School of Public Health, University of Alberta, Edmonton, AB, Canada.
School of Public Health, and Centre for Healthy Communities, University of Alberta, Edmonton, AB, Canada.
Trauma Violence Abuse. 2023 Jul;24(3):1427-1442. doi: 10.1177/15248380211069059. Epub 2022 Mar 27.
The COVID-19 pandemic has forced a rapid shift to virtual delivery of treatment and care to individuals affected by domestic violence and sexual violence. A rapid evidence assessment (REA) was undertaken to examine the effectiveness, feasibility and acceptability of trauma-focused virtual interventions for persons affected by domestic violence and sexual violence. The findings from this review will provide guidance for service providers and organizational leaders with the implementation of virtual domestic violence and sexual violence-focused interventions. The REA included comprehensive search strategies and systematic screening of and relevant articles. Papers were included into this review (1) if they included trauma-focused interventions; (2) if the intervention was delivered virtually; and (3) if the article was published in the English-language. Twenty-one papers met inclusion criteria and were included for analysis. Findings from the rapid review demonstrate that virtual interventions that incorporate trauma-focused treatment are scarce. Online interventions that incorporate trauma-focused treatment for this at-risk group are limited in scope, and effectiveness data are preliminary in nature. Additionally, there is limited evidence of acceptability, feasibility and effectiveness of virtual interventions for ethnically, culturally, and linguistically diverse populations experiencing domestic violence and sexual violence. Accessing virtual interventions was also highlighted as a barrier to among participants in studies included in the review. Despite the potential of virtual interventions to respond to the needs of individuals affected by domestic violence and/or sexual violence, the acceptability and effectiveness of virtual trauma-focused care for a diverse range of populations at risk of violence are significantly understudied.
COVID-19 大流行迫使人们迅速将治疗和护理服务转向针对受家庭暴力和性暴力影响的个人的虚拟服务。本快速证据评估(REA)旨在检查针对受家庭暴力和性暴力影响的个人的创伤焦点虚拟干预措施的有效性、可行性和可接受性。本综述的研究结果将为服务提供者和组织领导者提供实施虚拟家庭暴力和性暴力干预措施的指导。REA 包括全面的搜索策略和对相关文章的系统筛选。只有符合以下标准的论文才会被纳入本综述进行分析:(1)包含创伤焦点干预措施;(2)干预措施是通过虚拟方式提供的;(3)文章是用英文发表的。共有 21 篇论文符合纳入标准并被纳入分析。快速综述的结果表明,纳入的研究中包含创伤焦点治疗的虚拟干预措施非常少。针对这一高危群体的包含创伤焦点治疗的在线干预措施的范围有限,且有效性数据的性质是初步的。此外,对于遭受家庭暴力和性暴力的种族、文化和语言多样化人群而言,虚拟干预措施的可接受性、可行性和有效性的证据有限。在本综述纳入的研究中,参与者还强调了获得虚拟干预措施是一个障碍。尽管虚拟干预措施有可能满足受家庭暴力和/或性暴力影响的个人的需求,但针对不同人群的虚拟创伤焦点护理的可接受性和有效性,在很大程度上仍缺乏研究。