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基于网络的巴西亲密伴侣暴力受害女性安全决策辅助工具的可行性:一站式中心参与式行动研究的结果

Feasibility of an Online-Based Safety Decision Aid for Brazilian Women Living with Intimate Partner Violence: Findings from Participatory-Action Research in a One Stop Center.

作者信息

Signorelli Marcos Claudio, Costa da Silva Vera Lucia, Evans Dabney P, Prado Sandra Marques, Glass Nancy

机构信息

Chamber of Public Health, Federal University of Paraná, Rua Jaguariaíva, 512, Matinhos, PR 83260-000 Brazil.

Post-Graduation in Sustainable Territorial Development, Federal University of Paraná, Rua Jaguariaíva, 512, Matinhos, PR 83260-000 Brazil.

出版信息

J Fam Violence. 2023;38(3):433-446. doi: 10.1007/s10896-022-00409-2. Epub 2022 May 17.

DOI:10.1007/s10896-022-00409-2
PMID:35601758
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9113623/
Abstract

Intimate partner violence (IPV) is a challenge in Brazil; the country is ranked 6th globally for femicide and one in four women experience physical and/or sexual IPV in their lifetimes. Safety decision aids (SDA) are tools for women experiencing IPV. Building upon previously developed and tested online SDA tools, we intend to adapt an SDA tool for use in Brazil. The purpose of this study was to examine the feasibility of a technology-based SDA to support Brazilian women living with IPV, tailored for the Brazilian context. Our participatory-action research approach built upon research between 2018 and 2019 at the House of the Brazilian Woman (HBW) of Curitiba, Brazil, a cross-sectoral one-stop center (OSC) providing comprehensive care for IPV survivors. Field research included observation, field notes, and in-depth interviews with twenty-eight (n = 28) participants (HBW staff and survivors). The results were grouped into four main thematic categories: advantages; uncertainties; barriers; and suggestions. The triangulated results showed that the majority of participants considered the SDA feasible, highlighting flexibility and confidentiality; information about IPV; and access to resources for formal help-seeking as advantages of the tool. Participants also expressed uncertainties about SDA's ability to increase women's safety and its accessibility for the most vulnerable. They made suggestions for improvement to meet the unique needs of Brazilian women. This study provided evidence on the potential of an SDA tailored for use within a comprehensive program of women survivors in Brazil. This step was crucial to inform the future implementation and evaluation.

摘要

亲密伴侣暴力(IPV)在巴西是一项挑战;该国在全球女性杀人案排名中位列第六,四分之一的女性一生中曾遭受过身体和/或性方面的亲密伴侣暴力。安全决策辅助工具(SDA)是为遭受亲密伴侣暴力的女性设计的工具。基于之前开发并测试过的在线安全决策辅助工具,我们打算改编一种安全决策辅助工具以便在巴西使用。本研究的目的是检验一种基于技术的安全决策辅助工具在支持遭受亲密伴侣暴力的巴西女性方面的可行性,该工具是针对巴西国情量身定制的。我们的参与式行动研究方法建立在2018年至2019年期间对巴西库里蒂巴的巴西女性之家(HBW)的研究基础上,这是一个跨部门一站式中心(OSC),为亲密伴侣暴力幸存者提供全面护理。实地研究包括观察、实地记录以及对28名参与者(HBW工作人员和幸存者)进行深入访谈。结果分为四个主要主题类别:优势;不确定性;障碍;以及建议。经三角互证的结果表明,大多数参与者认为该安全决策辅助工具可行,强调其灵活性和保密性、关于亲密伴侣暴力的信息以及获取正式求助资源是该工具的优势。参与者还对安全决策辅助工具提高女性安全性的能力及其对最弱势群体的可及性表示不确定。他们提出了改进建议以满足巴西女性的独特需求。本研究为一种为巴西女性幸存者综合项目量身定制的安全决策辅助工具的潜力提供了证据。这一步骤对于为未来的实施和评估提供信息至关重要。

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