPlan(一款定制化的安全计划应用程序)或常规基于网络的安全计划资源的女大学生在健康和安全结果方面随时间变化的差异。2015 年 7 月至 2017 年 10 月,来自俄勒冈州和马里兰州 41 所学院/大学的 346 名女性(175 名干预组,171 名对照组)在基线、6 个月和 12 个月时完成了调查。广义估计方程用于测试组间随时间的差异。两组在四项亲密伴侣暴力(IPV;综合虐待量表[CAS]、与创伤性脑损伤相关的 IPV、数字虐待、生殖胁迫[RC])和抑郁方面均有改善。与对照组相比,myPlan 组的 RC 减少和自杀风险改善显著更大(=.019 和 =.46)。尝试的有助于安全行为的比例增加显著降低了 CAS 评分,表明与对照组相比,myPlan 组的 IPV 随时间减少(=.006)。研究结果支持基于技术的大学女性 IPV 安全计划的可行性和重要性。myPlan 在安全规划和决策、使用有助于安全的行为、心理健康以及某些形式的 IPV 减少方面实现了其多个目标。